Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury

Abstract Cathepsin(Cat)-S processing of the invariant chain-MHC-II complex inside antigen presenting cells is a central pathomechanism of autoimmune-diseases. Additionally, Cat-S is released by activated-myeloid cells and was recently described to activate protease-activated-receptor-(PAR)-2 in extr...

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Autores principales: Maia Tato, Santhosh V. Kumar, Yajuan Liu, Shrikant R. Mulay, Solange Moll, Bastian Popper, Jonathan N. Eberhard, Dana Thomasova, Arne Christian Rufer, Sabine Gruner, Wolfgang Haap, Guido Hartmann, Hans-Joachim Anders
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:12a6dc699d414a39ba47ee1d44e921982021-12-02T12:32:40ZCathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury10.1038/s41598-017-01894-y2045-2322https://doaj.org/article/12a6dc699d414a39ba47ee1d44e921982017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-01894-yhttps://doaj.org/toc/2045-2322Abstract Cathepsin(Cat)-S processing of the invariant chain-MHC-II complex inside antigen presenting cells is a central pathomechanism of autoimmune-diseases. Additionally, Cat-S is released by activated-myeloid cells and was recently described to activate protease-activated-receptor-(PAR)-2 in extracellular compartments. We hypothesized that Cat-S blockade targets both mechanisms and elicits synergistic therapeutic effects on autoimmune tissue injury. MRL-(Fas)lpr mice with spontaneous autoimmune tissue injury were treated with different doses of Cat-S inhibitor RO5459072, mycophenolate mofetil or vehicle. Further, female MRL-(Fas)lpr mice were injected with recombinant Cat-S with/without concomitant Cat-S or PAR-2 blockade. Cat-S blockade dose-dependently reversed aberrant systemic autoimmunity, e.g. plasma cytokines, activation of myeloid cells and hypergammaglobulinemia. Especially IgG autoantibody production was suppressed. Of note (MHC-II-independent) IgM were unaffected by Cat-S blockade while they were suppressed by MMF. Cat-S blockade dose-dependently suppressed immune-complex glomerulonephritis together with a profound and early effect on proteinuria, which was not shared by MMF. In fact, intravenous Cat-S injection induced severe glomerular endothelial injury and albuminuria, which was entirely prevented by Cat-S or PAR-2 blockade. In-vitro studies confirm that Cat-S induces endothelial activation and injury via PAR-2. Therapeutic Cat-S blockade suppresses systemic and peripheral pathomechanisms of autoimmune tissue injury, hence, Cat-S is a promising therapeutic target in lupus nephritis.Maia TatoSanthosh V. KumarYajuan LiuShrikant R. MulaySolange MollBastian PopperJonathan N. EberhardDana ThomasovaArne Christian RuferSabine GrunerWolfgang HaapGuido HartmannHans-Joachim AndersNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-15 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Maia Tato
Santhosh V. Kumar
Yajuan Liu
Shrikant R. Mulay
Solange Moll
Bastian Popper
Jonathan N. Eberhard
Dana Thomasova
Arne Christian Rufer
Sabine Gruner
Wolfgang Haap
Guido Hartmann
Hans-Joachim Anders
Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
description Abstract Cathepsin(Cat)-S processing of the invariant chain-MHC-II complex inside antigen presenting cells is a central pathomechanism of autoimmune-diseases. Additionally, Cat-S is released by activated-myeloid cells and was recently described to activate protease-activated-receptor-(PAR)-2 in extracellular compartments. We hypothesized that Cat-S blockade targets both mechanisms and elicits synergistic therapeutic effects on autoimmune tissue injury. MRL-(Fas)lpr mice with spontaneous autoimmune tissue injury were treated with different doses of Cat-S inhibitor RO5459072, mycophenolate mofetil or vehicle. Further, female MRL-(Fas)lpr mice were injected with recombinant Cat-S with/without concomitant Cat-S or PAR-2 blockade. Cat-S blockade dose-dependently reversed aberrant systemic autoimmunity, e.g. plasma cytokines, activation of myeloid cells and hypergammaglobulinemia. Especially IgG autoantibody production was suppressed. Of note (MHC-II-independent) IgM were unaffected by Cat-S blockade while they were suppressed by MMF. Cat-S blockade dose-dependently suppressed immune-complex glomerulonephritis together with a profound and early effect on proteinuria, which was not shared by MMF. In fact, intravenous Cat-S injection induced severe glomerular endothelial injury and albuminuria, which was entirely prevented by Cat-S or PAR-2 blockade. In-vitro studies confirm that Cat-S induces endothelial activation and injury via PAR-2. Therapeutic Cat-S blockade suppresses systemic and peripheral pathomechanisms of autoimmune tissue injury, hence, Cat-S is a promising therapeutic target in lupus nephritis.
format article
author Maia Tato
Santhosh V. Kumar
Yajuan Liu
Shrikant R. Mulay
Solange Moll
Bastian Popper
Jonathan N. Eberhard
Dana Thomasova
Arne Christian Rufer
Sabine Gruner
Wolfgang Haap
Guido Hartmann
Hans-Joachim Anders
author_facet Maia Tato
Santhosh V. Kumar
Yajuan Liu
Shrikant R. Mulay
Solange Moll
Bastian Popper
Jonathan N. Eberhard
Dana Thomasova
Arne Christian Rufer
Sabine Gruner
Wolfgang Haap
Guido Hartmann
Hans-Joachim Anders
author_sort Maia Tato
title Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
title_short Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
title_full Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
title_fullStr Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
title_full_unstemmed Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
title_sort cathepsin s inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/12a6dc699d414a39ba47ee1d44e92198
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