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Cutting Edge |
-o-methyl)-Fluoromethylketone1


*
Keratinocyte Laboratory, Imperial Cancer Research Fund, London, United Kingdom;
Department of Medicine and Therapeutics, University College Dublin, Dublin, Ireland; and
Department of Histopathology, Imperial College of Science, Technology, and Medicine, London, United Kingdom
Systemic lupus erythematosus (SLE) is a common,
potentially fatal, non-organ-specific autoimmune disorder. Immune
complex-mediated kidney disease is the major cause of mortality.
Apoptotic cells in the epidermis are a possible source of self Ags, and
apoptosis of endothelial cells and lymphocytes is thought to
contribute to end-organ damage. We have previously shown that female
transgenic mice expressing IFN-
in the epidermis develop
inflammatory skin disease and features of SLE that have striking
parallels with the human condition. We have now tested the effects
of a pan-caspase inhibitor,
carbobenzoxy-valyl-alanyl-aspartyl-(
-o-methyl)-fluoromethylketone,
on disease progression. Daily s.c. administration of
carbobenzoxy-valyl-alanyl-aspartyl-(
-o-methyl)-fluoromethylketone
to female transgenic mice over a 3-wk period resulted in significant
amelioration of both glomerular and interstitial renal damage,
independent of the effects on autoantibody levels or skin inflammation.
We propose that apoptosis inhibitors could be beneficial in the
treatment of human SLE.
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