Lack of the glomerular expression of CD2AP in animals produces he

Lack of the glomerular expression of CD2AP in animals produces heavy proteinuria. This is the first study of CD2AP gene in

SRNS patients from Indonesia. Objectives: To identify and analyse mutations on CD2AP gene in steroid resistant INK 128 manufacturer Nephrotic Syndrome patients from Indonesia. Methods: DNA was extracted from peripheral blood leukocyte, using a salting-out method, primer delineated, amplification of the CD2AP exons was performed by PCR (in 18 exons), electrophoresis of PCR product were using Gel Agarose 1%, then followed with DNA sequencing and interpretation of DNA sequencing. Results: This study involved 18 subject, male 11 (61.1%), female 7 (38,9%) with age range 4–23 years. A renal biopsy was performed in 8 patients and showed focal segmental glomerulosclerosis (FSGS) in 5 patients, minimal changes nephrotic syndrome (MNCS) in 3 patients. Mutations and polymorphisms analysis of CD2AP by direct exon sequencing was performed in all 18 patients. We found 4 SNPs (single nucleotide polymorphisms) from 18 exons of CD2AP. The SNPs were in exon 4 (c.320-113 C > T), exon 11 (c. 1108 + 82 T > C), exon 16 (c.1814 + 24 G > A), exon 18 (c.1879-66 T > C). There were no mutations of CD2AP from our patients. Conclusion: From this study only found SNPs

and did not found any mutations. Further studies needed in different genes. KURIBAYASHI-OKUMA EMIKO1, HISAKI HARUMI2, OKAZAKI TOMOKI2, UCHIDA SHUNYA1 1Department of Internal Medicine, Teikyo University School of Medicine; 2Department of Biochemistry, Teikyo University School of Medicine Introduction: Steroid-resistant Roxadustat nephrotic syndrome is intractable kidney disorder often associated with the progression to end stage renal disease. To treat steroid-resitant nephrotic syndrome, LDL-apheresis (LDL-A) has been instituted and its efficacy is reported to be about

50%. In the present study learn more the mechanism whereby LDL-A does or does not induce the remission of steroid-resitant nephrotic syndrome was investigated using the proteomic analysis of the plasma proteins adsorbed from the patients. Methods: The effect of LDL-A was assessed by the clinical indicators such as proteinuria and serum albumin. The patients were grouped as responder (n = 4) and non-responder (n = 4). The adsorbed plasma proteins were obtained at the first and the last sessions of the apheresis. Following the removal of albumin and gamma-globulin, the samples were separated by two-dimensional differential in-gel electrophoretic analysis (2-D DIGE). All spots were picked and subjected for in-gel digestion with trypsin followed by peptide analysis by MALDI-TOF/MS. Results: Since 2D patterns of the adsorbed proteins in non-responder group were almost identical between the first and the last sessions of the apheresis, we focused on the difference of 2D patterns in the first and the last sessions in responder group.

To study cross-presentation, the LyUV-treated LCMV-infected HEK c

To study cross-presentation, the LyUV-treated LCMV-infected HEK cells (5×105 cells/well) were prepared for the assay as described previously 7. Where indicated, inhibitors were added to the APC 45 min before adding the ADC and maintained during the incubation periods. In certain experiments, RNase treatment of ADC was performed. ADC were lysed and treated with 10 μg/mL of RNase for 20 min at RT followed by two washing steps before UVB treatment. MDV3100 in vivo To test for cross-priming, B6 mice were injected i.p. with HEK293 (negative control) or LCMV-infected

HEK cells (7×106) treated as LyUV. After 7 days, splenocytes were obtained and stained with 0.5–1 μg of PE-labeled tetramers 36 as described previously 37. Alternatively, epitope-specific CTL were expanded in vitro before performing ICS assays as described previously 7. For ex vivo antigen presentation, peritoneal cells were collected 8 h later using PBS (10 mL). Positive selection for CD11c+ from peritoneal exudates was carried out with a mouse CD11c+ immunomagnetic selection kit from EasySep® (Vancouver, https://www.selleckchem.com/products/Abiraterone-Acetate-CB7630.html BC, Canada). CD11c+ and CD11c− cells were coincubated

with peptide-specific CTL at a ratio of 3:1 for 3 h in the presence of BFA (10 μg/mL) and ICS was performed as described above. Statistics were performed using the paired, two-tailed t-tests Demeclocycline and differences in results between treatment conditions were deemed significant when p<0.05. The authors thank Dr. Groettrup, Dr. van den Broek, Dr. Zinkernagel, Dr. Rock and the NIH tetramer facility for providing reagents, and grants from NSERC to S. B., CIHR to A. L., and LG Fellowship to A. A. Conflict of interest: The authors declare no financial or commercial conflict of interest. "
“Although notable progress has been made in the therapeutic management of patients with chronic kidney

disease in both conservative and renal replacement treatments (dialysis and transplantation), the occurrence of medication-related problems (lack of efficacy, adverse drug reactions) still represents a key clinical issue. Recent evidence suggests that adverse drug reactions are major causes of death and hospital admission in Europe and the United States. The reasons for these conditions are represented by environmental/non-genetic and genetic factors responsible for the great inter-patient variability in drugs metabolism, disposition and therapeutic targets. Over the years several genetic settings have been linked, using pharmacogenetic approaches, to the effects and toxicity of many agents used in clinical nephrology. However, these strategies, analysing single gene or candidate pathways, do not represent the gold standard, being the overall pharmacological effects of medications and not typically monogenic traits.

In mice, the CXCL10-binding chemokine receptor CXCR3 was shown to

In mice, the CXCL10-binding chemokine receptor CXCR3 was shown to play a crucial role in the recruitment of autoaggressive T cells to pancreatic islets [24,25]. CXCL10 is produced by β cells [24] and increasingly detectable in serum of newly diagnosed or prediabetic subjects [26]. Inhibition of CXCL10 homing to islets prevents autoimmune diabetes in experimental models [25,27]. CXCL10 production by islets of type 2 diabetes patients has been described and claimed to impair β cell function [28]. Our observed CXCL10 and CXCR3 expression in pancreatic islets of a new-onset type 1 diabetes patient with enterovirus infection in β cells is strikingly similar to a very recent

report on fulminant diabetes and enterovirus infection [29]. A role for CXCL10 and CXCR3 was proposed in which enterovirus infection of the pancreas initiated co-expression of CXCL10 in β cells, attracting autoreactive T cells and macrophages learn more to the islets via CXCR3. We described the expression of this particular chemokine receptor on human autoreactive T cell clones obtained from peripheral blood samples of (pre)diabetic individuals and demonstrated their capacity to home to pancreatic tissue of NOD/SCID mice after adoptive transfer [9]. In addition, recruited T cells

were found to express CXCR3 in situ, suggesting that peripheral blood T cells display the proper homing receptors, which is an important check-point for participation in the Rucaparib nmr process of insulitis and also perhaps in β cell destruction. Indeed, a type 1 diabetes patient-derived autoreactive CD8 T cell clone against preproinsulin, which was shown

to kill human pancreatic β cells, selectively expressed CXCR3 [30]. The CXCL10–CXCR3 pathway facilitating leucocyte migration to pancreatic islets is active in all donors, but not in non-diabetic controls. This may provide the basis for the development of a novel therapeutic target in type 1 diabetes [24,25,27]. Our report underscores the value of extensive studies on human insulitis [31–34]. Indeed, the Juvenile Diabetes Research Foundation has launched Tideglusib an initiative to collect pancreatic tissue from diabetic donors to facilitate and drive such studies that are likely to bridge the gap in knowledge on immune as well as environmental factors contributing to β cell destruction in human type 1 diabetes (http://www.jdrfnpod.org/). These studies were supported by the Juvenile Diabetes Research Foundation, the Dutch Diabetes Research Foundation, the Italian Ministries of Health, University and Research and the Italian Diabetes Society Research Foundation (FORISID). Printing of the colour graphs was supported by a donation from the Lugtenburg family. The authors declare no conflict of interest. “
“The identification of soluble factors involved in stem cell renewal is a major goal in the assessment of the BM niche.

IgG derived

from a SS patient positive for antibodies to

IgG derived

from a SS patient positive for antibodies to the RXDX-106 purchase third extracellular loop had no effect on (Ca2+)I, as well as IgG derived from an anti-M3R antibody-negative SS patient (Figs 3e and 4). Recently, anti-M3R antibodies have been the focus of interest in rheumatology because of their potential pathogenic role, use as diagnostic markers and being therapeutic targets in patients with SS [1]. Several methods have been used to detect anti-M3R antibodies in SS patients [1]. In functional assays using smooth muscles, IgG fractions from patients with SS (SS-IgG) inhibited carbachol-evoked or nerve-evoked bladder or colon contractions [8,9]. In salivary gland cells, SS-IgG inhibited the rise in (Ca2+)i induced by carbachol, and also inhibited pilocarpine-induced AQP5 trafficking to the apical membrane from the cytoplasm [2]. The inhibitory actions of SS-IgG on

the rise in (Ca2+)i was acutely reversible [10]. Anti-M3R antibodies from SS patients can be detected by immunofluorescent analysis using rat lacrimal glands [11], and by flow cytometry using the M3R-transfected Chinese hamster ovary (CHO) cell line [12]. Moreover, anti-M3R antibodies in sera of SS patients were detected by ELISA using synthetic peptides or recombinant proteins of the second extracellular loop of M3R [13]. We have reported previously the presence of anti-M3R antibodies in a group of patients with SS, which recognized the second extracellular loop by ELISA using synthetic Syk inhibitor peptides [4,5]. In the present study, we established a standard method to detect anti-M3R antibodies that can be used for screening large patient populations. Functional assays and flow cytometry are too laborious for routine use. Although ELISA is easy, the results from some ELISA systems used for screening anti-M3R antibodies differ Racecadotril widely with regard to the prevalence of anti-M3R antibodies (from 11 to 90%) [4,14]. Furthermore, Cavill et al.[15]

reported failure to detect anti-M3R antibodies by ELISA using synthetic peptides. In the present study, we reported higher frequencies and titres of anti-M3R antibodies against all extracellular domains in SS patients than the control. The prevalence of anti-M3R antibodies against the second extracellular loop in SS (55%) determined in the present study was much higher than that reported in our previous study (11%) [4]. The reason for this difference is probably related to the change in the methodology, such as increased sensitivity resulting from purity of the synthetic peptides, modification of the washing procedure or other factors introduced in the modified ELISA system. In the present study, we also determined the precise B cell epitopes of M3R molecules.

We also determined the effects of the AT1-AAs on these cells foll

We also determined the effects of the AT1-AAs on these cells following treatment with an AT1 receptor antagonist

(losartan). Compared with the IgG isolated from the women with normal pregnancies, treatments of the preeclamptic patients markedly increased sEng production and mRNA expression in trophoblast cells. Co-treatment with losartan significantly attenuated the release of sEng and sEng mRNA expression in the trophoblast cells. AT1-AAs may be related to the increased release of click here sEng observed during preeclampsia and may play important roles in the pathology of this disorder. “
“The prevalence of allergic diseases is influenced by sex and age. Although mouse models are widely used in allergy research, few experimental studies have examined the Ivacaftor chemical structure interaction effects of sex and age on allergy outcomes. Our aim was to investigate the individual and combined effects of sex and age on allergic sensitization and inflammation

in two mouse models: an intraperitoneal (i.p.) and an intranasal (i.n.) sensitization model. We also investigated how the allergen immunization dose interacted with age and sex in the i.p. model. Female and male mice were immunized i.p. or i.n. with ovalbumin when 1, 6 or 20 weeks old. In both models, allergen challenges were performed by i.n. delivery. Serum antibodies, draining lymph node cytokine release and airway inflammatory responses were assessed. In the i.p. model, the antibody and cytokine levels and airway inflammation were highly influenced by immunization dose and age. The responses increased

with age when using a low immunization dose, but decreased with age when using a high immunization dose. In the i.n. model, antibody production and airway tissue inflammation increased with age. Female compared with male mice generally developed more pronounced antibody and inflammatory responses. Relative to older mice, juvenile mice had augmented airway inflammation to allergen exposures. The study demonstrates that immunization dose, sex and age are highly influential on allergy outcomes. To better mimic different life stages of human allergic airway disease, murine models, therefore, require careful optimization. Murine models investigating the mechanisms and potential RAS p21 protein activator 1 treatments of allergic diseases are widely used [1]. In these models, allergic sensitization is achieved by allergen immunization via different routes to induce allergen-specific IgE production. Following airway challenges with the allergen, an inflammation dominated by eosinophils is established. Lower allergen doses generally lead to higher IgE production than higher doses [2]. Whether this applies to both male and female mice has not been described, as allergy studies most often are carried out in female animals.

This finding is consistent with the speculation [57] that intrave

This finding is consistent with the speculation [57] that intravenously administered DCs can acquire islet antigens in vivo (a process that would take place in the pancreatic lymph nodes) and, thus, can modulate effector and regulatory T cell responses to diabetes-relevant antigens even without deliberate prior antigen treatment. The original observation that DCs from the pancreatic

lymph nodes could prevent diabetes when transferred to NOD mice, while those from other sites could not, suggested the potential importance of the incorporation of beta cell antigens into DC-based therapeutics for this disease [5]. As reviewed recently [66], a variety of immunosuppressive and anti-inflammatory compounds, e.g. vitamin D3 and mycophenolate mofetil, DAPT can endow DCs with a tolerogenic functional phenotype. Cytokines such as IL-10 can behave similarly [67]

. This suggests a therapeutic strategy for type 1 diabetes in which tolerogenic DCs would be generated in Erastin clinical trial vitro and then exposed to beta cell antigens prior to administration. Such an approach was employed recently by the von Herrath group [59], who utilized the rat insulin promoter (RIP)-LCMV model of type 1 diabetes in which disease is induced upon LCMV infection. BMDCs were generated in the presence of GM-CSF, IL-10 and normal mouse serum, and then pulsed with a viral peptide recognized by CD8+ T cells. When the pulsed DCs were administered intraperitoneally to mice 10 and 3 days prior to LCMV infection, only 45% of the animals developed diabetes, whereas 80% of those treated with unpulsed DCs became diabetic. A reduced expansion of viral-specific T cells in response to viral infection was also observed

in mice treated with peptide-pulsed DCs. This study supports the idea that ex vivo-generated tolerogenic DCs, when exposed to disease-relevant antigens, can deliver therapeutic benefit in type 1 diabetes. In a recent thoughtful review of DC-based immunotherapeutic strategies for human diseases, the disadvantages of ex vivo antigen loading of DCs were discussed [68]. These include a requirement for leukapheresis, the inability to manipulate DCs Regorafenib price within their natural milieu and a requirement for a tailor-made ‘product’ for each patient, resulting in labour-intensive procedures and high costs. It is for reasons such as these that we [69] and others [70] are exploring the utility of in vivo delivery of beta cell antigens to DCs in the prevention and treatment of type 1 diabetes. DCs employ a variety of molecules, such as the Fc receptors, the macrophage mannose receptor (MMR) and DEC-205 [71], to execute receptor-mediated endocytosis of antigens. Of these, DEC-205 (Ly75/CD205) has the special ability to uptake and subsequently present antigen via both class I [35] and class II MHC pathways [72]. DEC-205 is a type 1 transmembrane protein homologous to MMR and phospholipase A2 [71].

(iii) Type I predominance or type I fibre uniformity and increase

(iii) Type I predominance or type I fibre uniformity and increased variability in fibre size; and (iv) Nuclear internalization and centralization Roxadustat supplier in both fibre types, including frequent multiple internalized nuclei. In addition, a discrete increase of endomysial connective tissue was often observed. Noticeably, the muscle biopsies performed at the ages of 4 months for patient 1 and 21 months for patient 2, essentially showed type I fibre predominance, increased endomysial

connective tissue, significant variation in type I or II fibre size and the presence of some small fibres with central nuclei resembling myotubes. No cores were observed. Thereafter, the muscle biopsies performed at the ages of 12 and 14 years for patient 1 and 12 years for patient 2 showed the peculiar morphological pattern observed in all patients.

Nuclear internalization increased with age (Table 1; Figure 3). In patients 1 and 3 to 7, ultrastructural analysis of muscle biopsies in longitudinal sections demonstrated large areas of sarcomeric disorganization (Figure 4d). Such areas were present in one or more regions within a fibre, were variable in width and length, frequently covered the entire fibre diameter in cross section (Figures 4a,b) and extended from 2 to 30 sarcomeres in longitudinal sections (Figures 4b,f). Altered fibres often showed one or several misplaced nuclei that were occasionally found at the border of areas of myofibrillar disorganization (Figures 4b,d). Within Hydroxychloroquine cell line such disorganized areas, accumulation of Z-band proteins, Z-band streaming, enlarged Z-bands and myofibrillar compaction were the most frequent alterations (Figures 4c,e). T-triads-repetitions, honeycomb profiles (corresponding to T-tubules proliferations) and occasional minicore-like Immune system lesions (Figure 4f)

were also observed amongst other non-specific alterations. Mitochondria were present or not in the disorganized areas. In order to further study the composition of the disorganized intracellular areas, biopsies of patients 2, 3 and 5 were labelled with antibodies to the intermediate filament proteins desmin, αB-crystalline and myotilin. The three markers intensively labelled the disorganized areas, but in serial sections reacting fibres were either labelled with one, two or three of the antibodies used, suggesting a heterogeneous composition of the disorganized zones (Figure 5). Patient 1 and her deceased sister were c.[10348-6C>G; 14524G>A] + c.[8342_8343delTA] compound heterozygous carriers (Table 2). The c.8342_8343delTA frameshift deletion transmitted by the clinically unaffected mother introduced a premature stop codon (p.Ile2781ArgfsX49). The two other variants were inherited from the clinically unaffected father. The c.10348-6C>G change resulted in a loss of splicing of intron 68 and the introduction of a premature stop codon (p.His3449ins33fsX54).

Such differences may be one of the causes of cell tropism for PrP

Such differences may be one of the causes of cell tropism for PrPSc accumulation, and furthermore, might result in the prion strain-specific PrPSc accumulation pattern in the brain. Species specificity in cell-free conversion has been reported

(14, 23), and the products preserve strain-specific properties (24). These data suggest that the cell-free conversion reaction mimics some aspects of in vivo conversion of PrPC into PrPSc. In this study, we demonstrated that the effect of reducing conditions and removal of Cys residues on binding and conversion differed among prion strains; indeed, these may mirror prion strain properties in vivo. In fact, classification of the five prion strains Talazoparib manufacturer by their binding and the conversion efficiencies correlated well with classification according to their biological and biochemical properties. Therefore, the

in vivo properties of each strain likely correlate with their conversion capacity. Binding and conversion assays may thus aid in the classification of prion strains. Reduction of the Osimertinib concentration intramolecular disulfide bond did not interfere with binding of PrPSc to MoPrP and conversion of MoPrP into PrPres. However, substitution of Cys with Ser in MoPrP inhibited binding and conversion of the ME7 and Obihiro strains and conversion of the Chandler and 79A strains. Therefore, Cys residues may play a key role in the conversion and binding of Chandler and 79A, ME7, and Obihiro PrPSc. However, we cannot rule out the possibility that such a substitution alters the tertiary structure

of the prion protein. Addition of DTT significantly increased the Methocarbamol conversion efficiencies of MoPrP and the Cys-less mutant driven by mBSE PrPSc. This suggests that the effect of DTT may be mediated by a mechanism other than cleaving of the disulfide bond in MoPrP. DTT diminishes the carbohydrate binding activity of a Cys-less mutant of pigpen as well as inhibiting the intact molecule (25). Therefore, in an mBSE-seeded cell-free conversion, DTT may improve the efficiency of mBSE-seeded conversion independently of the reduction of disulfide bonds. In summary, reducing conditions did not inhibit conversion in vitro and markedly increased mBSE-seeded conversion. This suggests that cell-free conversion under reducing conditions mimics the conversion of PrPC into PrPSc within endosomes and lysosomes. In addition, classification of prion strains by their efficiency at binding and conversion of both MoPrP and its Cys-less mutant in the absence and presence of DTT correlates well with classification based on biological and biochemical properties. Therefore, the cell-free conversion assay may be useful in discriminating between prion strains. We are grateful to Dr.

12 It is clear from murine models of tumour protection that antig

12 It is clear from murine models of tumour protection that antigen recognition correlates with the TCR expression level. Elegant experiments performed in transgenic mice expressing controllable amounts of cell-surface TCR demonstrated that a reduced density of TCRs on the T-cell surface resulted

in reduced proliferation, and in the secretion of interferon-γ (IFN-γ), IL-2 and IL-4 in response to in vivo vaccination with cognate peptide,13 which could be overcome in part by stimulation with saturating doses of peptide. Of importance to the field of TCR transfer, the threshold of TCR density required for antigen responsiveness was relatively low (< 1000 surface TCRs per cell), but was significantly affected AG14699 by the concentration of antigen ligands. Extensive research is ongoing in the field of vector development to enhance transgene delivery into T cells, but this is outwith the scope of the present review. However, the impact of TCR transgene

modifications and vector configuration on the subsequent expression in the transduced cell will be discussed. Codon optimization of the TCR-α chain and TCR-β chain transgenes relies on the replacement of infrequently used codons with synonomous codons frequently encountered in the human genome. There is now a substantial body of evidence demonstrating that for multiple TCR specificities the introduction of codon-optimized Decitabine mouse TCR genes Palbociclib solubility dmso results in higher TCR expression levels in transduced T cells compared with wild-type TCR genes and subsequently improved in vivo function.14–16 There is a theoretical risk that codon optimization will generate potentially immunogeneic TCRs, resulting in anti-TCR immune responses, as the process of optimization may generate alternative open reading frames, with alteration of peptide sequences; however, this has not yet been reported. For TCR gene transfer it is preferable to use

a single viral vector encoding both TCR chain genes, as this limits the risk of insertional mutagenesis and the number of transduced T cells expressing only the introduced α chain or β chain. The introduction of only one TCR chain because of the successful transduction with only one of two vectors would increase the risk of the introduced chain mispairing with the reciprocal endogenous TCR chain (see below). TCR heterodimer assembly and cell-surface expression will be impaired if there is a limiting supply of one or the other chain. Therefore, currently used viral vectors link the TCR-α and TCR-β chain genes with either an internal ribosomal entry site (IRES) sequence or the 2A peptide sequence derived from a porcine tsechovirus.17,18 Vectors using the IRES sequence result in the expression of a single messenger RNA (mRNA) molecule under the control of the viral promoter within the transduced cell. Translation of the second gene is mediated by the IRES element.

[1, 2] Its pleiotropic actions also include the upregulation of I

[1, 2] Its pleiotropic actions also include the upregulation of IL-2 and its receptor expression, stimulation of platelet production, promotion of macrophage and osteoclast differentiation and synthesis of acute phase reactants.[2] IL-6 receptors (IL-6R) belong to the type 1 cytokine receptor superfamily and comprise

two subunits (IL-6R and the gp130). The coupling of IL-6 and its receptor is followed selleck kinase inhibitor by gp130 dimerization, Jak1 activation and GP130 tyrosine phosphorylation.[2] Such process is recognized as the classical IL-6 signalling pathway in which membrane-bound IL-6R is required and is largely restricted to hepatocytes, some epithelial cells and leucocytes.[3] Whereas in the alternative pathway, gp130 protein check details expressing cells – even in the absence of membrane-bound IL-6R can be stimulated by the complex of IL-6 and the soluble IL-6R and this process is known as trans-signalling.[3-5] The pathogenic role of IL-6 in SLE had been elucidated in the following animal and human studies. In MRL/lpr mice, investigators have observed an age-related increase of serum IL-6 levels, soluble IL-6 receptors and aberrant expression of the IL-6 receptors.[6, 7] It should be underscored that no other cytokine studies have been demonstrated to possess

the capacity of inducing IgG anti-DNA antibodies directly. In the NZB/W mice, exogenous administration of recombinant human IL-6 would lead to an accelerated glomerulonephritis.[8] In IL-6-deficient MRL/lpr mice, investigators have observed a substantial diminution of infiltrating macrophages in the kidney, a decrease in renal IgG and C3 deposition, and a shrunken number of CD4+ and CD8+ lymphocytes.[9] The expression VCAM-1 in the kidneys was also downregulated in MRL-Fas(lpr) about IL-6−/− mice compared with IL-6-intact animals.[9] These findings proposed that IL-6 may be a key promoter of lupus nephritis and hence may have a potential role for the treatment of human lupus nephritis. In fact, IL-6 blockade

in NZB/W mice could hamper proteinuria, lessen the age-related elevation in anti-dsDNA levels and also significantly improve the survival of these animals.[10, 11] Serum IL-6 levels were raised in B6.Sle1.Yaa mice and such elevation was coupled with the loss of CD19 + B cells and more primitive B-lymphoid progenitors in bone marrow.[12] IL-6 stimulation could trigger transcription factors in these uncommitted progenitor cells, which would deter lymphopoiesis but promote myelopoiesis in SLE. The survival of B lymphocytes can also be attenuated by IL-6 via the recombination-activation gene (Rag) machinery, which are vital for the revision of rearranged immunoglobulin V (D) J genes. IL-6 favours the expression of Rags and hence facilitates the rescue of autoreactive B cells from apoptosis.[13] In MRL/lpr mice, the deficiency in IL-6 led to a delayed onset of lupus nephritis.