Induction of inflammatory and immune responses by HMGB1-nucleosome complexes: Implications for the pathogenesis of SLE

Vilma Urbonaviciute, Barbara G. Fürnrohr, Silke Meister, Luis Munoz, Petra Heyder, Francesco De Marchis, Marco E. Bianchi, Carsten Kirschning, Hermann Wagner, Angelo A. Manfredi, Joachim R. Kalden, Georg Schett, Patrizia Rovere-Querini, Martin Herrmann, Reinhard E. Voll

Research output: Contribution to journalArticlepeer-review


Autoantibodies against double-stranded DNA (dsDNA) and nucleosomes represent a hallmark of systemic lupus erythematosus (SLE). However, the mechanisms involved in breaking the immunological tolerance against these poorly immunogenic nuclear components are not fully understood. Impaired phagocytosis of apoptotic cells with consecutive release of nuclear antigens may contribute to the immune pathogenesis. The architectural chromosomal protein and proinflammatory mediator high mobility group box protein 1 (HMGB1) is tightly attached to the chromatin of apoptotic cells. We demonstrate that HMGB1 remains bound to nucleosomes released from late apoptotic cells in vitro. HMGBI-nucleosome complexes were also detected in plasma from SLE patients. HMGB1-containing nucleo-somes from apoptotic cells induced secretion of interleukin (IL) iβ, IL-6, IL-10, and tumor necrosis factor (TNF) α and expression of costimulatory molecules in macrophages and dendritic cells (DC), respectively. Neither HMGBI-free nucleosomes from viable cells nor nucleosomes from apoptotic cells lacking HMGB1 induced cytokine production or DC activation. HMGB1-containing nucleosomes from apoptotic cells induced anti-dsDNA and antihistone IgG responses in a Toll-like receptor (TLR) 2-dependent manner, whereas nucleosomes from living cells did not. In conclusion, HMGB1-nucleosome complexes activate antigen presenting cells and, thereby, may crucially contribute to the pathogenesis of SLE via breaking the immunological tolerance against nucleosomes/dsDNA.

Original languageEnglish
Pages (from-to)3007-3018
Number of pages12
JournalJournal of Experimental Medicine
Issue number13
Publication statusPublished - Dec 22 2008

ASJC Scopus subject areas

  • Immunology
  • Immunology and Allergy
  • Medicine(all)


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