Evidence map›Paper›PMID 33561013›Full record

ArticleThe Journal of clinical investigation2021

Endoplasmic reticulum stress sensor IRE1α propels neutrophil hyperactivity in lupus.

Gautam Sule, Basel H Abuaita, Paul A Steffes, Andrew T Fernandes, Shanea K Estes, Craig Dobry, Deepika Pandian, Johann E Gudjonsson, J Michelle Kahlenberg, Mary X O'Riordan and 1 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Role of Neutrophils on the Ocular Surface.International journal of molecular sciences · 2021
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Gautam SuleDivision of Rheumatology, Department of Internal Medicine.
Basel H AbuaitaDepartment of Microbiology and Immunology, and.
Paul A SteffesDivision of Rheumatology, Department of Internal Medicine.
Andrew T FernandesDivision of Rheumatology, Department of Internal Medicine.
Shanea K EstesDivision of Rheumatology, Department of Internal Medicine.
Craig DobryDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Deepika PandianDivision of Rheumatology, Department of Internal Medicine.
Johann E GudjonssonDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
J Michelle KahlenbergDivision of Rheumatology, Department of Internal Medicine.
Mary X O'RiordanDepartment of Microbiology and Immunology, and.
Jason S KnightDivision of Rheumatology, Department of Internal Medicine.

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
University of Michigan Skin Biology and Diseases Resource-based CenterP30AR075043 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Johann Eli Gudjonsson · 2019 to 2026
$6.6M
Purinergic modulation of the autoimmune vascular phenotypeR01HL134846 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 2018 to 2026
$4.8M
Role of the sex biased transcription factor VGLL3 in promoting autoimmune responses in SLER01AI130025 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Johann Eli Gudjonsson · 2017 to 2026
$3.9M
Characterization of Interferon Kappa as a Novel Target in Cutaneous LupusR01AR071384 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joanne Michelle Kahlenberg · 2017 to 2026
$3.6M
Control of Neutrophil Effector Mechanisms by the IRE1-Caspase2 signaling axisR21AI135403 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI O'RIORDAN, MARY · 2018 to 2019
$424k
NCATS NIH HHS UL1 TR000433NHLBI NIH HHS R01 HL134846NIAID NIH HHS R01 AI130025NIAID NIH HHS R21 AI135403NIAMS NIH HHS P30 AR075043NIAMS NIH HHS R01 AR071384
6 · The paper itself

Abstract

Neutrophils amplify inflammation in lupus through the release of neutrophil extracellular traps (NETs). The endoplasmic reticulum stress sensor inositol-requiring enzyme 1 α (IRE1α) has been implicated as a perpetuator of inflammation in various chronic diseases; however, IRE1α has been little studied in relation to neutrophil function or lupus pathogenesis. Here, we found that neutrophils activated by lupus-derived immune complexes demonstrated markedly increased IRE1α ribonuclease activity. Importantly, in neutrophils isolated from patients with lupus, we also detected heightened IRE1α activity that was correlated with global disease activity. Immune complex-stimulated neutrophils produced both mitochondrial ROS (mitoROS) and the activated form of caspase-2 in an IRE1α-dependent fashion, whereas inhibition of IRE1α mitigated immune complex-mediated NETosis (in both human neutrophils and a mouse model of lupus). Administration of an IRE1α inhibitor to lupus-prone MRL/lpr mice over 8 weeks reduced mitoROS levels in peripheral blood neutrophils, while also restraining plasma cell expansion and autoantibody formation. In summary, these data identify a role for IRE1α in the hyperactivity of lupus neutrophils and show that this pathway is upstream of mitochondrial dysfunction, mitoROS formation, and NETosis. We believe that inhibition of the IRE1α pathway is a novel strategy for neutralizing NETosis in lupus, and potentially other inflammatory conditions.

Indexed as

AnimalsEndoplasmic Reticulum StressEndoribonucleasesFemaleHumansLupus Erythematosus, SystemicMaleMiceMice, Inbred MRL lprMice, KnockoutMitochondriaNeutrophilsProtein Serine-Threonine KinasesReactive Oxygen SpeciesEndoribonucleasesERN1 protein, humanErn1 protein, mouseProtein Serine-Threonine KinasesReactive Oxygen SpeciesAutoimmunityCell stressImmunologyLupusNeutrophils

Identifiers

PMID33561013
PMCPMC8011900

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.