Effect of cigarette smoke on autoimmunity in murine and human systemic lupus erythematosus

Toxicol Sci. 2005 Sep;87(1):86-96. doi: 10.1093/toxsci/kfi217. Epub 2005 Jun 9.

Abstract

Several studies have found that smoking cigarettes is a risk factor for systemic lupus erythematosus (SLE). To examine this issue in a mouse model, we subjected pre-autoimmune MRL-lpr/lpr mice for 4 weeks to cigarette smoke to provide standardized smoke effluents equivalent to moderate or to heavy smoking habits for people. The spontaneous production of IgG anti-chromatin but not IgM anti-chromatin, anti-denatured DNA, or rheumatoid factor antibodies was lower in mice exposed to 250 mg/m3 particulates from mainstream smoke, and this suppression of autoimmunity was sustained for 8 weeks (p < 0.02). In contrast to control mice anti-chromatin activity in smoke-exposed mice began to increase in 16-week-old mice, reaching levels at 6 months that were two- to three-fold higher than controls for IgG (p < 0.03) and 10-fold higher for IgM (p < 0.001). There was no significant effect on total IgG or IgM. In newly diagnosed SLE patients, smoking was negatively correlated with IgG anti-DNA antibodies (p < 0.03). However, of nine patients who discontinued smoking prior to diagnosis, eight had elevated IgG anti-DNA compared to 29/79 never smokers and 9/31 smokers (p < 0.01 compared to former smokers). Inhaled cigarette smoke appears to have a long-lasting immunosuppressive effect on T-cell-dependent autoimmune responses, although autoantibodies increase to supra-elevated levels after the suppressive effect has abated.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adaptor Proteins, Signal Transducing
  • Animals
  • Antibodies, Antinuclear / blood
  • Antigens, Differentiation / physiology
  • Autoimmunity*
  • Female
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Immunosuppressive Agents / pharmacology
  • Lupus Erythematosus, Systemic / immunology*
  • Mice
  • Mice, Inbred MRL lpr
  • Myeloid Differentiation Factor 88
  • Nicotine / pharmacology
  • Receptors, Immunologic / physiology
  • Smoking / immunology*

Substances

  • Adaptor Proteins, Signal Transducing
  • Antibodies, Antinuclear
  • Antigens, Differentiation
  • Immunoglobulin G
  • Immunoglobulin M
  • Immunosuppressive Agents
  • MYD88 protein, human
  • Myd88 protein, mouse
  • Myeloid Differentiation Factor 88
  • Receptors, Immunologic
  • Nicotine