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* Autoimmunity and Tolerance Laboratory, Department of Medicine,
Department of Pathology and Laboratory Medicine, and
Jonsson Comprehensive Cancer Center, David Geffen School of Medicine, University of California, Los Angeles, CA 90095;
Department of Internal Medicine and
¶ Department of Molecular Genetics, Biochemistry and Microbiology, University of Cincinnati College of Medicine, Cincinnati, OH 45267
Ample evidence suggests a role of TGF-β in preventing autoimmunity. Multiorgan inflammatory disease, spontaneous activation of self-reactive T cells, and autoantibody production are hallmarks of autoimmune diseases, such as lupus. These features are reminiscent of the immunopathology manifest in TGF-β1-deficient mice. In this study, we show that lupus-prone (New Zealand Black and White)F1 mice have reduced expression of TGF-β1 in lymphoid tissues, and TGF-β1 or TGF-β1-producing T cells suppress autoantibody production. In contrast, the expression of TGF-β1 protein and mRNA and TGF-β signaling proteins (TGF-β receptor type II and phosphorylated SMAD3) increases in the target organs, i.e., kidneys, of these mice as they age and develop progressive organ damage. In fact, the levels of TGF-β1 in kidney tissue and urine correlate with the extent of chronic lesions that represent local tissue fibrosis. In vivo TGF-β blockade by treatment of these mice with an anti-TGF-β Ab selectively inhibits chronic fibrotic lesions without affecting autoantibody production and the inflammatory component of tissue injury. Thus, TGF-β plays a dual, seemingly paradoxical, role in the development of organ damage in multiorgan autoimmune diseases. According to our working model, reduced TGF-β in immune cells predisposes to immune dysregulation and autoantibody production, which causes tissue inflammation that triggers the production of anti-inflammatory cytokines such as TGF-β in target organs to counter inflammation. Enhanced TGF-β in target organs, in turn, can lead to dysregulated tissue repair, progressive fibrogenesis, and eventual end-organ damage.
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1 This work was supported in part by National Institutes of Health Grants AR47322, AR050797, and DK69282.
2 V.S. and D.W.L. contributed equally to this work.
3 Current address: University of Arizona, Tucson, AZ 85724.
4 Address correspondence and reprint requests to Dr. Ram Raj Singh, David Geffen School of Medicine, University of California Los Angeles, 1000 Veteran Avenue, Room 32-59, Rehab Center, Los Angeles, CA 90095. E-mail address: RRSingh{at}mednet.ucla.edu
5 Abbreviations used in this paper: SLE, systemic lupus erythematosus; AP, alkaline phosphatase; BWF1, (New Zealand Black and White (NZB x NZW))F1; CI, chronicity index; CWF1, (BALB/c x NZW)F1; ANA, antinuclear Ab; GAI, glomerular activity index; PAS, periodic acid Schiff; RF, rheumatoid factor; TβRII, TGF-β receptor type II; TβRI, TGF-β receptor type I; TII, tubulointerstitial index.
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