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The Journal of Immunology, 2005, 175: 7021-7028.
Copyright © 2005 by The American Association of Immunologists

Constitutive Activation of p38 and ERK1/2 MAPKs in Epithelial Cells of Myasthenic Thymus Leads to IL-6 and RANTES Overexpression: Effects on Survival and Migration of Peripheral T and B Cells1

Michaela Colombara*, Valeria Antonini2,*, Anna Pia Riviera2,*,{ddagger}, Fabrizio Mainiero§, Raffaele Strippoli§, Marcello Merola{dagger}, Giulio Fracasso*, Ornella Poffe*,{ddagger}, Nadia Brutti*,{ddagger}, Giuseppe Tridente*,{ddagger}, Marco Colombatti* and Dunia Ramarli3,*,{ddagger}

* Section of Immunology, Department of Pathology, and {dagger} Section of Biochemistry, Department of Neurological and Vision Sciences, University of Verona, Verona, Italy; {ddagger} Clinical Immunology, G. B. Rossi Hospital, Verona, Italy; and § Department of Experimental Medicine and Pathology, Institute Pasteur-Fondazione, Cenci Bolognetti, University of Rome, "La Sapienza," Italy

Myasthenia gravis (MG) is an autoimmune disease of neuromuscular junctions where thymus plays a pathogenetic role. Thymectomy benefits patients, and thymic hyperplasia, a lymphoid infiltration of perivascular spaces becoming site of autoantibody production, is recurrently observed. Cytokines and chemokines, produced by thymic epithelium and supporting survival and migration of T and B cells, are likely to be of great relevance in pathogenesis of thymic hyperplasia. In thymic epithelial cell (TEC) cultures derived "in vitro" from normal or hyperplastic age-matched MG thymuses, we demonstrate by gene profiling analysis that MG-TEC basally overexpress genes coding for p38 and ERK1/2 MAPKs and for components of their signaling pathways. Immunoblotting experiments confirmed that p38 and ERK1/2 proteins were overexpressed in MG-TEC and, in addition, constitutively activated. Pharmacological blockage with specific inhibitors confirmed their role in the control of IL-6 and RANTES gene expression. According to our results, IL-6 and RANTES levels were abnormally augmented in MG-TEC, either basally or upon induction by adhesion-related stimuli. The finding that IL-6 and RANTES modulate, respectively, survival and migration of peripheral lymphocytes of myasthenic patients point to MAPK transcriptional and posttranscriptional abnormalities of MG-TEC as a key step in the pathological remodelling of myasthenic thymus.







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