[CITATION][C] CD154–CD40 interactions mediate differentiation to plasma cells in healthy individuals and persons with systemic lupus erythematosus

AC Grammer, PE Lipsky - … & Rheumatism: Official Journal of the …, 2002 - Wiley Online Library
Arthritis & Rheumatism: Official Journal of the American College …, 2002Wiley Online Library
Systemic lupus erythematosus (SLE) is a chronic, multisystem human autoimmune disease
characterized by the differentiation of short-and long-lived plasma cells (PCs) that secrete
pathogenic autoantibodies (1–3). These include autoantibodies specific for DNA involved in
glomerulonephritis, autoantibodies to phospholipid 2-glycoprotein I in thrombosis, and anti-
Ro autoantibodies in congenital heart block. The exact cause of SLE is unclear, but the
emergence of the disease appears to depend on a combination of genetic susceptibility and …
Systemic lupus erythematosus (SLE) is a chronic, multisystem human autoimmune disease characterized by the differentiation of short-and long-lived plasma cells (PCs) that secrete pathogenic autoantibodies (1–3). These include autoantibodies specific for DNA involved in glomerulonephritis, autoantibodies to phospholipid 2-glycoprotein I in thrombosis, and anti-Ro autoantibodies in congenital heart block. The exact cause of SLE is unclear, but the emergence of the disease appears to depend on a combination of genetic susceptibility and environmental factors that initiate and/or contribute to pathogenic autoimmunity. Candidate initiating factors include ultraviolet light, cigarette smoking, and infections with bacteria and/or viruses that polyclonally activate B cells. More frequent or aggressive disease is associated with female sex, African American and African Caribbean origin, and restricted educational experience. Genetic susceptibility loci include genes affecting activation, proliferation, cytokine secretion/responsiveness, and apoptosis of the T and B cells involved in humoral immunity, as well as genes involved in presentation and clearance of apoptotic material and autoantigens by antigen-presenting cells (APCs) and phagocytes (4).
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