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Basophil activation by anti-double-stranded DNA IgE antibody enhances B cell differentiation in systemic lupus erythematosus
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  • Sho Fujimoto,
  • Yojiro Arinobu,
  • Kohta Miyawaki,
  • Masahiro Ayano,
  • Hiroki Mitoma,
  • Yasutaka Kimoto,
  • Nobuyuki Ono,
  • Koichi Akashi,
  • Takahiko Horiuchi,
  • Hiroaki Niiro
Sho Fujimoto
Kyushu Daigaku Byoin

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Yojiro Arinobu
Kyushu Daigaku Byoin
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Kohta Miyawaki
Kyushu Daigaku Daigakuin Igaku Kenkyuin Byotai Shufuku Naikagaku
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Masahiro Ayano
Kyushu Daigaku Daigakuin Igaku Kenkyuin Byotai Shufuku Naikagaku
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Hiroki Mitoma
Kyushu Daigaku Byoin
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Yasutaka Kimoto
Kyushu Daigaku Byoin Beppu Byoin
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Nobuyuki Ono
Kyushu Daigaku Byoin
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Koichi Akashi
Kyushu Daigaku Daigakuin Igaku Kenkyuin Byotai Shufuku Naikagaku
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Takahiko Horiuchi
Kyushu Daigaku Byoin Beppu Byoin
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Hiroaki Niiro
Kyushu Daigaku
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Abstract

Objects Recently, the involvement of basophils and IgE-type autoantibodies in the pathogenesis of systemic lupus erythematosus (SLE) has been elucidated using mouse models; however, few studies have been conducted in humans. In this study, the role of basophils and anti-double-stranded DNA (dsDNA) IgE in SLE was examined using human samples. Methods The correlation between disease activity and serum levels of anti-dsDNA IgE in SLE was evaluated using enzyme-linked immunosorbent assay. Cytokines produced by IgE-stimulated basophils from healthy subjects were assessed using RNA sequences. The interaction of basophils and B cells to promote B cell differentiation was investigated using a co-culture system. The ability of basophils from patients with SLE with anti-dsDNA IgE to create cytokines promoting B cell differentiation in response to dsDNA was examined using real-time polymerase chain reaction. Results Anti-dsDNA IgE levels in the serum of patients with SLE correlated with disease activity. Healthy donor basophils produced IL-3, IL-4, and TGF-β1 after anti-IgE stimulation. Co-culture of B cells with anti-IgE-stimulated basophils increased plasmablasts which were cancelled by neutralizing IL-4. After encountering the antigen, basophils released IL-4 more quickly than follicular helper T cells. Basophils isolated from patients with anti-dsDNA IgE promoted IL-4 expression by adding dsDNA. Conclusions These results suggest that basophils contribute to the pathogenesis of SLE by promoting B cell differentiation via dsDNA-specific IgE in patients similar to the process described in mouse models.