Sunlight triggers cutaneous lupus through a CSF-1-dependent mechanism in MRL-Faslpr mice

J Menke, MY Hsu, KT Byrne, JA Lucas… - The Journal of …, 2008 - journals.aai.org
J Menke, MY Hsu, KT Byrne, JA Lucas, WA Rabacal, BP Croker, XH Zong, ER Stanley
The Journal of Immunology, 2008journals.aai.org
Sunlight (UVB) triggers cutaneous lupus erythematosus (CLE) and systemic lupus through
an unknown mechanism. We tested the hypothesis that UVB triggers CLE through a CSF-1-
dependent, macrophage (Mø)-mediated mechanism in MRL-Fas lpr mice. By constructing
mutant MRL-Fas lpr strains expressing varying levels of CSF-1 (high, intermediate, none),
and use of an ex vivo gene transfer to deliver CSF-1 intradermally, we determined that CSF-
1 induces CLE in lupus-susceptible MRL-Fas lpr mice, but not in lupus-resistant BALB/c …
Abstract
Sunlight (UVB) triggers cutaneous lupus erythematosus (CLE) and systemic lupus through an unknown mechanism. We tested the hypothesis that UVB triggers CLE through a CSF-1-dependent, macrophage (Mø)-mediated mechanism in MRL-Fas lpr mice. By constructing mutant MRL-Fas lpr strains expressing varying levels of CSF-1 (high, intermediate, none), and use of an ex vivo gene transfer to deliver CSF-1 intradermally, we determined that CSF-1 induces CLE in lupus-susceptible MRL-Fas lpr mice, but not in lupus-resistant BALB/c mice. UVB incites an increase in Møs, apoptosis in the skin, and CLE in MRL-Fas lpr, but not in CSF-1-deficient MRL-Fas lpr mice. Furthermore, UVB did not induce CLE in BALB/c mice. Probing further, UVB stimulates CSF-1 expression by keratinocytes leading to recruitment and activation of Møs that, in turn, release mediators, which induce apoptosis in keratinocytes. Thus, sunlight triggers a CSF-1-dependent, Mø-mediated destructive inflammation in the skin leading to CLE in lupus-susceptible MRL-Fas lpr but not lupus-resistant BALB/c mice. Taken together, CSF-1 is envisioned as the match and lupus susceptibility as the tinder leading to CLE.
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