{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:24:01Z","timestamp":1779179041824,"version":"3.51.4"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T00:00:00Z","timestamp":1577318400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["R01 AR072212"],"award-info":[{"award-number":["R01 AR072212"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007820","name":"Alliance for Lupus Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007820","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis &amp; Rheumatology"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether systemic lupus erythematosus (<jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>) can develop in the absence of <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content> in an <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>\u2010prone host.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Starting with C57<jats:styled-content style=\"fixed-case\">BL<\/jats:styled-content>\/6 mice that express a human <jats:italic><jats:styled-content style=\"fixed-case\">BCL<\/jats:styled-content>2<\/jats:italic> transgene (Tg) in their B cells (thereby rendering B cell survival largely independent of <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content>\u2010triggered signals), we introgressed this Tg into <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content> 2328 mice genetically deficient in <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>) to generate <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>.<jats:italic>Bcl2<\/jats:italic><jats:sup><jats:italic>Tg<\/jats:italic><\/jats:sup> mice. Expression of human Bcl\u20102 and lymphocyte profiles were assessed by fluorescence\u2010activated cell sorting, and serologic profiles were determined by enzyme\u2010linked immunosorbent assay. Immunofluorescence and histologic analyses were performed to assess renal immunopathologic features in the mice, and clinical disease was assessed according to the outcomes of severe proteinuria and death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In comparison to their non\u2010Tg <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> littermates (n \u2265 7), <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>.<jats:italic>Bcl2<\/jats:italic><jats:sup><jats:italic>Tg<\/jats:italic><\/jats:sup> mice (n \u2265 8) overexpressed Bcl\u20102 in their B cells and developed significantly increased percentages and numbers of B cells and plasma cells, serum levels of IgG autoantibodies, glomerular deposition of IgG and C3, and severity of glomerular and tubulointerstitial inflammation, culminating in severe proteinuria and death (all <jats:italic>P<\/jats:italic> &lt; 0.05 versus <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> littermates). The time course for development of <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>\u2010like features in <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>.<jats:italic>Bcl2<\/jats:italic><jats:sup><jats:italic>Tg<\/jats:italic><\/jats:sup> mice was more rapid than has been previously observed in <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content> 2328 wild\u2010type mice (median age at death 4.5 months versus 7.5 months). <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>.<jats:italic>Bcl2<\/jats:italic><jats:sup><jats:italic>Tg<\/jats:italic><\/jats:sup> mice remained responsive to <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content>, since reintroduction of the <jats:italic>Baff<\/jats:italic> gene into these mice further accelerated the course of disease (median age at death 3 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The role of <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content> in the development of <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>\u2010like disease may be dispensable as long as B cell survival is preserved via a <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content>\u2010independent pathway. This may help explain the limited and variable clinical success with <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content> antagonists in human <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>. Thus, <jats:styled-content style=\"fixed-case\">NZM<\/jats:styled-content>.<jats:italic>Baff<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup>.<jats:italic>Bcl2<\/jats:italic><jats:sup><jats:italic>Tg<\/jats:italic><\/jats:sup> mice may serve as a powerful murine model for the study of <jats:styled-content style=\"fixed-case\">BAFF<\/jats:styled-content>\u2010independent <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.41097","type":"journal-article","created":{"date-parts":[[2019,9,7]],"date-time":"2019-09-07T14:25:00Z","timestamp":1567866300000},"page":"292-302","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Development of Murine Systemic Lupus Erythematosus in the Absence of 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O.","family":"Jacob","sequence":"additional","affiliation":[{"name":"University of Southern California Keck School of Medicine  Los 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