Mast cells induce autoantibody-mediated vasculitis syndrome through tumor necrosis factor production upon triggering Fcγ receptors

N Watanabe, B Akikusa, SY Park… - Blood, The Journal …, 1999 - ashpublications.org
N Watanabe, B Akikusa, SY Park, H Ohno, L Fossati, G Vecchietti, JE Gessner, RE Schmidt…
Blood, The Journal of the American Society of Hematology, 1999ashpublications.org
The generation of autoantibodies and deposition of immune complexes (ICs) in tissue play a
primary role in autoimmune diseases. However, the IC-triggered response consists of
complex mechanisms that make it difficult to identify the pathogenesis and develop specific
therapy. We clarified here a sequential mechanism for the induction of hypersensitivity
angiitis by analyzing the responsible Fc receptor (FcR), effector cells, and mediators in an
animal model using FcR-deficient mice. In this model, rheumatoid factor-mediated skin …
Abstract
The generation of autoantibodies and deposition of immune complexes (ICs) in tissue play a primary role in autoimmune diseases. However, the IC-triggered response consists of complex mechanisms that make it difficult to identify the pathogenesis and develop specific therapy. We clarified here a sequential mechanism for the induction of hypersensitivity angiitis by analyzing the responsible Fc receptor (FcR), effector cells, and mediators in an animal model using FcR-deficient mice. In this model, rheumatoid factor-mediated skin vasculitis was induced in wild-type mice, whereas FcRγ-deficient mice did not develop the vasculitis. Adoptive transfer of various FcR+ cells into FcRγ-deficient mice showed that mast cells but not macrophages derived from wild-type mice triggered skin vasculitis. Mast cells derived from either FcγRIII-deficient or tumor necrosis factor (TNF)-deficient mice did not possess the inducibility of skin vasculitis. These results indicate that triggering of vascular inflammation was induced by mast cells through IC binding on FcγRIII. TNF produced by such activated mast cells was mainly responsible for the pathogenesis of autoantibody-mediated vasculitis. These findings illustrate the clinical significance of mast cells, Fcγ receptors, and TNF in IC-induced vasculitis syndrome.
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