It is clear that susceptibility to autoimmune diseases has multiple genetic components [
26] and infection has been postulated to be a trigger for pathogenesis. Recent findings revealing the role of toll-like receptors in the development of autoimmunity have provided further evidence for this hypothesis [
27-
29]. Conversely, the increased representation of precursors to autoimmune cells may alter the immune response to infection [[
30] and references therein]. Some SLE models with broad symptomatology have been shown to present increased antibody responses to model TI and TD antigens, which mimic antigenic determinants of pathogens ([
31] and references therein). However, the role of each contributory cell type to the response was not clearly assigned. The autoimmune susceptibility locus
Sle1b in the B6 background leads to a SLE phenotype which is restricted to autoantibody production and, although T cell help is required, they do not have to express the alleles contained within the locus [
32]. Therefore, the results of our analysis of antibody responses to non-self antigens, should be mainly a reflection of B cell dysfunction. Although B6.
Sle1b mice do not express high levels of spontaneous antibodies to non-self antigens [
4], we found that they can mount increased responses upon immunization. It should be noted that the penetrance of the
Sle1b phenotype is higher in females than in males and begins around 5 month of age but the differences we observed in the present study were already detected by 2–4 months of age and in male mice. Therefore the differences in responses are not dependent on factors directly associated with autoantibody production.
Despite the observation that T cells from 1 to 2 month old B6.
Sle1b may be more easily activated by a polyclonal stimulus [
5], the primary response to a TD antigen was not significantly different from B6 mice. However, the secondary T cell response was clearly increased in B6.
Sle1b mice suggesting that the development of memory T cells is affected. Morel et al [
4] did not find differences in secondary TD responses in the B6.Sle1 strain. However, in this study the mice were not immunized with a different hapten for the secondary challenge therefore the increased T cell response may have been obscured by the secondary B cell response. Our finding that the B cells are easily activated in these mice () suggests that they may alter the nature of antigen presentation in the course of the TD response. Indeed, we found that purified “resting” B cells from B6.
Sle1b mice do display augmented ability to present antigen (), which may be the basis for the enhanced secondary T cell responses (). Crawford
et al. [
16] have suggested that B cell antigen presentation may affect secondary T cell responses to a greater extent than primary responses. It is interesting that in molecular mimicry studies, secondary T cells responses were found to exert more profound effects on the disease [
33]. The increased ability of B6.
Sle1b B cells to process antigen suggests that despite the high density phenotype, some of these B cells are intrinsically activated and in this aspect they share properties with low density B cells which also exhibit enhanced antigen presentation ability. Attempts to identify intracellular differences that can further characterize these cell populations are in progress.
There are several possible reasons for the increased response of B6.
Sle1b mice to TI-II antigens. BAFF may be expressed in the mice even at this early age resulting in increased activation of B cells via the TACI receptor which is required for the TI-II response [
34]. However, neither transduction of signals via the BCR or TACI has been shown to be mediated by SAP therefore the restoration to levels produced by B6 mice by the
sap disruption argues against this possibility. On the other hand, we have previously shown that the response to TI antigen can be enhanced by NK cells if they are stimulated by agents such as poly(I:C) [
10] or RIBI [
9], This dependence of the TI-II response on cytokines suggests that another cause for the enhanced response in the B6.
Sle1b mice is a general overall increased level of cytokines. However, we have shown in that Poly(I:C) which augments the cytokine circuit, can also increase the response of the B6.
Sle1b.sap-/- mice, therefore the decreased response to the antigen caused by the
sap disruption indicates that altered cytokine levels cannot be solely responsible for the increased response in B6.
Sle1b mice. In contrast, we have confirmed earlier findings [
7] that disruption of
sap in B6 mice does not affect responses to TI-II antigens. Thus, SAP may be required only to initialize the cytokine circuits that lead to the increased TI-II response in B6.
Sle1b mice. Similar conclusions have been made from examinations of specific T cell dependent responses in
sap-/- mice [
20].
How then, is SAP involved in the initialization of the cytokine circuit? A possible mechanism is suggested by the decreased response found upon NK depletion (). The presence of activated B cells may play a role in initiating the activation of NK cells. This activation may be mediated by a pathway that involves cellular interactions via SLAM family members. Indeed, the interaction between B and NK cells via CD48 and CD244, members of the SLAM family, have been shown by in vitro studies to play an important role in NK activation by B cells [
24]. This pathway of direct NK-B cell interaction may also explain our results showing that chronic depletion of NK cells prior to antigenic challenge is more effective than acute depletion (). The absence of NK cells may decrease the contribution of partially activated B cells. It should be noted that although NKT cells are absent in
sap-/- mice these cells are not likely to be involved because the regiment of NK depletion used in our studies does not deplete NKT cells [
9].
Precursors of autoimmune B cells can arise by a number of mechanisms. First, they could be “ignorant B cells” which have arisen due to receptor editing of previously tolerized cells, or they could be anergic B cells that can nevertheless be triggered by strong T cell help [[
35] and references within]. B cells in the B6.
Sle1b strain have been shown to undergo increased receptor editing possibly due to dysregulated expression of Ly108 [
36]. Thus, these cells may fit the criteria of “ignorant” B cells that can be more easily triggered by antigens. In addition, although T cells derived from the B6.
Sle1b strain cannot, on their own, initiate autoimmunity, they are nonetheless more easily activated. Therefore they may function as helper T cells that can overcome the activation barrier presented by anergic B cells.
Whereas it is still not resolved whether the trigger for autoantibodies in the B6.
Sle1b mice is initiated from a TI or TD response to antigens our analysis may provide some insight. We observed a reduced penetrance of ANA production in B6.
Sle1b.sap-/- mice in comparison to B6.
Sle1b mice (). The development of ANA in some of these mice despite the
sap disruption, which dramatically decreases the response to TD antigens, suggests that if ANA production is initiated by antigenic stimulation then the antigen(s) can be T independent in nature. The absence of detectable ANA belonging to the IgG1 subclass confirms this contention. On the other hand, most of the ANA produced upon
sap disruption are of the IgG2c subclass, which is more typical of T independent responses. The low, but detectable responses mounted by B6.
Sle.sap-/- mice to a TI-II antigen suggest that such response to these antigenic determinants may serve to initiate the autoantibody production. Furthermore, we have not examined the response of B6.
Sle1b mice to TI-I antigens, that require expression of TLRs on B cells, but SAP has not been implicated in signaling via these receptors; therefore the initiation event in these mice could be attributed to activation of B cells via TLRs. Moreover, increased levels of ANA in B6.
Sle1b mice are only apparent in older animals. A similar time course was observed in the B6.
Sle.sap-/- mice that break tolerance (data not shown). It is possible that the reduced contribution of SAP expression in these animals is due to the accumulation of immune complexes with age, which, together with activation of TLRs, can augment ANA production. Indeed, the effect of TLRs on ANA production is most pronounced in strains of mice that exhibit earlier onset of autoantibody production [
37]. This mechanism may also explain why a mutation in the
sap gene in the MRL-Fas lupus strain was found to not significantly affect the percent of animals that break tolerance but only the levels of antibodies produced [
38]. In any case, our studies are the first to document that genetic differences targeted by the
Sle1b locus can alter specific responses to non-self antigens even in the absence of stimulation by TLRs and thus may be involved in the initiation of the development of autoantibodies.