Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.

A subset of patients with autoimmune diseases including rheumatoid arthritis (RA) and lupus appear to be exposed continually to interferon (IFN) as evidenced by elevated expression of IFN induced genes in blood cells. In lupus, detection of endogenous chromatin complexes by the innate sensing machin...

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Main Authors: Jadwiga Bienkowska, Norm Allaire, Alice Thai, Jaya Goyal, Tatiana Plavina, Ajay Nirula, Megan Weaver, Charlotte Newman, Michelle Petri, Evan Beckman, Jeffrey L Browning
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4236099?pdf=render
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author Jadwiga Bienkowska
Norm Allaire
Alice Thai
Jaya Goyal
Tatiana Plavina
Ajay Nirula
Megan Weaver
Charlotte Newman
Michelle Petri
Evan Beckman
Jeffrey L Browning
author_facet Jadwiga Bienkowska
Norm Allaire
Alice Thai
Jaya Goyal
Tatiana Plavina
Ajay Nirula
Megan Weaver
Charlotte Newman
Michelle Petri
Evan Beckman
Jeffrey L Browning
author_sort Jadwiga Bienkowska
collection DOAJ
description A subset of patients with autoimmune diseases including rheumatoid arthritis (RA) and lupus appear to be exposed continually to interferon (IFN) as evidenced by elevated expression of IFN induced genes in blood cells. In lupus, detection of endogenous chromatin complexes by the innate sensing machinery is the suspected driver for the IFN, but the actual mechanisms remain unknown in all of these diseases. We investigated in two randomized clinical trials the effects on RA patients of baminercept, a lymphotoxin-beta receptor-immunoglobulin fusion protein that blocks the lymphotoxin-αβ/LIGHT axis. Administration of baminercept led to a reduced RNA IFN signature in the blood of patients with elevated baseline signatures. Both RA and SLE patients with a high IFN signature were lymphopenic and lymphocyte counts increased following baminercept treatment of RA patients. These data demonstrate a coupling between the lymphotoxin-LIGHT system and IFN production in rheumatoid arthritis. IFN induced retention of lymphocytes within lymphoid tissues is a likely component of the lymphopenia observed in many autoimmune diseases. ClinicalTrials.gov NCT00664716.
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spelling doaj.art-5aee8698067a47a9b3e3c6ff98a387d32022-12-21T18:58:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01911e11254510.1371/journal.pone.0112545Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.Jadwiga BienkowskaNorm AllaireAlice ThaiJaya GoyalTatiana PlavinaAjay NirulaMegan WeaverCharlotte NewmanMichelle PetriEvan BeckmanJeffrey L BrowningA subset of patients with autoimmune diseases including rheumatoid arthritis (RA) and lupus appear to be exposed continually to interferon (IFN) as evidenced by elevated expression of IFN induced genes in blood cells. In lupus, detection of endogenous chromatin complexes by the innate sensing machinery is the suspected driver for the IFN, but the actual mechanisms remain unknown in all of these diseases. We investigated in two randomized clinical trials the effects on RA patients of baminercept, a lymphotoxin-beta receptor-immunoglobulin fusion protein that blocks the lymphotoxin-αβ/LIGHT axis. Administration of baminercept led to a reduced RNA IFN signature in the blood of patients with elevated baseline signatures. Both RA and SLE patients with a high IFN signature were lymphopenic and lymphocyte counts increased following baminercept treatment of RA patients. These data demonstrate a coupling between the lymphotoxin-LIGHT system and IFN production in rheumatoid arthritis. IFN induced retention of lymphocytes within lymphoid tissues is a likely component of the lymphopenia observed in many autoimmune diseases. ClinicalTrials.gov NCT00664716.http://europepmc.org/articles/PMC4236099?pdf=render
spellingShingle Jadwiga Bienkowska
Norm Allaire
Alice Thai
Jaya Goyal
Tatiana Plavina
Ajay Nirula
Megan Weaver
Charlotte Newman
Michelle Petri
Evan Beckman
Jeffrey L Browning
Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.
PLoS ONE
title Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.
title_full Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.
title_fullStr Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.
title_full_unstemmed Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.
title_short Lymphotoxin-LIGHT pathway regulates the interferon signature in rheumatoid arthritis.
title_sort lymphotoxin light pathway regulates the interferon signature in rheumatoid arthritis
url http://europepmc.org/articles/PMC4236099?pdf=render
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