Lipid presentation by the protein C receptor links coagulation with autoimmunity

Antiphospholipid antibodies (aPLs) cause severe autoimmune disease characterized by vascular pathologies and pregnancy complications. Here, we identify endosomal lysobisphosphatidic acid (LBPA) presented by the CD1d-like endothelial protein C receptor (EPCR) as a pathogenic cell surface antigen reco...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2021-03, Vol.371 (6534)
Hauptverfasser: Müller-Calleja, Nadine, Hollerbach, Anne, Royce, Jennifer, Ritter, Svenja, Pedrosa, Denise, Madhusudhan, Thati, Teifel, Sina, Meineck, Myriam, Häuser, Friederike, Canisius, Antje, Nguyen, T Son, Braun, Johannes, Bruns, Kai, Etzold, Anna, Zechner, Ulrich, Strand, Susanne, Radsak, Markus, Strand, Dennis, Gu, Jian-Ming, Weinmann-Menke, Julia, Esmon, Charles T, Teyton, Luc, Lackner, Karl J, Ruf, Wolfram
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container_issue 6534
container_start_page
container_title Science (American Association for the Advancement of Science)
container_volume 371
creator Müller-Calleja, Nadine
Hollerbach, Anne
Royce, Jennifer
Ritter, Svenja
Pedrosa, Denise
Madhusudhan, Thati
Teifel, Sina
Meineck, Myriam
Häuser, Friederike
Canisius, Antje
Nguyen, T Son
Braun, Johannes
Bruns, Kai
Etzold, Anna
Zechner, Ulrich
Strand, Susanne
Radsak, Markus
Strand, Dennis
Gu, Jian-Ming
Weinmann-Menke, Julia
Esmon, Charles T
Teyton, Luc
Lackner, Karl J
Ruf, Wolfram
description Antiphospholipid antibodies (aPLs) cause severe autoimmune disease characterized by vascular pathologies and pregnancy complications. Here, we identify endosomal lysobisphosphatidic acid (LBPA) presented by the CD1d-like endothelial protein C receptor (EPCR) as a pathogenic cell surface antigen recognized by aPLs for induction of thrombosis and endosomal inflammatory signaling. The engagement of aPLs with EPCR-LBPA expressed on innate immune cells sustains interferon- and toll-like receptor 7-dependent B1a cell expansion and autoantibody production. Specific pharmacological interruption of EPCR-LBPA signaling attenuates major aPL-elicited pathologies and the development of autoimmunity in a mouse model of systemic lupus erythematosus. Thus, aPLs recognize a single cell surface lipid-protein receptor complex to perpetuate a self-amplifying autoimmune signaling loop dependent on the cooperation with the innate immune complement and coagulation pathways.
doi_str_mv 10.1126/science.abc0956
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Here, we identify endosomal lysobisphosphatidic acid (LBPA) presented by the CD1d-like endothelial protein C receptor (EPCR) as a pathogenic cell surface antigen recognized by aPLs for induction of thrombosis and endosomal inflammatory signaling. The engagement of aPLs with EPCR-LBPA expressed on innate immune cells sustains interferon- and toll-like receptor 7-dependent B1a cell expansion and autoantibody production. Specific pharmacological interruption of EPCR-LBPA signaling attenuates major aPL-elicited pathologies and the development of autoimmunity in a mouse model of systemic lupus erythematosus. Thus, aPLs recognize a single cell surface lipid-protein receptor complex to perpetuate a self-amplifying autoimmune signaling loop dependent on the cooperation with the innate immune complement and coagulation pathways.</description><identifier>ISSN: 0036-8075</identifier><identifier>EISSN: 1095-9203</identifier><identifier>DOI: 10.1126/science.abc0956</identifier><identifier>PMID: 33707237</identifier><language>eng</language><publisher>United States: The American Association for the Advancement of Science</publisher><subject>Acids ; ALG-2-interacting protein ; Animals ; Antibodies ; Antibodies, Antiphospholipid - biosynthesis ; Antigen Presentation ; Antigens ; Antiinfectives and antibacterials ; Antiphospholipid antibodies ; Antiphospholipid syndrome ; Autoantibodies ; Autoantibodies - biosynthesis ; Autocrine signalling ; Autoimmune diseases ; Autoimmunity ; Binding ; Blocking antibodies ; Blood Coagulation - immunology ; Cascades ; CD1d antigen ; Cell surface ; Chronic conditions ; Coagulation ; Complement ; Complement activation ; Complications ; Dendritic cells ; Dendritic structure ; Disease Models, Animal ; Embryo Loss - immunology ; Endosomes - immunology ; Endothelial Protein C Receptor - genetics ; Endothelial Protein C Receptor - immunology ; Exchanging ; Expansion ; Fetuses ; Humans ; Immune system ; Immunity, Innate ; Infectious diseases ; Inflammation ; Interferon ; Internalization ; Intersections ; Kidneys ; Lecithin ; Lipids ; Lupus ; Lupus Erythematosus, Systemic - blood ; Lupus Erythematosus, Systemic - immunology ; Lysophospholipids - immunology ; Mice ; Mice, Mutant Strains ; Monocytes ; Monoglycerides - immunology ; Mutagenesis ; Pathology ; Phosphatidylcholine ; Pregnancy ; Pregnancy complications ; Protein C ; Proteins ; Receptors ; Signaling ; Sphingomyelin Phosphodiesterase - metabolism ; Stereoselectivity ; Stroke ; Systemic lupus erythematosus ; Thromboembolism ; Thrombosis ; Thrombosis - immunology ; Toll-Like Receptor 7 - immunology ; Toll-like receptors ; α-Interferon</subject><ispartof>Science (American Association for the Advancement of Science), 2021-03, Vol.371 (6534)</ispartof><rights>Copyright © 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. 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Here, we identify endosomal lysobisphosphatidic acid (LBPA) presented by the CD1d-like endothelial protein C receptor (EPCR) as a pathogenic cell surface antigen recognized by aPLs for induction of thrombosis and endosomal inflammatory signaling. The engagement of aPLs with EPCR-LBPA expressed on innate immune cells sustains interferon- and toll-like receptor 7-dependent B1a cell expansion and autoantibody production. Specific pharmacological interruption of EPCR-LBPA signaling attenuates major aPL-elicited pathologies and the development of autoimmunity in a mouse model of systemic lupus erythematosus. 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biosynthesis</topic><topic>Antigen Presentation</topic><topic>Antigens</topic><topic>Antiinfectives and antibacterials</topic><topic>Antiphospholipid antibodies</topic><topic>Antiphospholipid syndrome</topic><topic>Autoantibodies</topic><topic>Autoantibodies - biosynthesis</topic><topic>Autocrine signalling</topic><topic>Autoimmune diseases</topic><topic>Autoimmunity</topic><topic>Binding</topic><topic>Blocking antibodies</topic><topic>Blood Coagulation - immunology</topic><topic>Cascades</topic><topic>CD1d antigen</topic><topic>Cell surface</topic><topic>Chronic conditions</topic><topic>Coagulation</topic><topic>Complement</topic><topic>Complement activation</topic><topic>Complications</topic><topic>Dendritic cells</topic><topic>Dendritic structure</topic><topic>Disease Models, Animal</topic><topic>Embryo Loss - immunology</topic><topic>Endosomes - immunology</topic><topic>Endothelial Protein C Receptor - genetics</topic><topic>Endothelial Protein C Receptor - immunology</topic><topic>Exchanging</topic><topic>Expansion</topic><topic>Fetuses</topic><topic>Humans</topic><topic>Immune system</topic><topic>Immunity, Innate</topic><topic>Infectious diseases</topic><topic>Inflammation</topic><topic>Interferon</topic><topic>Internalization</topic><topic>Intersections</topic><topic>Kidneys</topic><topic>Lecithin</topic><topic>Lipids</topic><topic>Lupus</topic><topic>Lupus Erythematosus, Systemic - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Science (American Association for the Advancement of Science)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Müller-Calleja, Nadine</au><au>Hollerbach, Anne</au><au>Royce, Jennifer</au><au>Ritter, Svenja</au><au>Pedrosa, Denise</au><au>Madhusudhan, Thati</au><au>Teifel, Sina</au><au>Meineck, Myriam</au><au>Häuser, Friederike</au><au>Canisius, Antje</au><au>Nguyen, T Son</au><au>Braun, Johannes</au><au>Bruns, Kai</au><au>Etzold, Anna</au><au>Zechner, Ulrich</au><au>Strand, Susanne</au><au>Radsak, Markus</au><au>Strand, Dennis</au><au>Gu, Jian-Ming</au><au>Weinmann-Menke, Julia</au><au>Esmon, Charles T</au><au>Teyton, Luc</au><au>Lackner, Karl J</au><au>Ruf, Wolfram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lipid presentation by the protein C receptor links coagulation with autoimmunity</atitle><jtitle>Science (American Association for the Advancement of Science)</jtitle><addtitle>Science</addtitle><date>2021-03-12</date><risdate>2021</risdate><volume>371</volume><issue>6534</issue><issn>0036-8075</issn><eissn>1095-9203</eissn><abstract>Antiphospholipid antibodies (aPLs) cause severe autoimmune disease characterized by vascular pathologies and pregnancy complications. Here, we identify endosomal lysobisphosphatidic acid (LBPA) presented by the CD1d-like endothelial protein C receptor (EPCR) as a pathogenic cell surface antigen recognized by aPLs for induction of thrombosis and endosomal inflammatory signaling. The engagement of aPLs with EPCR-LBPA expressed on innate immune cells sustains interferon- and toll-like receptor 7-dependent B1a cell expansion and autoantibody production. Specific pharmacological interruption of EPCR-LBPA signaling attenuates major aPL-elicited pathologies and the development of autoimmunity in a mouse model of systemic lupus erythematosus. Thus, aPLs recognize a single cell surface lipid-protein receptor complex to perpetuate a self-amplifying autoimmune signaling loop dependent on the cooperation with the innate immune complement and coagulation pathways.</abstract><cop>United States</cop><pub>The American Association for the Advancement of Science</pub><pmid>33707237</pmid><doi>10.1126/science.abc0956</doi><orcidid>https://orcid.org/0000-0002-7851-3354</orcidid><orcidid>https://orcid.org/0000-0002-4049-1583</orcidid><orcidid>https://orcid.org/0000-0001-9348-3141</orcidid><orcidid>https://orcid.org/0000-0001-7344-8381</orcidid><orcidid>https://orcid.org/0000-0002-6064-2166</orcidid><orcidid>https://orcid.org/0000-0002-3243-2540</orcidid><orcidid>https://orcid.org/0000-0003-3324-7088</orcidid><orcidid>https://orcid.org/0000-0002-1985-7931</orcidid><orcidid>https://orcid.org/0000-0002-1353-4074</orcidid><orcidid>https://orcid.org/0000-0002-0409-7474</orcidid><orcidid>https://orcid.org/0000-0002-8903-843X</orcidid><orcidid>https://orcid.org/0000-0001-6099-6952</orcidid><orcidid>https://orcid.org/0000-0001-9100-9542</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0036-8075
ispartof Science (American Association for the Advancement of Science), 2021-03, Vol.371 (6534)
issn 0036-8075
1095-9203
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9014225
source MEDLINE; Science Magazine
subjects Acids
ALG-2-interacting protein
Animals
Antibodies
Antibodies, Antiphospholipid - biosynthesis
Antigen Presentation
Antigens
Antiinfectives and antibacterials
Antiphospholipid antibodies
Antiphospholipid syndrome
Autoantibodies
Autoantibodies - biosynthesis
Autocrine signalling
Autoimmune diseases
Autoimmunity
Binding
Blocking antibodies
Blood Coagulation - immunology
Cascades
CD1d antigen
Cell surface
Chronic conditions
Coagulation
Complement
Complement activation
Complications
Dendritic cells
Dendritic structure
Disease Models, Animal
Embryo Loss - immunology
Endosomes - immunology
Endothelial Protein C Receptor - genetics
Endothelial Protein C Receptor - immunology
Exchanging
Expansion
Fetuses
Humans
Immune system
Immunity, Innate
Infectious diseases
Inflammation
Interferon
Internalization
Intersections
Kidneys
Lecithin
Lipids
Lupus
Lupus Erythematosus, Systemic - blood
Lupus Erythematosus, Systemic - immunology
Lysophospholipids - immunology
Mice
Mice, Mutant Strains
Monocytes
Monoglycerides - immunology
Mutagenesis
Pathology
Phosphatidylcholine
Pregnancy
Pregnancy complications
Protein C
Proteins
Receptors
Signaling
Sphingomyelin Phosphodiesterase - metabolism
Stereoselectivity
Stroke
Systemic lupus erythematosus
Thromboembolism
Thrombosis
Thrombosis - immunology
Toll-Like Receptor 7 - immunology
Toll-like receptors
α-Interferon
title Lipid presentation by the protein C receptor links coagulation with autoimmunity
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