CCL4L Polymorphisms and CCL4/CCL4L Serum Levels Are Associated with Psoriasis Severity
JOURNAL OF INVESTIGATIVE DERMATOLOGY
Authors: Pedrosa, Edurne; Carretero-Iglesia, Laura; Boada, Aram; Colobran, Roger; Faner, Rosa; Pujol-Autonell, Irma; Palou, Eduard; Esteve, Anna; Pujol-Borrell, Ricardo; Ferrandiz, Carlos; Juan, Manel; Carrascosa, Jose-Manuel
Abstract
Psoriasis is a common inflammatory skin disease with key immunological and genetic components. Recruitment of leukocytes into the skin is a central step in its pathogenesis, mediated by cytokines. Among the cytokines expressed in psoriatic lesions, C-C chemokine ligand 4 (CCL4) and C-C chemokine ligand 4-like (CCL4L) chemokines appear to be pivotal elements for the skin recruitment of proinflammatory cells. The aim of this study is to evaluate the relationship between CCL4L polymorphisms (including single-nucleotide polymorphisms (SNPs) and copy number variation (CNV)) and the course and prognosis of psoriasis. We analyzed the CNV and the rs4796195 SNP in 211 psoriatic patients and 234 controls; sera from both populations were also quantified for CCL4/CCL4L protein. Our results showed that a high CNV (>= 3 copies) is associated with psoriasis severity, whereas moderate disease correlated with a lower CNV (<= 2 copies); specifically, the CCL4L1 allele frequency is higher in severe psoriasis, whereas CCL4L2 is more frequent in patients with a milder disease. In addition, we found a positive correlation between the CNV and sera protein levels. Our results suggest that CCL4L genotyping could not only allow a better understanding of the psoriatic pathogenesis but could also be used as a prognostic tool, even helping to modulate the efficacy of treatments.
Genes associated with antibody-dependent cell activation are overexpressed in renal biopsies from patients with antibody-mediated rejection
TRANSPLANT IMMUNOLOGY
Authors: Suviolahti, Elina; Ge, Shili; Nast, Cynthia C.; Mirocha, James; Karasyov, Artur; White, Molly; Jordan, Stanley C.; Toyoda, Mieko
Abstract
Introduction: Antibody-mediated rejection (ABMR) is dependent on complement activating donor-specific anti-HLA antibodies (DSA). This is commonly detected by C4d deposition in allografts. However, recent data define a C4d negative ABMR phenotype suggesting a role for complement-independent DSA injury, antibody-dependent cellular cytotoxicity (ADCC). Methods: Here, we established an in vitro ADCC model that identified human ADCC-activated genes using microarray analysis. We subsequently interrogated renal allograft biopsies from patients with ABMR and controls for mRNA expression of the ADCC-activated gene set. Results: We identified 13 ADCC-activated genes. Six gene expression assays including 8 of the 13 genes (CCL3, CCL4/CCL4L1/CCL4L2, CD160, IFNG, NR4A3 and XCL1/XCL2) were analyzed in 127 kidney biopsies obtained from HLA-sensitized (HS), non-HS patients and control individuals. Most ADCC-activated genes showed significantly higher expression in the transplant samples compared to the controls (p < 0.0005). The gene expression levels were significantly higher in HS and non-HS transplant patients who developed ABMR compared to those who did not (p = 0.04-0.002). There was no difference in the gene expression levels between C4d positive and negative ABMR (p = 0.26-0.99). Samples from high PRA (>80%) or positive DSA patients showed higher gene expression levels for the ADCC-activated genes compared to low PRA (<80%) and negative DSA patients (p = 0.04-0.001). Conclusion: ADCC pathways are active in transplant patients with ABMR, and likely mediate allograft injury, providing a potential mechanism for C4d negative ABMR. (C) 2014 Elsevier B.V. All rights reserved.