Targeting B and T Lymphocyte Attenuator Regulates Lupus Disease Development in NZB/W Mice

Léa Gherardi,* Lucie Aubergeon,* Mélanie Sayah, Jean-Daniel Fauny, Hélène Dumortier, Fanny Monneaux CNRS UPR3572, Immunology, Immunopathology and Therapeutic Chemistry, Institute of Molecular and Cellular Biology, Strasbourg, 67084, France*These authors contributed equally to...

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Main Authors: Gherardi L, Aubergeon L, Sayah M, Fauny JD, Dumortier H, Monneaux F
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:ImmunoTargets and Therapy
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Online Access:https://www.dovepress.com/targeting-b-and-t-lymphocyte-attenuator-regulates-lupus-disease-develo-peer-reviewed-fulltext-article-ITT
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Summary:Léa Gherardi,&ast; Lucie Aubergeon,&ast; Mélanie Sayah, Jean-Daniel Fauny, Hélène Dumortier, Fanny Monneaux CNRS UPR3572, Immunology, Immunopathology and Therapeutic Chemistry, Institute of Molecular and Cellular Biology, Strasbourg, 67084, France&ast;These authors contributed equally to this workCorrespondence: Fanny Monneaux, CNRS UPR3572, Institut de Biologie Moléculaire et Cellulaire, 2 Allée Konrad Roentgen, Strasbourg, 67084, France, Email f.monneaux@ibmc-cnrs.unistra.frPurpose: The co-inhibitory receptor B and T Lymphocyte Attenuator (BTLA) negatively regulates B and T cell activation. We have previously shown an altered BTLA expression by regulatory T cells and an impaired capacity of BTLA to inhibit CD4+ T cell activation in lupus patients. In this study, we analyzed BTLA expression and function in the NZB/W lupus-mouse model and examined the therapeutic potential of BTLA targeting.Methods: BTLA expression and function were analyzed in young (10– 12-week-old) and old-diseased NZB/W mice (> 35-week-old with proteinuria) in comparison to age-related BALB/W control mice. 20– 22 weeks old NZB/W mice (n=10) were injected i.p with 3 mg/kg, twice a week for ten weeks, with the anti-BTLA antibody 6F7 or its isotype control.Results: In old-diseased NZB/W mice, BTLA expression is slightly modified in B cell subsets whereas CD4+ T cells display impaired BTLA functionality. Administration of the 6F7 anti-BTLA antibody into 20– 22 week-old NZB/W mice resulted in a delayed onset of proteinuria (p< 0.01), limited kidney damages (p< 0.05) and an increased survival rate (p< 0.01) compared to isotype-treated mice. This beneficial effect was associated with a decrease in circulating B cell and spleen follicular B cell numbers. Regarding its mode of action, we demonstrated that the 6F7 antibody is not a depleting antibody and does not block HVEM binding to BTLA, but instead induces BTLA down modulation and exhibits in vivo agonist activity.Conclusion: Overall, our data confirm the involvement of BTLA in lupus pathogenesis and provide the first evidence that BTLA is a potential therapeutic target for the treatment of lupus.Keywords: systemic lupus erythematosus, BTLA, lupus mice, inhibitory receptors
ISSN:2253-1556