Nature communications 2018 02 209(1) 725 doi 10.1038/s41467-018-03129-8
In systemic lupus erythematosus (SLE), autoantibody production can lead to kidney damage and failure, known as lupus nephritis. Basophils amplify the synthesis of autoantibodies by accumulating in secondary lymphoid organs. Here, we show a role for prostaglandin D(PGD) in the pathophysiology of SLE. Patients with SLE have increased expression of PGDreceptors (PTGDR) on blood basophils and increased concentration of PGDmetabolites in plasma. Through an autocrine mechanism dependent on both PTGDRs, PGDinduces the externalization of CXCR4 on basophils, both in humans and mice, driving accumulation in secondary lymphoid organs. Although PGDcan accelerate basophil-dependent disease, antagonizing PTGDRs in mice reduces lupus-like disease in spontaneous and induced mouse models. Our study identifies the PGD/PTGDR axis as a ready-to-use therapeutic modality in SLE.