Persistent expression of autoantibodies in SLE patients in remission
S Yurasov, T Tiller, M Tsuiji, K Velinzon… - Journal of Experimental …, 2006 - rupress.org
Journal of Experimental Medicine, 2006•rupress.org
A majority of the antibodies expressed by nascent B cells in healthy humans are selfreactive,
but most of these antibodies are removed from the repertoire during B cell development. In
contrast, untreated systemic lupus erythematosus (SLE) patients fail to remove many of the
self-reactive and polyreactive antibodies from the naive repertoire. Here, we report that SLE
patients in clinical remission continue to produce elevated numbers of selfreactive and
polyreactive antibodies in the mature naive B cell compartment, but the number of B cells …
but most of these antibodies are removed from the repertoire during B cell development. In
contrast, untreated systemic lupus erythematosus (SLE) patients fail to remove many of the
self-reactive and polyreactive antibodies from the naive repertoire. Here, we report that SLE
patients in clinical remission continue to produce elevated numbers of selfreactive and
polyreactive antibodies in the mature naive B cell compartment, but the number of B cells …
A majority of the antibodies expressed by nascent B cells in healthy humans are selfreactive, but most of these antibodies are removed from the repertoire during B cell development. In contrast, untreated systemic lupus erythematosus (SLE) patients fail to remove many of the self-reactive and polyreactive antibodies from the naive repertoire. Here, we report that SLE patients in clinical remission continue to produce elevated numbers of selfreactive and polyreactive antibodies in the mature naive B cell compartment, but the number of B cells expressing these antibodies is lower than in patients with active disease. Our finding that abnormal levels of self-reactive mature naive B cells persist in the majority of patients in clinical remission suggests that early checkpoint abnormalities are an integral feature of SLE.
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