Lupus & antiphospholipid syndrome

Neutrophils impaired by anti-galectin-3 antibodies elicit inflammation of endothelial cells to aggregate the development of lupus cutaneous vasculitis

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

Overall, these findings suggested that neutrophils were crucial mediators in anti-Gal3 Ab induced lupus cutaneous vasculitis.

Study context

Population
SLE patients and healthy controls (HCs); neutrophils stimulated by patient or HC serum or anti-Gal3 Ab; human umbilical vein endothelial cells; lupus skin lesions

Main finding

As reported in the abstract

  • Serum anti-Gal3 Ab levels negatively correlated with peripheral neutrophil counts
  • Anti-Gal3 Ab positive SLE sera accelerated neutrophil death, altered cell phenotype and promoted NET formation, involving the p38 MAPK pathway
  • Supernatants of neutrophils co-cultured with anti-Gal3 Ab provoked endothelial cells to produce cytokines such as IL-1, ICAM-1, SELE and particularly IL-6
  • IL-6 higher in SLE patients with anti-Gal3 Ab positive sera and enriched in areas of vascular inflammation, with enhanced Gal3 expression and neutrophil infiltration

Original publication

Neutrophils impaired by anti-galectin-3 antibodies elicit inflammation of endothelial cells to aggregate the development of lupus cutaneous vasculitis. Clin Exp Rheumatol. Published 7 January 2024. doi:10.55563/clinexprheumatol/xj2knk

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