Monocyte activation by apoptotic cells removal in systemic lupus erythematosus patients

Lina M Yassin1, Mauricio Rojas, Luis A Ramírez

  • 1Universidad de Antioquia, Medellín, Colombia. yascatorce@yahoo.com

Cellular Immunology
|September 25, 2010
PubMed

Insights

Systemic lupus erythematosus (SLE) patients show impaired clearance of apoptotic cells (ACs), affecting immune responses. This reduced ACs removal impacts cytokine production and cell surface marker expression differently compared to healthy individuals.

Area of Science:

  • Immunology
  • Pathogenesis of Autoimmune Diseases

Background:

  • Impaired clearance of apoptotic cells (ACs) is implicated in the pathogenesis of systemic lupus erythematosus (SLE).
  • Previous studies suggest a role for CD36 in ACs clearance, but its function in SLE patients remains unclear.

Purpose of the Study:

  • To investigate the differences in ACs binding, phagocytosis, and subsequent immune responses between SLE patients and healthy controls.
  • To explore the role of CD36 and other immune markers in ACs clearance in SLE.

Main Methods:

  • Comparative analysis of ACs binding and phagocytosis in SLE patients and healthy controls.
  • Assessment of cytokine production (IL-6, CXCL8, CCL22, IL-1β, TNF-α, CCL3) following ACs interaction.
  • Evaluation of cell surface marker expression (CD80, CD86, CD36, CD163, HLA-DR) on monocytes and adherent cells.

Main Results:

  • SLE patients exhibited decreased binding and phagocytosis of ACs compared to controls.
  • ACs interaction induced distinct cytokine profiles in SLE patients versus healthy controls.
  • SLE patients showed altered CD80 expression and CD36 downregulation on HLA-DR(+) cells post-ACs removal, unlike controls.

Conclusions:

  • Decreased ACs clearance in SLE patients leads to a unique immune response.
  • CD36 plays a differential role in ACs clearance between SLE patients and healthy individuals.
  • Aberrant immune cell marker expression and cytokine profiles contribute to SLE pathogenesis due to impaired ACs removal.

Related Concept Videos

Phagocytosis of Apoptotic Cells01:17

Phagocytosis of Apoptotic Cells

Cells undergoing apoptosis form apoptotic bodies that must be removed immediately to prevent inflammation, autoimmune diseases, and necrosis. Phagocytosis is carried out by professional phagocytes such as macrophages or  immature dendritic cells. Non-professional phagocytes such as  epithelial cells and fibroblasts also take part in this process; however, they are not as effective as professional phagocytes. 
Normal cells contain receptors that prevent them from being recognized by phagocytes.
Regulation of Hematopoietic Stem Cells01:01

Regulation of Hematopoietic Stem Cells

All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
Differentiation of Common Myeloid Progenitor Cells01:15

Differentiation of Common Myeloid Progenitor Cells

Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
The Extrinsic Apoptotic Pathway01:17

The Extrinsic Apoptotic Pathway

The extrinsic apoptotic pathway is initiated when extracellular death-inducing signals, such as specific cytokines, activate the death receptors expressed on the cell surface. The immune cells involved in this pathway are natural killer cells (NK cells) and cytotoxic T-lymphocytes. NK cells are critical in innate immune response, while cytotoxic T-lymphocytes are associated with adaptive immune response. These cells recognize specific receptors expressed on the altered cells and activate...
T Cell Types and Functions01:24

T Cell Types and Functions

When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...