Calcium signaling in systemic lupus erythematosus T cells: a treatment target

Vasileios C Kyttaris1, Zheng Zhang, Ourania Kampagianni

  • 1Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. vkyttari@bidmc.harvard.edu

Abstract

Insights

Systemic lupus erythematosus (SLE) T cells show hyperactive pathways. Dipyridamole effectively inhibits SLE T cell function and reduces disease pathology in mice, suggesting its therapeutic potential.

Area of Science:

  • Immunology
  • Rheumatology

Background:

  • Systemic lupus erythematosus (SLE) is characterized by aberrant T cell hyperactivity.
  • The calcineurin/NF-AT pathway is hyperactive in SLE T cells, contributing to disease pathogenesis.

Purpose of the Study:

  • To investigate the role of the calcineurin/NF-AT pathway in SLE T cell dysfunction.
  • To evaluate dipyridamole, a calcineurin inhibitor, for its efficacy in treating SLE-related pathology.

Main Methods:

  • Isolation of T cells and mononuclear cells from SLE patients and lupus-prone mice.
  • In vitro treatment of cells with tacrolimus or dipyridamole.
  • In vivo administration of dipyridamole to MRL/lpr mice.

Main Results:

  • SLE T cells exhibit increased calcium influx and NF-ATc1 levels.
  • Dipyridamole treatment suppressed key inflammatory markers (IFN-γ, IL-17, IL-6) and immunoglobulin production.
  • Dipyridamole treatment alleviated lupus nephritis and skin ulcers in MRL/lpr mice.

Conclusions:

  • NF-AT activation is crucial for SLE T cell activation and immunoglobulin production.
  • Dipyridamole demonstrates significant potential in inhibiting SLE T cell function and ameliorating disease manifestations.
  • Dipyridamole warrants consideration as a therapeutic agent for SLE patients.