Deficiency of the cyclin kinase inhibitor p21(WAF-1/CIP-1) promotes apoptosis of activated/memory T cells and inhibits spontaneous systemic autoimmunity

J Exp Med. 2004 Feb 16;199(4):547-57. doi: 10.1084/jem.20031685.

Abstract

A characteristic feature of systemic lupus erythematosus is the accumulation of activated/memory T and B cells. These G0/G1-arrested cells express high levels of cyclin-dependent kinase inhibitors such as p21, are resistant to proliferation and apoptosis, and produce large amounts of proinflammatory cytokines. Herein, we show that ablation of p21 in lupus-prone mice allows these cells to reenter the cell cycle and undergo apoptosis, leading to autoimmune disease reduction. Absence of p21 resulted in enhanced Fas/FasL-mediated activation-induced T cell death, increased activation of procaspases 8 and 3, and loss of mitochondrial transmembrane potential. Increased apoptosis was also associated with p53 up-regulation and a modest shift in the ratio of Bax/Bcl-2 toward the proapoptotic Bax. Proliferation and apoptosis of B cells were also increased in p21-/- lupus mice. Thus, modulation of the cell cycle pathway may be a novel approach to reduce apoptosis-resistant pathogenic lymphocytes and to ameliorate systemic autoimmunity.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Autoimmune Diseases / immunology*
  • Autoimmune Diseases / prevention & control
  • Autoimmunity / immunology*
  • B-Lymphocytes / immunology
  • Cyclin-Dependent Kinase Inhibitor p21
  • Cyclins / deficiency
  • Cyclins / genetics
  • Cyclins / immunology*
  • Disease Models, Animal
  • Flow Cytometry
  • Immunologic Memory / immunology*
  • Lupus Erythematosus, Systemic / immunology
  • Lupus Erythematosus, Systemic / prevention & control
  • Mice
  • Mice, Knockout
  • T-Lymphocytes / immunology*

Substances

  • Cdkn1a protein, mouse
  • Cyclin-Dependent Kinase Inhibitor p21
  • Cyclins