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* Research Service, Department of Veteran Affairs Medical Center, Baltimore, MD 21201;
Department of Medicine, Division of Rheumatology and Clinical Immunology, University of Maryland School of Medicine, Baltimore, MD 21201;
Department of Pathology, University of Maryland School of Medicine, Baltimore, MD 21201; and
Department of Pathology, Uniformed Services University of Health Sciences, Bethesda, MD 20814
T cells play an essential role in driving humoral autoimmunity in lupus. Molecules such as TRAIL exhibit strong T cell modulatory effects and are up-regulated in lupus, raising the possibility that they may influence disease severity. To address this possibility, we examined the role of TRAIL expression on pathogenic T cells in an induced model of murine lupus, the parent-into-F1 (P
F1) model of chronic graft-vs-host disease (GVHD), using wild-type or TRAIL-deficient donor T cells. Results were compared with mice undergoing suppressive acute GVHD. Although chronic GVHD mice exhibited less donor T cell TRAIL up-regulation and IFN-
-inducible gene expression than acute GVHD mice, donor CD4+ T cell TRAIL expression in chronic GVHD was essential for sustaining effector CD4+ Th cell numbers, for sustaining help to B cells, and for more severe lupus-like renal disease development. Conversely, TRAIL expression on donor CD8+ T cells had a milder, but significant down-regulatory effect on CTL effector function, affecting the perforin/granzyme pathway and not the Fas ligand pathway. These results indicate that, in this model, T cell-expressed TRAIL exacerbates lupus by the following: 1) positively regulating CD4+ Th cell numbers, thereby sustaining T cell help for B cells, and 2) to a lesser degree by negatively regulating perforin-mediated CD8+ CTL killing that could potentially eliminate activated autoreactive B cells.
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1 This study was supported by National Institutes of Health Grants AI47466 (to C.S.V.) and K23 AR02135-01 (to V.R.), by an Arthritis Foundation Investigator Award (to V.R.), and a Department of Veterans Affairs Merit Review Grant (to C.S.V. and V.R.). R.P. was a recipient of an Engelicheff Fellowship Award from the Maryland Chapter of the Arthritis Foundation.
2 Address correspondence and reprint requests to Dr. Violeta Rus, University of Maryland School of Medicine, Medical School Teaching Facility, Building, Room 8-34, 10 South Pine Street, Baltimore, MD 21201. E-mail address: vrus{at}umaryland.edu
3 Abbreviations used in this paper: DR, death receptor; FasL, Fas ligand; GVHD, graft-vs-host disease; KO, knockout; MCF, mean channel fluorescence; Mx-1, myxovirus (influenza virus) resistance 1; OAS1a, oligoadenylate synthetase; SLE, systemic lupus erythematosus; WT, wild type; Ct, cycle threshold.
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