CD40 gene silencing reduces the progression of experimental lupus nephritis modulating local milieu and systemic mechanisms

PLoS One. 2013 Jun 14;8(6):e65068. doi: 10.1371/journal.pone.0065068. Print 2013.

Abstract

Lupus nephritis (LN) is an autoimmune disorder in which co-stimulatory signals have been involved. Here we tested a cholesterol-conjugated-anti-CD40-siRNA in dendritic cells (DC) in vitro and in a model of LPS to check its potency and tissue distribution. Then, we report the effects of Chol-siRNA in an experimental model of mice with established lupus nephritis. Our in vitro studies in DC show a 100% intracellular delivery of Chol-siRNA, with a significant reduction in CD40 after LPS stimuli. In vivo in ICR mice, the CD40-mRNA suppressive effects of our Chol-siRNA on renal tissue were remarkably sustained over a 5 days after a single preliminary dose of Chol-siRNA. The intra-peritoneal administration of Chol-siRNA to NZB/WF1 mice resulted in a reduction of anti-DNA antibody titers, and histopathological renal scores as compared to untreated animals. The higher dose of Chol-siRNA prevented the progression of proteinuria as effectively as cyclophosphamide, whereas the lower dose was as effective as CTLA4. Chol-siRNA markedly reduced insterstitial CD3+ and plasma cell infiltrates as well as glomerular deposits of IgG and C3. Circulating soluble CD40 and activated splenic lymphocyte subsets were also strikingly reduced by Chol-siRNA. Our data show the potency of our compound for the therapeutic use of anti-CD40-siRNA in human LN and other autoimmune disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuminuria / immunology
  • Albuminuria / metabolism
  • Albuminuria / therapy
  • Animals
  • Antibodies, Antinuclear / blood
  • CD40 Antigens / genetics*
  • CD40 Antigens / metabolism
  • Cell Survival
  • Cells, Cultured
  • Complement C3 / metabolism
  • Cytokines / blood
  • Dendritic Cells / metabolism
  • Disease Progression
  • Gene Expression
  • Gene Knockdown Techniques
  • Humans
  • Immunoglobulin G / metabolism
  • Kidney / immunology
  • Kidney / metabolism
  • Kidney / pathology
  • Lipopolysaccharides / pharmacology
  • Lupus Nephritis / immunology
  • Lupus Nephritis / metabolism
  • Lupus Nephritis / therapy*
  • Male
  • Mice
  • Mice, Inbred ICR
  • Plasma Cells / immunology
  • RNA Interference*
  • RNA, Small Interfering / genetics*
  • Spleen / immunology
  • Spleen / metabolism
  • Transfection

Substances

  • Antibodies, Antinuclear
  • CD40 Antigens
  • Complement C3
  • Cytokines
  • Immunoglobulin G
  • Lipopolysaccharides
  • RNA, Small Interfering

Grants and funding

This study was supported by grants from Instituto de Salud Carlos III/FIS (PS09/00897, PS09/00107, PI10/2991), European Union Grant SYSKID Framework Programme 7 (FP7). Nuria Bolaños is a technician from ‘Contratos de tecnico de apoyo en el sistema nacional de la salud’ financed by ISCIII. Elia Ripoll was a fellowship from IDIBELL and from Societat Catalana de Transplantament. Josep M. Aran and Immaculada Herrero are a researchers from ‘Programa Estabilización Investigadores’ financed by ISCIII and Dpt. Salut Generalitat Catalunya, and Ana Merino was supported by a contract from Insitituto de Salud Carlos III, programa Sara Borrell. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.