OX40 Ligand Contributes to Human Lupus Pathogenesis by Promoting T Follicular Helper Response

Clément Jacquemin, Nathalie Schmitt, Cécile Contin-Bordes, Yang Liu, Priya Narayanan, Julien Seneschal, Typhanie Maurouard, David Dougall, Emily Spence Davizon, Hélène Dumortier, Isabelle Douchet, Loïc Raffray, Christophe Richez, Estibaliz Lazaro, Pierre Duffau, Marie Elise Truchetet, Liliane Khoryati, Patrick Mercié, Lionel Couzi, Pierre MervilleThierry Schaeverbeke, Jean François Viallard, Jean Luc Pellegrin, Jean François Moreau, Sylviane Muller, Sandy Zurawski, Robert L. Coffman, Virginia Pascual, Hideki Ueno, Patrick Blanco

Research output: Contribution to journalArticlepeer-review

178 Scopus citations

Abstract

Increased activity of T follicular helper (Tfh) cells plays a major pathogenic role in systemic lupus erythematosus (SLE). However, the mechanisms that cause aberrant Tfh cell responses in SLE remain elusive. Here we showed the OX40 ligand (OX40L)-OX40 axis contributes to the aberrant Tfh response in SLE. OX40L was expressed by myeloid antigen-presenting cells (APCs), but not B cells, in blood and in inflamed tissues in adult and pediatric SLE patients. The frequency of circulating OX40L-expressing myeloid APCs positively correlated with disease activity and the frequency of ICOS+ blood Tfh cells in SLE. OX40 signals promoted naive and memory CD4+ Tcells to express multiple Tfh cell molecules and were sufficient to induce them to become functional B cell helpers. Immune complexes containing RNA induced OX40L expression on myeloid APCs via TLR7 activation. Our study provides a rationale to target the OX40L-OX40 axis as a therapeutic modality for SLE.

Original languageEnglish
Pages (from-to)1159-1170
Number of pages12
JournalImmunity
Volume42
Issue number6
DOIs
StatePublished - 16 Jun 2015
Externally publishedYes

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