Spinal cord injury triggers systemic autoimmunity: evidence for chronic B lymphocyte activation and lupus-like autoantibody synthesis

J Neurochem. 2006 Nov;99(4):1073-87. doi: 10.1111/j.1471-4159.2006.04147.x.

Abstract

Clinical and experimental data indicate that spinal cord injury (SCI) elicits pathological T-cell responses. Implicit in these data, but poorly understood, is that B lymphocytes (B cells) also contribute to the delayed pathophysiology of spinal trauma. Here, for the first time, we show that experimental spinal contusion injury elicits chronic systemic and intraspinal B cell activation with the emergence of a B cell-dependent organ-specific and systemic autoimmune response. Specifically, using sera from spinal cord injured mice, immunoblots reveal oligoclonal IgG reactivity against multiple CNS proteins. We also show SCI-induced synthesis of autoantibodies that bind nuclear antigens including DNA and RNA. Elevated levels of anti-DNA antibodies are a distinguishing feature of systemic lupus erythematosus and, via their ability to cross-react with neuronal antigens, can cause neuropathology. We show a similar pathologic potential for the autoantibodies produced after SCI. Thus, mammalian SCI produces marked dysregulation of B cell function (i.e. autoimmunity) with pathological potential.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Autoantibodies / immunology*
  • Autoimmune Diseases of the Nervous System / immunology*
  • Autoimmune Diseases of the Nervous System / physiopathology
  • B-Lymphocytes / immunology*
  • Cells, Cultured
  • Central Nervous System / immunology
  • Central Nervous System / physiopathology
  • Chemotaxis, Leukocyte / immunology
  • Cross Reactions / immunology
  • DNA-Binding Proteins / immunology
  • Disease Models, Animal
  • Female
  • Lupus Erythematosus, Systemic / immunology
  • Lupus Erythematosus, Systemic / physiopathology
  • Lymphocyte Activation / immunology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Nerve Tissue Proteins / immunology
  • Neuroimmunomodulation / immunology
  • Nucleic Acids / immunology
  • Oligoclonal Bands / immunology
  • Spinal Cord Injuries / complications
  • Spinal Cord Injuries / immunology*
  • Spinal Cord Injuries / physiopathology

Substances

  • Autoantibodies
  • DNA-Binding Proteins
  • Nerve Tissue Proteins
  • Nucleic Acids
  • Oligoclonal Bands