Analysis of Fas gene as the causative molecule of systemic lupus erythematosus in patients with IgA vasculitis (Henoch-Schönlein purpura)
DOI:
https://doi.org/10.35366/113829Keywords:
IgA vasculitis,, systemic lupus erythematosus, Fas, apoptosis, lymphoproliferative syndromeAbstract
IgA vasculitis (HSP) and systemic lupus erythematosus (SLE) are both immune diseases that could be more interrelated than currently thought. HSP is an immune disease characterized by systemic small vessel vasculitis and mesangial deposits of immunoglobulin A, which ultimately leads to failure in apoptotic clearance and to the generation of a chronic lymphoproliferative syndrome. SLE is an immune disease characterized by chronic systemic inflammation that affects multiple tissues and systems, and its origin lies in the formation of double-stranded anti-DNA antibodies, which in turn are generated by failures in apoptotic clearance. HSP can be considered as a triggering factor for the development of systemic lupus erythematosus probably as the result of alterations in the apoptotic clearance that we think could be related to the inhibition of non-coding long-chain RNA genes (ENST00000378432, ENST00000571370, uc001kfc.1 y uc010qna.2) in patients with HSP, that in consequence alters Fas gene (CD95) track and the functions of the tumor necrosis factor family, that in turn inhibits the secretion of phosphatidylserine which ultimately generates a lymphoproliferative syndrome which possibly activates the double-stranded anti-DNA antibodies, the origin of SLE.
References
Mosca M, Tani C, Neri C, Baldini C, Bombardieri S. Undifferentiated connective tissue diseases (UCTD). Autoimmun Rev. 2006; 6 (1): 1-4.
Mosca M, Tani C, Carli L, Della Rossa A, Talarico R, Baldini C et al. Analysis of the evolution of UCTD to defined CTD after a long term follow-up. Clin Exp Rheumatol. 2013; 31 (3): 471.
Dyball S, Rodziewicz M, Mendoza-Pinto C, Bruce IN, Parker B. Predicting progression from undifferentiated connective tissue disease to definite connective tissue disease: a systematic review and meta-analysis. Autoimmunity Reviews. 2022; 21 (11): 103184.
Danieli MG, Fraticelli P, Salvi A, Gabrielli A, Danieli G. Undifferentiated connective tissue disease: natural history and evolution into definite CTD assessed in 84 patients initially diagnosed as early UCTD. Clin Rheumatol. 1998; 17 (3): 195-201.
Abu-Hishmeh M, Sattar A, Zarlasht F, Ramadan M, Abdel-Rahman A, Hinson S et al. Systemic lupus erythematosus presenting as refractory thrombotic thrombocytopenic purpura: a diagnostic and management challenge. A case report and concise review of the literature. Am J Case Rep. 2016; 17: 782-787.
Neely J, Von Scheven E. Autoimmune haemolytic anaemia and autoimmune thrombocytopenia in childhood-onset systemic lupus erythematosus: updates on pathogenesis and treatment. Curr Opin Rheumatol. 2018; 30 (5): 498-505.
Roussotte M, Gerfaud-Valentin M, Hot A, Audia S, Bonnotte B, Thibault T et al. Immune thrombocytopenia with clinical significance in systemic lupus erythematosus: a retrospective cohort study of 90 patients. Rheumatology (Oxford). 2022; 61 (9): 3627-3639.
Lippman SM, Arnett FC, Conley CL, Ness PM, Meyers DA, Bias WB. Genetic factors predisposing to autoimmune diseases. Autoimmune hemolytic anemia, chronic thrombocytopenic purpura, and systemic lupus erythematosus. Am J Med. 1982; 73 (6): 827-840.
Novak J, Moldoveanu Z, Renfrow MB, Yanagihara T, Suzuki H, Raska M et al. IgA nephropathy and Henoch-Schoenlein purpura nephritis: aberrant glycosylation of IgA1, formation of IgA1-containing immune complexes, and activation of mesangial cells. Contrib Nephrol. 2007; 157: 134-138.
Leung AKC, Barankin B, Leong KF. Henoch-Schönlein purpura in children: an updated review. Curr Pediatr Rev. 2021; 16 (4): 265-276.
Ozaltin F, Besbas N, Uckan D, Tuncer M, Topaloglu R, Ozen S et al. The role of apoptosis in childhood Henoch-Schonlein purpura. Clin Rheumatol. 2003; 22 (4-5): 265-267.
Demirkaya E, Sahin S, Romano M, Zhou Q, Aksentijevich I. New horizons in the genetic etiology of systemic lupus
erythematosus and lupus-like disease: monogenic lupus and beyond. J Clin Med. 2020; 9 (3): 712.
Muñoz LE, Lauber K, Schiller M, Manfredi AA, Herrmann M. The role of defective clearance of apoptotic cells in
systemic autoimmunity. Nat Rev Rheumatol. 2010; 6 (5): 280-289.
Bertheloot D, Latz E, Franklin BS. Necroptosis, pyroptosis and apoptosis: an intricate game of cell death. Cell Mol Immunol. 2021; 18 (5): 1106-1121.
Ekert P, Vaux D, Vaux D, Hall E. Apoptosis and the immune system. Br Med Bull. 1997; 53 (3): 591-603. doi: 10.1093/oxfordjournals.bmb.a011632.
Paskiewicz A, Niu J, Chang C. Autoimmune lymphoproliferative syndrome: a disorder of immune dysregulation. Autoimmun Rev. 2023; 22 (11): 103442.
Anders HJ, Saxena R, Zhao MH, Parodis I, Salmon JE, Mohan C. Lupus nephritis. Nat Rev Dis Primers. 2020;
(1): 7.
Murata C, Rodríguez-Lozano AL, Hernández-Huirache HG, Martínez-Pérez M, Rincón-Arenas LA, Jiménez-Polvo EN et al. IgA vasculitis (Henoch-Schönlein purpura) as the first manifestation of juvenile systemic lupus erythematosus: case-control study and systematic review. BMC Pediatr. 2019; 19: 461.
Wu J, Wilson J, He J, Xiang L, Schur PH, Mountz JD. Fas ligand mutation in a patient with systemic lupus erythematosus rapid publication fas ligand mutation in a patient with systemic lupus erythematosus and lymphoproliferative disease. J. Clin Invest. 1996; 98 (5): 1107-1113.
Pang S, Lv J, Wang S, Yang G, Ding X, Zhang J. Differential expression of long non‑coding RNA and mRNA in children with Henoch‑Schönlein purpura nephritis. Exp Ther Med. 2019 Jan; 17(1): 621-632.
Blokland SLM, Van Den Hoogen LL, Leijten EFA, Hartgring SAY, Fritsch R, Kruize AA et al. Increased expression of Fas on group 2 and 3 innate lymphoid cells is associated with an interferon signature in systemic lupus erythematosus and Sjögren’s syndrome. Rheumatology (United Kingdom). 2019; 58 (10): 1740-1745.
Vincent FB, Kandane-Rathnayake R, Koelmeyer R, Harris J, Hoi AY, MacKay F et al. Associations of serum soluble Fas and Fas ligand (FasL) with outcomes in systemic lupus erythematosus. Lupus Sci Med. 2020; 7 (1): e000375.
Lu MM, Ye QL, Feng CC, Yang J, Zhang T, Li J et al. Association of FAS gene polymorphisms with systemic lupus erythematosus: a case-control study and meta-analysis. Exp Ther Med. 2012; 4 (3): 497-502.
Kagan VE, Gleiss B, Tyurina YY, Tyurin VA, Elenström-Magnusson C, Liu SX et al. A role for oxidative stress in apoptosis: oxidation and externalization of phosphatidylserine is required for macrophage clearance of cells undergoing fas-mediated apoptosis. J Immunol. 2002; 169 (1): 487-499.
Elliott MR, Ravichandran KS. The dynamics of apoptotic cell clearance. Developmental Cell. Cell Press. 2016; 38: 147-160.
Han M, Ryu G, Shin SA, An J, Kim H, Park D et al. Physiological roles of apoptotic cell clearance: beyond immune functions. Life. 2021; 11 (11): 1141.
Magerus-Chatinet A, Stolzenberg MC, Lanzarotti N, Neven B, Daussy C, Picard C et al. Autoimmune lymphoproliferative syndrome caused by a homozygous null FAS ligand (FASLG) mutation. J Allergy Clin Immunol. 2013; 131 (2): 486-490.
Nabhani S, Ginzel S, Miskin H, Revel-Vilk S, Harlev D, Fleckenstein B et al. Deregulation of Fas ligand expression
as a novel cause of autoimmune lymphoproliferative syndrome-like disease. Haematologica. 2015; 100 (9): 1189-1198.
Liu CY, Fu R, Wang HQ, Li LJ, Liu H, Guan J et al. Fas/FasL in the immune pathogenesis of severe aplastic anemia. Genet Mol Res. 2014; 13 (2): 4083-4088.
Rehman S, Saba N, Naz M, Ahmed P, Munir S, Sajjad S et al. Single-nucleotide polymorphisms of FAS and FASL genes and risk of idiopathic aplastic anemia. Immunol Invest. 2018; 47 (5): 484-491.
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