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      Bim suppresses the development of SLE by limiting myeloid inflammatory responses

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          Abstract

          Tsai et al. demonstrate that loss of Bim (BCL2L11) in myeloid cells in mice (LysM CreBim fl/fl) is sufficient to induce systemic autoimmunity. Kidney macrophages in LysM CreBim fl/fl mice possess a proinflammatory transcriptional signature and signal through TRIF to cause end-stage glomerulonephritis.

          Abstract

          The Bcl-2 family is considered the guardian of the mitochondrial apoptotic pathway. We demonstrate that Bim acts as a molecular rheostat by controlling macrophage function not only in lymphoid organs but also in end organs, thereby preventing the break in tolerance. Mice lacking Bim in myeloid cells (LysM CreBim fl/fl) develop a systemic lupus erythematosus (SLE)–like disease that mirrors aged Bim −/− mice, including loss of marginal zone macrophages, splenomegaly, lymphadenopathy, autoantibodies (including anti-DNA IgG), and a type I interferon signature. LysM CreBim fl/fl mice exhibit increased mortality attributed to glomerulonephritis (GN). Moreover, the toll-like receptor signaling adaptor protein TRIF (TIR-domain–containing adapter-inducing interferon-β) is essential for GN, but not systemic autoimmunity in LysM CreBim fl/fl mice. Bim-deleted kidney macrophages exhibit a novel transcriptional lupus signature that is conserved within the gene expression profiles from whole kidney biopsies of patients with SLE. Collectively, these data suggest that the Bim may be a novel therapeutic target in the treatment of SLE.

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          Proapoptotic Bcl-2 relative Bim required for certain apoptotic responses, leukocyte homeostasis, and to preclude autoimmunity.

          Apoptosis can be triggered by members of the Bcl-2 protein family, such as Bim, that share only the BH3 domain with this family. Gene targeting in mice revealed important physiological roles for Bim. Lymphoid and myeloid cells accumulated, T cell development was perturbed, and most older mice accumulated plasma cells and succumbed to autoimmune kidney disease. Lymphocytes were refractory to apoptotic stimuli such as cytokine deprivation, calcium ion flux, and microtubule perturbation but not to others. Thus, Bim is required for hematopoietic homeostasis and as a barrier to autoimmunity. Moreover, particular death stimuli appear to activate apoptosis through distinct BH3-only proteins.
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            BH3-only Bcl-2 family member Bim is required for apoptosis of autoreactive thymocytes.

            During lymphocyte development, the assembly of genes coding for antigen receptors occurs by the combinatorial linking of gene segments. The stochastic nature of this process gives rise to lymphocytes that can recognize self-antigens, thereby having the potential to induce autoimmune disease. Such autoreactive lymphocytes can be silenced by developmental arrest or unresponsiveness (anergy), or can be deleted from the repertoire by cell death. In the thymus, developing T lymphocytes (thymocytes) bearing a T-cell receptor (TCR)-CD3 complex that engages self-antigens are induced to undergo programmed cell death (apoptosis), but the mechanisms ensuring this 'negative selection' are unclear. We now report that thymocytes lacking the pro-apoptotic Bcl-2 family member Bim (also known as Bcl2l11) are refractory to apoptosis induced by TCR-CD3 stimulation. Moreover, in transgenic mice expressing autoreactive TCRs that provoke widespread deletion, Bim deficiency severely impaired thymocyte killing. TCR ligation upregulated Bim expression and promoted interaction of Bim with Bcl-XL, inhibiting its survival function. These findings identify Bim as an essential initiator of apoptosis in thymocyte-negative selection.
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              Association of increased interferon-inducible gene expression with disease activity and lupus nephritis in patients with systemic lupus erythematosus.

              To study 5 type I interferon (IFN)-inducible genes (LY6E, OAS1, OASL, MX1, and ISG15) in patients with systemic lupus erythematosus (SLE) and to correlate expression levels with disease activity and/or clinical manifestations. Peripheral blood cells were obtained from 48 SLE patients, 48 normal controls, and 22 rheumatic disease controls, and total RNA was extracted and reverse transcribed into complementary DNA. Gene expression levels were measured by real-time polymerase chain reaction, standardized to a housekeeping gene, and summed to an IFN score. Disease activity was determined by the Safety of Estrogens in Lupus Erythematosus: National Assessment-Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) composite. Each gene was highly expressed in SLE patients compared with normal controls (P < or = 0.0003) or disease controls (P < or = 0.0008 except for MX1). IFN scores were positively associated with the SELENA-SLEDAI instrument score (P = 0.001), the SELENA-SLEDAI flare score (P = 0.03), and the physician's global assessment score (P = 0.005). Compared with patients without nephritis, lupus nephritis patients had higher IFN scores (overall P < 0.0001), especially during active renal disease. IFN scores were weakly associated with neurologic manifestations. Elevated IFN scores were positively associated with the current presence of anti-double-stranded DNA (anti-dsDNA) antibodies (P = 0.007) or hypocomplementemia (P = 0.007). LY6E expression levels distinguished active from inactive lupus nephritis (P = 0.02) and were positively associated with proteinuria (P = 0.009). The 5 IFN-inducible genes were highly expressed in SLE patients, and increased levels were correlated with disease activity defined by several methods. IFN scores, or LY6E levels, were elevated in lupus nephritis patients, especially during active renal disease, and in patients with anti-dsDNA antibody positivity and hypocomplementemia. IFN scores, or LY6E levels, may be useful as a biomarker for lupus nephritis therapy.
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                Author and article information

                Journal
                J Exp Med
                J. Exp. Med
                jem
                jem
                The Journal of Experimental Medicine
                The Rockefeller University Press
                0022-1007
                1540-9538
                4 December 2017
                : 214
                : 12
                : 3753-3773
                Affiliations
                [1 ]Division of Rheumatology, Feinberg School of Medicine, Northwestern University, Chicago, IL
                [2 ]Division of Pulmonary and Critical Care, Feinberg School of Medicine, Northwestern University, Chicago, IL
                [3 ]TTP Labtech India Private Limited, Faridabad, India
                [4 ]Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY
                [5 ]Department of Pathology, University of Chicago, Chicago, IL
                [6 ]Department of Biomedical Engineering, University of Houston, Houston, TX
                [7 ]Tri-Service Research Laboratory, San Antonio, TX
                [8 ]The Feinstein Institute for Medical Research, Hofstra Northwell School of Medicine, Manhasset, NY
                [9 ]The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia
                Author notes
                Correspondence to Carla M. Cuda: c-cuda@ 123456northwestern.edu ;
                Author information
                http://orcid.org/0000-0002-3389-4931
                http://orcid.org/0000-0003-2879-3789
                http://orcid.org/0000-0002-6012-3745
                http://orcid.org/0000-0002-6877-5510
                http://orcid.org/0000-0002-4081-6464
                http://orcid.org/0000-0003-4174-608X
                Article
                20170479
                10.1084/jem.20170479
                5716039
                29114065
                b51c901e-add2-413a-82b4-2fd5c1b89c57
                © 2017 Tsai et al.

                This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.rupress.org/terms/). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 4.0 International license, as described at https://creativecommons.org/licenses/by-nc-sa/4.0/).

                History
                : 14 March 2017
                : 25 July 2017
                : 06 September 2017
                Funding
                Funded by: American Heart Association, DOI https://doi.org/10.13039/100000968;
                Award ID: PRE21410010
                Funded by: National Institutes of Health, DOI https://doi.org/10.13039/100000002;
                Award ID: K01AR064313
                Award ID: HL108795
                Award ID: AR050250
                Award ID: AR054796
                Award ID: AR064546
                Award ID: AI092490
                Funded by: United States-Israel Binational Science Foundation, DOI https://doi.org/10.13039/100006221;
                Award ID: 2013247
                Funded by: Rheumatology Research Foundation, DOI https://doi.org/10.13039/100006260;
                Award ID: Agmt 05/06/14
                Funded by: Mabel Green Myers Chair of Medicine
                Funded by: National Institutes of Health, DOI https://doi.org/10.13039/100000002;
                Award ID: 1S10OD011996-01
                Funded by: National Cancer Institute, DOI https://doi.org/10.13039/100000054;
                Award ID: P30-CA060553
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