Entry
Name
Systemic lupus erythematosus
Description
Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease characterised by the production of IgG autoantibodies that are specific for self-antigens, such as DNA, nuclear proteins and certain cytoplasmic components, in association with a diverse array of clinical manifestations. The primary pathological findings in patients with SLE are those of inflammation, vasculitis, immune complex deposition, and vasculopathy. Immune complexes comprising autoantibody and self-antigen is deposited particulary in the renal glomeruli and mediate a systemic inflammatory response by activating complement or via Fc{gamma}R-mediated neutrophil and macrophage activation. Activation of complement (C5) leads to injury both through formation of the membrane attack complex (C5b-9) or by generation of the anaphylatoxin and cell activator C5a. Neutrophils and macrophages cause tissue injury by the release of oxidants and proteases.
Class
Human Diseases; Immune disease
BRITE hierarchy
Pathway map
ko05322 Systemic lupus erythematosus
Disease
H00080 Systemic lupus erythematosus
Orthology
K03156 TNF, TNFA; tumor necrosis factor superfamily, member 2
K03160 TNFRSF5, CD40; tumor necrosis factor receptor superfamily member 5
K03161 TNFSF5, CD40L, CD154; tumor necrosis factor ligand superfamily member 5
K03986 C1QA; complement C1q subcomponent subunit A
K03987 C1QB; complement C1q subcomponent subunit B
K03988 C1QG; complement C1q subcomponent subunit C
K03989 C4; complement component 4
K03990 C3; complement component 3
K03994 C5; complement component 5
K03995 C6; complement component 6
K03996 C7; complement component 7
K03997 C8A; complement component 8 subunit alpha
K03998 C8B; complement component 8 subunit beta
K03999 C8G; complement component 8 subunit gamma
K04000 C9; complement component 9
K05209 GRIN2A; glutamate receptor ionotropic, NMDA 2A
K05210 GRIN2B; glutamate receptor ionotropic, NMDA 2B
K05443 IL10, CSIF; interleukin 10
K05699 ACTN1_4; actinin alpha 1/4
K06463 FCGR3, CD16; low affinity immunoglobulin gamma Fc receptor III
K06472 FCGR2A, CD32; low affinity immunoglobulin gamma Fc receptor II-a
K06498 FCGR1A, CD64; high affinity immunoglobulin gamma Fc receptor I
K06752 MHC2; MHC class II antigen
K06856 IGH; immunoglobulin heavy chain
K10651 TRIM21, SSA1; tripartite motif-containing protein 21 [EC:2.3.2.27 ]
K10784 TRAV; T cell receptor alpha chain V region
K10785 TRBV; T-cell receptor beta chain V region
K11086 SNRPB, SMB; small nuclear ribonucleoprotein B and B'
K11087 SNRPD1, SMD1; small nuclear ribonucleoprotein D1
K11088 SNRPD3, SMD3; small nuclear ribonucleoprotein D3
K11089 TROVE2, SSA2; 60 kDa SS-A/Ro ribonucleoprotein
K11090 LA, SSB; lupus La protein
Compound
Reference
Authors
Rahman A, Isenberg DA.
Title
Systemic lupus erythematosus.
Journal
Reference
Authors
Mok CC, Lau CS.
Title
Pathogenesis of systemic lupus erythematosus.
Journal
Reference
Authors
Clatworthy MR, Smith KG.
Title
B cells in glomerulonephritis: focus on lupus nephritis.
Journal
Reference
Authors
Couser WG.
Title
New insights into mechanisms of immune glomerular injury.
Journal
West J Med 160:440-6 (1994)
Reference
Authors
Cook HT, Botto M.
Title
Mechanisms of Disease: the complement system and the pathogenesis of systemic lupus erythematosus.
Journal
Reference
Authors
Carroll MC.
Title
A protective role for innate immunity in systemic lupus erythematosus.
Journal
Reference
Authors
Sturfelt G, Truedsson L.
Title
Complement and its breakdown products in SLE.
Journal
Reference
Authors
Lu L, Kaliyaperumal A, Boumpas DT, Datta SK.
Title
Major peptide autoepitopes for nucleosome-specific T cells of human lupus.
Journal
Reference
Authors
Zieve GW, Khusial PR.
Title
The anti-Sm immune response in autoimmunity and cell biology.
Journal
Reference
Authors
Scofield RH, Farris AD, Horsfall AC, Harley JB.
Title
Fine specificity of the autoimmune response to the Ro/SSA and La/SSB ribonucleoproteins.
Journal
Reference
Authors
Hoffman RW.
Title
T cells in the pathogenesis of systemic lupus erythematosus.
Journal
Related pathway
ko04060 Cytokine-cytokine receptor interaction
ko04610 Complement and coagulation cascades
ko04612 Antigen processing and presentation
ko04660 T cell receptor signaling pathway
ko04662 B cell receptor signaling pathway
ko04670 Leukocyte transendothelial migration