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Human Molecular Genetics, 2004, Vol. 13, No. 2 171-179
DOI: 10.1093/hmg/ddh020

Gain-of-function polymorphism in mouse and human Ltk: implications for the pathogenesis of systemic lupus erythematosus

Na Li1, Kazuhiro Nakamura1, Yi Jiang1,2, Hiromichi Tsurui1, Shuji Matsuoka1, Masaaki Abe1, Mareki Ohtsuji1, Hiroyuki Nishimura3, Kiyoshi Kato3,4, Takako Kawai4, Tatsuya Atsumi5, Takao Koike5, Toshikazu Shirai1,{dagger}, Hiroo Ueno6 and Sachiko Hirose1,*

1Second Department of Pathology, Juntendo University School of Medicine, Tokyo 113-8421, Japan, 2Central Laboratory of First Clinical College, China Medical University, Shenyang, People's Republic of China, 3Toin Human Science and Technology Center, Department of Biomedical Engineering, Toin University of Yokohama, Yokohama 225-8502, Japan, 4Department of Internal Medicine, Yokohama Seamen's Insurance Hospital, Yokohama 240-8585, Japan, 5Second Department of Internal Medicine, Hokkaido University School of Medicine, Sapporo 060-8648, Japan and 6Virology Division, National Cancer Center Research Institute, Tokyo 104-0045, Japan

Received August 19, 2003; Accepted November 11, 2003

Systemic lupus erythematosus (SLE), a complex multigenic disease, is a typical antibody-mediated autoimmune disease characterized by production of autoantibodies against a variety of autoantigens and immune complex-type tissue inflammation, most prominently in the kidney. Evidence suggests that genetic factors predisposing to aberrant proliferation/maturation of self-reactive B cells initiate and propagate the disease. In SLE-prone New Zealand Black (NZB) mice and their F1 cross with New Zealand White (NZW) mice, B cell abnormalities can be ascribed mainly to self-reactive CD5+ B1 cells. Our genome-wide scans to search for susceptibility genes for aberrant activation of B1 cells in these mice showed evidence that the gene, Ltk, encoding leukocyte tyrosine kinase (LTK), is a possible candidate. LTK is a receptor-type protein tyrosine kinase, belonging to the insulin receptor superfamily, and is mainly expressed in B lymphocyte precursors and neuronal tissues. Sequence and functional analyses of the gene revealed that NZB has a gain-of-function polymorphism in the LTK kinase domain near YXXM, a binding motif of the p85 subunit of phosphatidylinositol 3-kinase (PI3K). SLE patients also had this type of Ltk polymorphism with a significantly higher frequency compared with the healthy controls. Our findings suggest that these polymorphic LTKs cause up-regulation of the PI3K pathway and possibly form one genetic component of susceptibility to abnormal proliferation of self-reactive B cells in SLE.

* To whom correspondence should be addressed at: Second Department of Pathology, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. Tel: +81 358021039; Fax: +81 338133164; Email: sacchi{at}med.juntendo.ac.jp


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