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Elevated Interleukin-18 Receptor Accessory Protein Mediates Enhancement in Reactive Oxygen Species Production in Neutrophils of Systemic Lupus Erythematosus Patients.

Abstract
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.
AuthorsJie Ma, Ian Kar Yin Lam, Chak-Sing Lau, Vera Sau Fong Chan
JournalCells (Cells) Vol. 10 Issue 5 (04 21 2021) ISSN: 2073-4409 [Electronic] Switzerland
PMID33919154 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • IL18 protein, human
  • IL18RAP protein, human
  • Interferon Type I
  • Interleukin-18
  • Interleukin-18 Receptor beta Subunit
  • Reactive Oxygen Species
Topics
  • Adult
  • Case-Control Studies
  • Female
  • Humans
  • Interferon Type I (immunology)
  • Interleukin-18 (immunology)
  • Interleukin-18 Receptor beta Subunit (immunology)
  • Lupus Erythematosus, Systemic (immunology)
  • Male
  • Middle Aged
  • Neutrophils (cytology, immunology)
  • Reactive Oxygen Species (immunology)

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