IL-21 has a pathogenic role in a lupus-prone mouse model and its blockade with IL-21R.Fc reduces disease progression

J Immunol. 2007 Mar 15;178(6):3822-30. doi: 10.4049/jimmunol.178.6.3822.

Abstract

Systemic lupus erythematosus is a complex autoimmune disease characterized by dysregulated interactions between autoreactive T and B lymphocytes and the development of anti-nuclear Abs. The recently described pleiotropic cytokine IL-21 has been shown to regulate B cell differentiation and function. IL-21 is produced by activated T lymphocytes and its interactions with IL-21R are required for isotype switching and differentiation of B cells into Ab-secreting cells. In this report, we studied the impact of blocking IL-21 on disease in the lupus-prone MRL-Fas(lpr) mouse model. Mice treated for 10 wk with IL-21R.Fc fusion protein had reduced proteinuria, fewer IgG glomerular deposits, no glomerular basement membrane thickening, reduced levels of circulating dsDNA autoantibodies and total sera IgG1 and IgG2a, and reduced skin lesions and lymphadenopathy, compared with control mice. Also, treatment with IL-21R.Fc resulted in a reduced number of splenic T lymphocytes and altered splenic B lymphocyte ex vivo function. Our data show for the first time that IL-21 has a pathogenic role in the MRL-Fas(lpr) lupus model by impacting B cell function and regulating the production of pathogenic autoantibodies. From a clinical standpoint, these results suggest that blocking IL-21 in systemic lupus erythematosus patients may represent a promising novel therapeutic approach.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Antibodies, Antinuclear / immunology
  • B-Lymphocytes / immunology*
  • B-Lymphocytes / pathology
  • Disease Models, Animal
  • Glomerular Basement Membrane / immunology
  • Glomerular Basement Membrane / pathology
  • Humans
  • Immunoglobulin Constant Regions / genetics
  • Immunoglobulin Constant Regions / immunology*
  • Immunoglobulin Constant Regions / pharmacology
  • Immunoglobulin G / immunology
  • Interleukin-21 Receptor alpha Subunit / genetics
  • Interleukin-21 Receptor alpha Subunit / immunology*
  • Interleukins / antagonists & inhibitors*
  • Interleukins / immunology
  • Lupus Erythematosus, Systemic / drug therapy
  • Lupus Erythematosus, Systemic / immunology*
  • Lupus Erythematosus, Systemic / pathology
  • Lupus Nephritis / drug therapy
  • Lupus Nephritis / immunology
  • Lupus Nephritis / pathology
  • Mice
  • Mice, Inbred MRL lpr
  • Recombinant Fusion Proteins / genetics
  • Recombinant Fusion Proteins / immunology
  • Recombinant Fusion Proteins / pharmacology
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / pathology

Substances

  • Antibodies, Antinuclear
  • Il21r protein, mouse
  • Immunoglobulin Constant Regions
  • Immunoglobulin G
  • Interleukin-21 Receptor alpha Subunit
  • Interleukins
  • Recombinant Fusion Proteins
  • interleukin-21