PMID- 36311714 OWN - NLM STAT- MEDLINE DCOM- 20221101 LR - 20221102 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - The role of organ-deposited IgG in the pathogenesis of multi-organ and tissue damage in systemic lupus erythematosus. PG - 924766 LID - 10.3389/fimmu.2022.924766 [doi] LID - 924766 AB - Systemic lupus erythematosus (SLE), often known simply as lupus, is a severe chronic autoimmune disease that is characterized by multi-organ and tissue damage and high levels of autoantibodies in serum. We have recently investigated, using animal models, the role of organ-deposited IgG autoantibodies in the pathogenesis of organ and tissue damage in SLE. We found that intra-organ injection of serum from mice with lupus (i.e., lupus mice) into healthy mice triggered inflammation in tissue and organs but that serum from other healthy mice did not, and that the severity of inflammation was related to the dose of serum injected. Immunohistochemistry showed that a large number of IgG molecules are deposited at the site of organ and tissue damage in lupus mice, and that IgG is a major contributor to the development of tissue inflammation triggered by serum from lupus mice or patients. The development of tissue inflammation induced by IgG in serum from lupus mice requires the presence of monocytes/macrophages, but not of lymphocytes or neutrophils; tumor necrosis factor (TNF)/tumor necrosis factor receptor 1 (TNFR1) and interleukin 1 (IL-1) also play essential roles in the development of tissue inflammation triggered by IgG. In addition, it has been found that TNFR1 inhibitors can suppress skin injury in lupus mice and that spleen tyrosine kinase (Syk) inhibitors, which can block the signaling transduction of IgG/Fc gamma receptors (FcgammaRs), can prevent and treat skin injury and kidney damage in lupus mice. We have also observed that lupus IgG might protect against bone erosion. Based on these results, we conclude that IgG plays a crucial role in the development of organ and tissue damage in SLE and in protecting bone erosion and arthritis, and we suggest that the IgG/FcgammaR signaling pathway is an important therapeutic target in SLE. CI - Copyright (c) 2022 Qiu, Yu and Deng. FAU - Qiu, Wenlin AU - Qiu W AD - Department of Rheumatology and Immunology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Yu, Tong AU - Yu T AD - Department of Rheumatology and Immunology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Deng, Guo-Min AU - Deng GM AD - Department of Rheumatology and Immunology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20221013 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) SB - IM MH - Mice MH - Animals MH - *Receptors, Tumor Necrosis Factor, Type I MH - *Lupus Erythematosus, Systemic MH - Autoantibodies MH - Inflammation/pathology MH - Immunoglobulin G PMC - PMC9609414 OTO - NOTNLM OT - FcgammaR OT - IgG OT - SLE OT - autoantibody OT - macrophage OT - organ damage COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/11/01 06:00 MHDA- 2022/11/02 06:00 PMCR- 2022/01/01 CRDT- 2022/10/31 04:26 PHST- 2022/04/20 00:00 [received] PHST- 2022/09/14 00:00 [accepted] PHST- 2022/10/31 04:26 [entrez] PHST- 2022/11/01 06:00 [pubmed] PHST- 2022/11/02 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.924766 [doi] PST - epublish SO - Front Immunol. 2022 Oct 13;13:924766. doi: 10.3389/fimmu.2022.924766. eCollection 2022.