Microvesicles in active lupus nephritis show Toll-like receptor 9-dependent co-expression of galectin-3 binding

N S Rasmussen1,2, C T Nielsen2, C H Nielsen1

  • 1Institute for Inflammation Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Insights

Systemic lupus erythematosus (SLE) patients with active lupus nephritis release more microvesicles (MVs) expressing galectin-3 binding protein (G3BP) and double-stranded DNA (dsDNA), triggered by Toll-like receptor 9 (TLR-9) activation.

Area of Science:

  • Immunology
  • Nephrology
  • Molecular Biology

Background:

  • Circulating microvesicles (MVs) in systemic lupus erythematosus (SLE) carry galectin-3 binding protein (G3BP) and may deposit in the kidney.
  • Toll-like receptor 9 (TLR-9) ligands induce G3BP-expressing MVs containing double-stranded DNA (dsDNA) from normal cells.

Purpose of the Study:

  • To compare MV release of G3BP and dsDNA from SLE patients with and without active lupus nephritis (LN) versus healthy donors.
  • To investigate the role of type 1 interferon-alpha (IFN-α) and TLR-7/TLR-9 co-stimulation in MV generation.

Main Methods:

  • Peripheral blood mononuclear cells (PBMCs) from 10 healthy donors and 12 SLE patients (6 with active LN) were stimulated in vitro.
  • Stimulation involved recombinant human IFN-α, TLR-9 agonists (ODN2216 or ODN2395), and the TLR-7 agonist gardiquimod.
  • MVs were isolated via differential centrifugation and analyzed for G3BP and dsDNA expression using flow cytometry.

Main Results:

  • ODN2395 stimulation significantly increased the release of MVs co-expressing G3BP and dsDNA in both healthy donors and SLE patients.
  • Active LN patients showed increased G3BP expression on individual MVs and a higher proportion of G3BP/dsDNA double-positive MVs.
  • Neither TLR-7 co-stimulation nor IFN-α inhibition affected ODN2395-induced MV release.

Conclusions:

  • TLR-9 activation enhances the release of MVs co-expressing G3BP and dsDNA.
  • This TLR-9-mediated MV release is elevated in SLE patients with active lupus nephritis.

Related Concept Videos