Granzyme B inhibition reduces disease severity in autoimmune blistering diseases.
Animals
Autoantigens
/ metabolism
Autoimmune Diseases
/ enzymology
Blister
Chemokine CXCL2
/ metabolism
Chemotactic Factors
/ pharmacology
Disease Models, Animal
Epidermolysis Bullosa
/ enzymology
Granzymes
/ antagonists & inhibitors
Humans
Inflammation
/ pathology
Integrin alpha6
/ metabolism
Interleukin-8
/ metabolism
Neutrophil Infiltration
/ drug effects
Non-Fibrillar Collagens
/ metabolism
Pemphigoid, Bullous
/ enzymology
Severity of Illness Index
Collagen Type XVII
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
12 01 2021
12 01 2021
Historique:
received:
29
11
2019
accepted:
07
12
2020
entrez:
13
1
2021
pubmed:
14
1
2021
medline:
22
1
2021
Statut:
epublish
Résumé
Pemphigoid diseases refer to a group of severe autoimmune skin blistering diseases characterized by subepidermal blistering and loss of dermal-epidermal adhesion induced by autoantibody and immune cell infiltrate at the dermal-epidermal junction and upper dermis. Here, we explore the role of the immune cell-secreted serine protease, granzyme B, in pemphigoid disease pathogenesis using three independent murine models. In all models, granzyme B knockout or topical pharmacological inhibition significantly reduces total blistering area compared to controls. In vivo and in vitro studies show that granzyme B contributes to blistering by degrading key anchoring proteins in the dermal-epidermal junction that are necessary for dermal-epidermal adhesion. Further, granzyme B mediates IL-8/macrophage inflammatory protein-2 secretion, lesional neutrophil infiltration, and lesional neutrophil elastase activity. Clinically, granzyme B is elevated and abundant in human pemphigoid disease blister fluids and lesional skin. Collectively, granzyme B is a potential therapeutic target in pemphigoid diseases.
Identifiants
pubmed: 33436591
doi: 10.1038/s41467-020-20604-3
pii: 10.1038/s41467-020-20604-3
pmc: PMC7804321
doi:
Substances chimiques
Autoantigens
0
Chemokine CXCL2
0
Chemotactic Factors
0
Cxcl2 protein, mouse
0
Integrin alpha6
0
Interleukin-8
0
Non-Fibrillar Collagens
0
GZMB protein, human
EC 3.4.21.-
Granzymes
EC 3.4.21.-
Gzmb protein, mouse
EC 3.4.21.-
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
302Subventions
Organisme : CIHR
Pays : Canada
Références
Schmidt, E. & Zillikens, D. Pemphigoid diseases. Lancet 381, 320–332 (2013).
pubmed: 23237497
doi: 10.1016/S0140-6736(12)61140-4
Ludwig, R. J. et al. Mechanisms of autoantibody-induced pathology. Front. Immunol. 8, 603 (2017).
pubmed: 28620373
pmcid: 5449453
doi: 10.3389/fimmu.2017.00603
Kridin, K. & Ludwig, R. J. The growing incidence of bullous pemphigoid: overview and potential explanations. Front. Med. 5, 1–7 (2018).
doi: 10.3389/fmed.2018.00220
Kirtschig, G. et al. Interventions for bullous pemphigoid. Cochrane Database Syst. Rev. CD002292 https://doi.org/10.1002/14651858.CD002292.pub3 (2010).
Hiroyasu, S., Turner, C. T., Richardson, K. C. & Granville, D. J. Proteases in pemphigoid diseases. Front. Immunol. 10, 1454 (2019).
Liu, Z. et al. A critical role for neutrophil elastase in experimental bullous pemphigoid. J. Clin. Invest. 105, 113–123 (2000).
pubmed: 10619867
pmcid: 382581
doi: 10.1172/JCI3693
Liu, Z. et al. The serpin alpha1-proteinase inhibitor is a critical substrate for gelatinase B/MMP-9 in vivo. Cell 102, 647–655 (2000).
pubmed: 11007483
doi: 10.1016/S0092-8674(00)00087-8
Shah, M. A. et al. Andecaliximab/GS-5745 alone and combined with mFOLFOX6 in advanced gastric and gastroesophageal junction adenocarcinoma: results from a phase I study. Clin. Cancer Res. 24, 3829–3837 (2018).
pubmed: 29691300
pmcid: 7496223
doi: 10.1158/1078-0432.CCR-17-2469
Yu, X. et al. Neutrophil adhesion is a prerequisite for antibody-mediated proteolytic tissue damage in experimental models of epidermolysis bullosa acquisita. J. Invest. Dermatol. 138, 1990–1998 (2018).
pubmed: 29559343
doi: 10.1016/j.jid.2018.03.1499
Russo, V. et al. Granzyme B is elevated in autoimmune blistering diseases and cleaves key anchoring proteins of the dermal-epidermal junction. Sci. Rep. 8, 1–11 (2018).
doi: 10.1038/s41598-018-28070-0
Hussein, M. R., Ali, F. M. N. & Omar, A.-E. M. M. Immunohistological analysis of immune cells in blistering skin lesions. J. Clin. Pathol. 60, 62–71 (2007).
pubmed: 17213348
pmcid: 1860590
doi: 10.1136/jcp.2006.037010
Boivin, W. A., Cooper, D. M., Hiebert, P. R. & Granville, D. J. Intracellular versus extracellular granzyme B in immunity and disease: challenging the dogma. Lab. Investig. 89, 1195–1220 (2009).
pubmed: 19770840
doi: 10.1038/labinvest.2009.91
Strik, M. C. M. et al. Human mast cells produce and release the cytotoxic lymphocyte associated protease granzyme B upon activation. Mol. Immunol. 44, 3462–3472 (2007).
pubmed: 17485116
doi: 10.1016/j.molimm.2007.03.024
Pardo, J. et al. Granzyme B is expressed in mouse mast cells in vivo and in vitro and causes delayed cell death independent of perforin. Cell Death Differ. 14, 1768–1779 (2007).
pubmed: 17599099
doi: 10.1038/sj.cdd.4402183
Grossman, W. J. et al. Differential expression of granzymes A and B in human cytotoxic lymphocyte subsets and T regulatory cells. Blood 104, 2840–2848 (2004).
pubmed: 15238416
doi: 10.1182/blood-2004-03-0859
Hernandez-Pigeon, H. et al. Human keratinocytes acquire cellular cytotoxicity under UV-B irradiation: implication of granzyme B and perforin. J. Biol. Chem. 281, 13525–13532 (2006).
pubmed: 16524880
doi: 10.1074/jbc.M512694200
Kaiserman, D. & Bird, P. I. Control of granzymes by serpins. Cell Death Differ. 17, 586–595 (2010).
pubmed: 19893573
doi: 10.1038/cdd.2009.169
Akeda, T. et al. CD8+ T cell granzyme B activates keratinocyte endogenous IL-18. Arch. Dermatol. Res. 306, 125–130 (2014).
pubmed: 23820889
doi: 10.1007/s00403-013-1382-1
Buzza, M. S. et al. Extracellular matrix remodeling by human granzyme B via cleavage of vitronectin, fibronectin, and laminin. J. Biol. Chem. 280, 23549–23558 (2005).
pubmed: 15843372
doi: 10.1074/jbc.M412001200
Kasprick, A., Bieber, K. & Ludwig, R. J. Drug discovery for pemphigoid diseases. Curr. Protoc. Pharmacol. 84, e55 (2019).
pubmed: 30786171
doi: 10.1002/cpph.55
Gauvreau, G. M. et al. Increased numbers of both airway basophils and mast cells in sputum after allergen inhalation challenge of atopic asthmatics. Am. J. Respir. Crit. Care Med. 161, 1473–1478 (2000).
pubmed: 10806141
doi: 10.1164/ajrccm.161.5.9908090
Ugajin, T. et al. Basophils preferentially express mouse mast cell protease 11 among the mast cell tryptase family in contrast to mast cells. J. Leukoc. Biol. 86, 1417–1425 (2009).
pubmed: 19703899
doi: 10.1189/jlb.0609400
Wang, S., Dangerfield, J. P., Young, R. E. & Nourshargh, S. PECAM-1, 6 integrins and neutrophil elastase cooperate in mediating neutrophil transmigration. J. Cell Sci. 118, 2067–2076 (2005).
pubmed: 15840647
doi: 10.1242/jcs.02340
Shen, Y. et al. Topical small molecule granzyme B inhibitor improves remodeling in a murine model of impaired burn wound healing. Exp. Mol. Med. 50, 68 (2018).
pmcid: 5976625
doi: 10.1038/s12276-018-0095-0
Nishie, W. et al. Humanization of autoantigen. Nat. Med. 13, 378–383 (2007).
pubmed: 17322897
doi: 10.1038/nm1496
Plager, D. A. et al. Identification of basophils by a mAb directed against pro-major basic protein 1. J. Allergy Clin. Immunol. 117, 626–634 (2006).
pubmed: 16522463
doi: 10.1016/j.jaci.2005.10.023
Genovese, A. et al. Immunoglobulin superantigen protein L induces IL-4 and IL-13 secretion from human FcεRI + cells through interaction with the κ light chains of IgE. J. Immunol. 170, 1854–1861 (2003).
pubmed: 12574351
doi: 10.4049/jimmunol.170.4.1854
Verraes, S., Hornebeck, W., Polette, M., Borradori, L. & Bernard, P. Respective contribution of neutrophil elastase and matrix metalloproteinase 9 in the degradation of BP180 (Type XVII Collagen) in human bullous pemphigoid. J. Invest. Dermatol. 117, 1091–1096 (2001).
pubmed: 11710917
doi: 10.1046/j.0022-202x.2001.01521.x
Liu, Z. et al. Synergy between a plasminogen cascade and MMP-9 in autoimmune disease. J. Clin. Invest. 115, 879–887 (2005).
pubmed: 15841177
pmcid: 1070424
doi: 10.1172/JCI23977
Kramer, M. D. & Reinartz, J. The autoimmune blistering skin disease bullous pemphigoid: The presence of plasmin/α2-antiplasmin complexes in skin blister fluid indicates plasmin generation in lesional skin. J. Clin. Invest. 92, 978–983 (1993).
pubmed: 7688770
pmcid: 294938
doi: 10.1172/JCI116674
Pawar, S. C., Demetriou, M. C., Nagle, R. B., Bowden, G. T. & Cress, A. E. Integrin alpha6 cleavage: a novel modification to modulate cell migration. Exp. Cell Res. 313, 1080–1089 (2007).
pubmed: 17303120
pmcid: 1905853
doi: 10.1016/j.yexcr.2007.01.006
Taylor, S., Dirir, O., Zamanian, R. T., Rabinovitch, M. & Thompson, A. A. R. The role of neutrophils and neutrophil elastase in pulmonary arterial hypertension. Front. Med. 5, 1–1 (2018).
doi: 10.3389/fmed.2018.00217
Barker, J. N. et al. Modulation of keratinocyte-derived interleukin-8 which is chemotactic for neutrophils and T lymphocytes. Am. J. Pathol. 139, 869–876 (1991).
pubmed: 1681733
pmcid: 1886319
Ameglio, F. et al. Cytokine pattern in blister fluid and serum of patients with bullous pemphigoid: relationships with disease intensity. Br. J. Dermatol. 138, 611–614 (1998).
pubmed: 9640364
doi: 10.1046/j.1365-2133.1998.02169.x
Nelson, K. C. et al. Role of different pathways of the complement cascade in experimental bullous pemphigoid. J. Clin. Invest. 116, 2892–2900 (2006).
pubmed: 17024247
pmcid: 1590266
doi: 10.1172/JCI17891
Liu, Z. et al. A major role for neutrophils in experimental bullous pemphigoid. J. Clin. Invest. 100, 1256–1263 (1997).
pubmed: 9276744
pmcid: 508303
doi: 10.1172/JCI119639
Chen, R. et al. Mast cells play a key role in neutrophil recruitment in experimental bullous pemphigoid. J. Clin. Invest. 108, 1151–1158 (2001).
pubmed: 11602622
pmcid: 209499
doi: 10.1172/JCI11494
Van den Bergh, F., Eliason, S. L., Burmeister, B. T. & Giudice, G. J. Collagen XVII (BP180) modulates keratinocyte expression of the proinflammatory chemokine, IL-8. Exp. Dermatol. 21, 605–611 (2012).
pubmed: 22775995
pmcid: 3395233
doi: 10.1111/j.1600-0625.2012.01529.x
Zorn, C. N. et al. Secretory lysosomes of mouse mast cells store and exocytose active caspase-3 in a strictly granzyme B dependent manner. Eur. J. Immunol. 43, 3209–3218 (2013).
pubmed: 24414824
doi: 10.1002/eji.201343941
Fortelny, N. et al. Network analyses reveal pervasive functional regulation between proteases in the human protease web. PLoS Biol. 12, e1001869 (2014).
Tschopp, C. M. et al. Granzyme B, a novel mediator of allergic inflammation: its induction and release in blood basophils and human asthma. Blood 108, 2290–2299 (2006).
pubmed: 16794249
doi: 10.1182/blood-2006-03-010348
Wada, M. et al. Epitope-dependent pathogenicity of antibodies targeting a major bullous pemphigoid autoantigen collagen XVII/BP180. J. Invest. Dermatol. 136, 938–946 (2016).
Hiroyasu, S. et al. Bullous pemphigoid IgG induces BP180 internalization via a macropinocytic pathway. Am. J. Pathol. 182, 828–840 (2013).
pubmed: 23337823
pmcid: 3590760
doi: 10.1016/j.ajpath.2012.11.029
Iwata, H. et al. IgG from patients with bullous pemphigoid depletes cultured keratinocytes of the 180-kDa bullous pemphigoid antigen (type XVII collagen) and weakens cell attachment. J. Invest. Dermatol. 129, 919–926 (2009).
pubmed: 19177144
doi: 10.1038/jid.2008.305
Kasprick, A. et al. Conditional depletion of mast cells has no impact on the severity of experimental epidermolysis bullosa acquisita. Eur. J. Immunol. 45, 1462–1470 (2015).
pubmed: 25678008
doi: 10.1002/eji.201444769
Ito, Y. et al. Basophil recruitment and activation in inflammatory skin diseases. Allergy 66, 1107–1113 (2011).
pubmed: 21371044
doi: 10.1111/j.1398-9995.2011.02570.x
Kepley, C. L. et al. Negative regulation of FcϵRI signaling by FcγRII costimulation in human blood basophils. J. Allergy Clin. Immunol. 106, 337–348 (2000).
pubmed: 10932079
doi: 10.1067/mai.2000.107931
Freire, P. C., Muñoz, C. H. & Stingl, G. IgE autoreactivity in bullous pemphigoid: eosinophils and mast cells as major targets of pathogenic immune reactants. Br. J. Dermatol. 177, 1644–1653 (2017).
pubmed: 28868796
pmcid: 5814899
doi: 10.1111/bjd.15924
Tsujimura, Y. et al. Basophils play a pivotal role in immunoglobulin-G-mediated but not immunoglobulin-E-mediated systemic anaphylaxis. Immunity 28, 581–589 (2008).
pubmed: 18342553
doi: 10.1016/j.immuni.2008.02.008
Obata, K. et al. Basophils are essential initiators of a novel type of chronic allergic inflammation. Blood 110, 913–920 (2007).
pubmed: 17409268
doi: 10.1182/blood-2007-01-068718
Jin, G. et al. Basophils and mast cells play critical roles for leukocyte recruitment in IgE-mediated cutaneous reverse passive Arthus reaction. J. Dermatol. Sci. 67, 181–189 (2012).
pubmed: 22784785
doi: 10.1016/j.jdermsci.2012.06.005
Kinoshita, M., Okada, M., Hara, M., Furukawa, Y. & Matsumori, A. Mast cell tryptase in mast cell granules enhances MCP-1 and interleukin-8 production in human endothelial cells. Arterioscler. Thromb. Vasc. Biol. 25, 1858–1863 (2005).
pubmed: 15976326
doi: 10.1161/01.ATV.0000174797.71708.97
Mullan, C. S. et al. β-Tryptase regulates IL-8 expression in airway smooth muscle cells by a PAR-2–Independent Mechanism. Am. J. Respir. Cell Mol. Biol. 38, 600–608 (2008).
pubmed: 18079491
doi: 10.1165/rcmb.2007-0082OC
Joly, P. et al. A comparison of oral and topical corticosteroids in patients with bullous pemphigoid. N. Engl. J. Med. 346, 321–327 (2002).
pubmed: 11821508
doi: 10.1056/NEJMoa011592
Shi, L., Yang, X., Froelich, C. J. & Greenberg, A. H. Purification and use of granzyme B. Methods Enzymol. 322, 125–143 (2000).
pubmed: 10914010
doi: 10.1016/S0076-6879(00)22013-2
Dudeck, A. et al. Mast cells are key promoters of contact allergy that mediate the adjuvant effects of haptens. Immunity 34, 973–984 (2011).
pubmed: 21703544
doi: 10.1016/j.immuni.2011.03.028
Scholten, J. et al. Mast cell-specific Cre/loxP-mediated recombination in vivo. Transgenic Res. 17, 307–315 (2008).
pubmed: 17972156
doi: 10.1007/s11248-007-9153-4
Cheung, M. C. et al. Body surface area prediction in normal, hypermuscular, and obese mice. J. Surg. Res. 153, 326–331 (2009).
pubmed: 18952236
doi: 10.1016/j.jss.2008.05.002
Kawasaki, H. et al. Synergistic pathogenic effects of combined mouse monoclonal anti-desmoglein 3 IgG antibodies on pemphigus vulgaris blister formation. J. Invest. Dermatol. 126, 2621–2630 (2006).
pubmed: 16841036
doi: 10.1038/sj.jid.5700450