1996
DOI: 10.1172/jci118643
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Hyperexpression of CD40 ligand by B and T cells in human lupus and its role in pathogenic autoantibody production.

Abstract: We investigated the role of the costimulatory molecules, CD40 and its ligand CD40L, in the pathogenesis of human SLE. In comparison to normal subjects or patients in remission, PBMC from active lupus patients had a 21-fold increase in the frequency of CD40L-expressing, CD4 ϩ T cells.

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Cited by 481 publications
(361 citation statements)
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“…These studies thus suggest that T cell CD70 is required for the abnormal B cell stimulation in lupus. The present studies also suggest that CD70 overexpression on lupus T cells might contribute to B cell stimulation, together with other molecules, such as CD40L (35), and that inhibiting any of the costimulatory molecules is sufficient to decrease the antibody response to normal levels. Furthermore, IL-10, which is elevated in the serum of patients with SLE (36), is synergistic with the effects of CD27-CD70 interactions, which may lead to further increases in immunoglobulin synthesis (37).…”
Section: Discussionsupporting
confidence: 59%
“…These studies thus suggest that T cell CD70 is required for the abnormal B cell stimulation in lupus. The present studies also suggest that CD70 overexpression on lupus T cells might contribute to B cell stimulation, together with other molecules, such as CD40L (35), and that inhibiting any of the costimulatory molecules is sufficient to decrease the antibody response to normal levels. Furthermore, IL-10, which is elevated in the serum of patients with SLE (36), is synergistic with the effects of CD27-CD70 interactions, which may lead to further increases in immunoglobulin synthesis (37).…”
Section: Discussionsupporting
confidence: 59%
“…during lymphocytic choriomeningitis virus infection [49,50] and in autoimmune states [51,52]. It remains an open question on how CD40L expression is regulated on CD8 T cells, and how CD40L expression relates to the cytotoxic killing ability of CD8 T cells, or their ability to regulate DC or B cell responses [46,53].…”
Section: Discussionmentioning
confidence: 99%
“…However, CD40L expression may not be limited to CD4+ T cells since studies indicate that CD8+ T cells (41,44), mast cells (49, eosinophils (46), and B cells (47) also can express CD40L. Moreover, there is increased CD40L expression on peripheral blood CD4+ T cells, CD8+ T cells, and B cells in active SLE (48). Immunohistochemical studies are therefore in progress to identify the cellular lineage of infiltrating CD40L+ mononuclear cells in lupus GN.…”
Section: Discussionmentioning
confidence: 99%