Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses

Immunopathological outcomes in Systemic Lupus Erythematosus (SLE; or lupus) are believed to be autoantibody-mediated. Conditions which promote a Th2 skew (such as pregnancy) should encourage antibody production, worsening antibody-mediated diseases while ameliorating Th1/Th17-mediated diseases. Alth...

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Main Authors: Alpana De, Ruchi Sachdeva, Anjali Bose, Monika Malik, Nipun Jayachandran, Rahul Pal
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fendo.2018.00742/full
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author Alpana De
Ruchi Sachdeva
Anjali Bose
Monika Malik
Nipun Jayachandran
Rahul Pal
author_facet Alpana De
Ruchi Sachdeva
Anjali Bose
Monika Malik
Nipun Jayachandran
Rahul Pal
author_sort Alpana De
collection DOAJ
description Immunopathological outcomes in Systemic Lupus Erythematosus (SLE; or lupus) are believed to be autoantibody-mediated. Conditions which promote a Th2 skew (such as pregnancy) should encourage antibody production, worsening antibody-mediated diseases while ameliorating Th1/Th17-mediated diseases. Although an increased propensity toward autoreactivity can be observed in pregnant lupus patients and in pregnant lupus-prone mice, whether a unique human pregnancy-specific factor can contribute to such effects is unknown. This study assessed whether human chorionic gonadotropin (hCG, a pregnancy-specific hormone of diverse function) at physiological concentrations could mediate stimulatory influences on immune parameters in non-pregnant, lupus-prone mice, in light of the hormone's ameliorating effects on Th1-mediated autoimmunity in murine models. Results demonstrate that administration of hCG heightened global autoreactivity in such mice; antibodies to dsDNA, RNP68, Protein S, Protein C, β2-glycoprotein 1, and several phospholipids were enhanced, and hormone administration had adverse effects on animal survival. Specifically in splenic cell cultures containing cells derived from lupus-prone mice, hCG demonstrated synergistic effects with TLR ligands (up-modulation of costimulatory markers on B cells) as well as with TCR stimuli (enhanced proliferative responses, enhanced levels of cytokines, and the phosphorylation of p38). In both instances, enhanced synthesis of lupus-associated cytokines was observed, in addition to the heightened generation of autoantibodies reactive toward apoptotic blebs. These results suggest that selective transducive, proliferative, and differentiative effects of hCG on adaptive immune cells may drive autoreactive responses in a lupus environment, and may also potentially provide insights into the association between the presence of higher hCG levels (or the administration of hCG) with the presence (or appearance) of humoral autoimmunity.
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spelling doaj.art-4c1d71dee332492aaa339d2f886259c02022-12-22T03:43:16ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922018-12-01910.3389/fendo.2018.00742410264Human Chorionic Gonadotropin Influences Systemic Autoimmune ResponsesAlpana DeRuchi SachdevaAnjali BoseMonika MalikNipun JayachandranRahul PalImmunopathological outcomes in Systemic Lupus Erythematosus (SLE; or lupus) are believed to be autoantibody-mediated. Conditions which promote a Th2 skew (such as pregnancy) should encourage antibody production, worsening antibody-mediated diseases while ameliorating Th1/Th17-mediated diseases. Although an increased propensity toward autoreactivity can be observed in pregnant lupus patients and in pregnant lupus-prone mice, whether a unique human pregnancy-specific factor can contribute to such effects is unknown. This study assessed whether human chorionic gonadotropin (hCG, a pregnancy-specific hormone of diverse function) at physiological concentrations could mediate stimulatory influences on immune parameters in non-pregnant, lupus-prone mice, in light of the hormone's ameliorating effects on Th1-mediated autoimmunity in murine models. Results demonstrate that administration of hCG heightened global autoreactivity in such mice; antibodies to dsDNA, RNP68, Protein S, Protein C, β2-glycoprotein 1, and several phospholipids were enhanced, and hormone administration had adverse effects on animal survival. Specifically in splenic cell cultures containing cells derived from lupus-prone mice, hCG demonstrated synergistic effects with TLR ligands (up-modulation of costimulatory markers on B cells) as well as with TCR stimuli (enhanced proliferative responses, enhanced levels of cytokines, and the phosphorylation of p38). In both instances, enhanced synthesis of lupus-associated cytokines was observed, in addition to the heightened generation of autoantibodies reactive toward apoptotic blebs. These results suggest that selective transducive, proliferative, and differentiative effects of hCG on adaptive immune cells may drive autoreactive responses in a lupus environment, and may also potentially provide insights into the association between the presence of higher hCG levels (or the administration of hCG) with the presence (or appearance) of humoral autoimmunity.https://www.frontiersin.org/article/10.3389/fendo.2018.00742/fullhuman chorionic gonadotropinautoimmunityautoreactivitylupussystemic lupus erythematosus
spellingShingle Alpana De
Ruchi Sachdeva
Anjali Bose
Monika Malik
Nipun Jayachandran
Rahul Pal
Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses
Frontiers in Endocrinology
human chorionic gonadotropin
autoimmunity
autoreactivity
lupus
systemic lupus erythematosus
title Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses
title_full Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses
title_fullStr Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses
title_full_unstemmed Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses
title_short Human Chorionic Gonadotropin Influences Systemic Autoimmune Responses
title_sort human chorionic gonadotropin influences systemic autoimmune responses
topic human chorionic gonadotropin
autoimmunity
autoreactivity
lupus
systemic lupus erythematosus
url https://www.frontiersin.org/article/10.3389/fendo.2018.00742/full
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AT monikamalik humanchorionicgonadotropininfluencessystemicautoimmuneresponses
AT nipunjayachandran humanchorionicgonadotropininfluencessystemicautoimmuneresponses
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