NDT Advance Access originally published online on September 22, 2008
Nephrology Dialysis Transplantation 2008 23(12):3771-3772; doi:10.1093/ndt/gfn536
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Proteasome inhibition: a new therapeutic option in lupus nephritis?*
Nephrology Research Laboratory Nijmegen Center for Molecular Life Sciences, Division of Nephrology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
Correspondence and offprint requests to: Jo H. M. Berden, Division of Nephrology (464), Radboud University Nijmegen Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands. Tel: +31-24-3614761; Fax: +31-24-3540022; E-mail: j.berden@nier.umcn.nl
Keywords: B cells; bortezomib; lupus nephritis; lupus; proteasome
| The first 10% of the full text of this article appears below. |
Antinuclear auto-antibodies are a hallmark of systemic lupus erythematosus. Based on the characteristics of these auto-antibodies (somatic mutation, restricted use of certain VH and VL genes, high avidity IgG antibodies, common idiotypes), lupus is regarded as an auto-antigen-driven T-cell-dependent autoimmune disease [1]. It is generally assumed, however, that the produced auto-antibodies are pivotal for the development of tissue lesions, and hence also B cells are necessary for disease development. Indeed, MRL/lpr lupus mice, which due to a certain genetic manipulation lack B cells, develop neither glomerulonephritis nor vasculitis [2]. Therefore, in lupus, B cells represent a major target