Infection with viruses, such as the lactate dehydrogenase-elevating virus (LDV), is known to trigger the onset of autoimmune
anemia through the enhancement of the phagocytosis of
autoantibody-opsonized erythrocytes by activated macrophages.
Type I interferon receptor-deficient mice show enhanced
anemia, which suggests a protective effect of these
cytokines, partly through the control of
type II interferon production. The development of
anemia requires the expression of Fcγ receptors (FcγR) I, III, and IV. Whereas LDV
infection decreases FcγR III expression, it enhances FcγR I and IV expression in wild-type animals. The LDV-associated increase in the expression of FcγR I and IV is largely reduced in
type I interferon receptor-deficient mice, through both
type II interferon-dependent and -independent mechanisms. Thus, the regulation of the expression of FcγR I and IV, but not III, by
interferons may partly explain the exacerbating effect of LDV
infection on
anemia that results from the enhanced phagocytosis of
IgG autoantibody-opsonized erythrocytes.