皮肌炎
医学
抗体
CD8型
免疫学
自身免疫
免疫系统
病理
作者
Naoko Okiyama,Yuki Ichimura,Miwako Shobo,Ryota Tanaka,Noriko Kubota,Akimasa Saito,Yosuke Ishitsuka,Rei Watanabe,Yasuhiro Fujisawa,Yoshiyuki Nakamura,Akihiro Murakami,Hisako Kayama,Kiyoshi Takeda,Manabu Fujimoto
标识
DOI:10.1136/annrheumdis-2020-218661
摘要
Objectives To investigate whether autoimmunity to transcriptional intermediary factor 1 (TIF1)γ, a ubiquitous nuclear autoantigen for myositis-specific autoantibodies detected in patients with dermatomyositis (DM) is pathogenetic for inflammatory myopathy. Methods Wild-type, β 2 -microglobulin-null, perforin-null, Igμ‐null and interferon α/β receptor (IFNAR)-null mice were immunised with recombinant human TIF1γ whole protein. A thymidine incorporation assay was performed using lymph node T cells from TIF1γ-immunised mice. Plasma was analysed using immunoprecipitation followed by western blot analysis and enzyme-linked immunosorbent assays. Femoral muscles were histologically and immunohistochemically evaluated. CD8 + or CD4 + T cells isolated from lymph node T cells or IgG purified from plasma were adoptively transferred to naïve mice. TIF1γ-immunised mice were treated with anti-CD8 depleting antibody and a Janus kinase inhibitor, tofacitinib. Results Immunisation with TIF1γ-induced experimental myositis presenting with necrosis/atrophy of muscle fibres accompanied by CD8 + T cell infiltration successfully in wild-type mice, in which TIF1γ-specific T cells and antihuman and murine TIF1γ IgG antibodies were detected. The incidence and severity of myositis were significantly lower in β₂-microglobulin-null, perforin-null, CD8-depleted or IFNAR-null mice, while Igμ‐null mice developed myositis normally. Adoptive transfer of CD8 + T cells induced myositis in recipients, while transfer of CD4 + T cells or IgG did not. Treatment with tofacitinib inhibited TIF1γ-induced myositis. Conclusions Here we show that TIF1γ is immunogenic enough to cause experimental myositis, in which CD8 + T cells and type I interferons, but not CD4 + T cells, B cells or antibodies, are required. This murine model would be a tool for understanding the pathologies of DM.
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