Interleukin-18 receptor accessory protein (IL18RAP) is an indispensable subunit for the
IL-18 receptor (IL-18R) complex's ability to mediate high-affinity
IL-18 binding and signalling transduction. Interest in
IL-18 in
systemic lupus erythematosus (SLE) has been mostly focused on its role as a type 1 T helper cell-driving
cytokine. The functional significance of IL18RAP in mediating the IL-18-driven response in myeloid cells in SLE remains largely unexplored. This study aimed to investigate the expression and function significance of IL18RAP in neutrophils of SLE patients. By qRT-PCR and Western blot analyses, elevated expressions of IL18RAP
mRNA and
protein were observed in neutrophils from SLE patients-particularly those with a history of
nephritis. IL18RAP expression correlated negatively with
complement 3 level and positively with disease activity, with higher expression in patients exhibiting renal and immunological manifestations. The increased IL18RAP expression in SLE neutrophils could be attributed to elevated
type I interferon level in sera. Functionally, neutrophils from SLE patients showed higher IL-18-mediated enhancement in
reactive oxygen species (ROS) generation, which showed positive correlation with IL18RAP expression and could be neutralized by anti-IL18RAP
blocking antibodies. Taken together, our findings suggest that
IL-18 could contribute to SLE pathogenesis through mediation of neutrophil dysfunction via the upregulation of IL18RAP expression.