Summary
A replication study of a previous genome-wide association study (GWAS) suggested that a single nucleotide polymorphism (SNP) linked to the POLB gene is associated with systemic lupus erythematosus (SLE). This SNP is correlated with decreased POLB expression (Pol β). To determine if decreased Pol β activity results in SLE, we constructed a mouse model of POLB that encodes an enzyme with slow DNA polymerase activity. Pol β is a key enzyme in the base excision repair (BER) pathway.. We show that mice expressing this hypomorphic POLB allele develop autoimmune pathology strongly resembling SLE. Of note, the immunoglobulin heavy chain junctions from the POL BY265C/C mice have shorter lengths, and somatic hypermutation is dramatically increased. These results demonstrate that decreased Pol β activity during the generation of immune diversity leads to lupus-like disease in mice and suggest that decreased expression of Pol β in humans is an underlying cause of SLE.
INTRODUCTION
Base excision repair (BER) functions during class switch recombination (CSR) and somatic hypermutation (SHM) (for a review see (Alt et al., 2013)). Although BER is mainly known for its function in the repair of at least 20,000 endogenous base lesions per human cell per day (Barnes and Lindahl, 2004) it appears to have been co-opted from this role to act in the generation of antibody diversity (for a review see (Di Noia and Neuberger, 2007)). DNA polymerase beta (Pol β) is a key protein in the BER pathway where it repairs single-strand breaks. Deletion of the POLB gene from mice results in embryonic lethality (Gu et al., 1994).
In a large-scale replication study based upon a previous GWAS of SLE in the Han Chinese population association evidence for rs12676482 with SLE was replicated independently in two large cohorts (Sheng et al.). The significance of this lies in the fact that rs12676842 is a SNP in the noncoding region adjacent to the POLB gene on 8p11.21. Of note, the lupus-associated SNP, rs12676482, is in perfect linkage disequilibrium with rs2272733, which is highly correlated with decreased POLB expression (Zeller et al., 2010). This suggests that low Pol β activity is an underlying cause of SLE. We reasoned that mice expressing a slow Pol β mutant polymerase, such as the Y265C hypermorphic allele, would be an excellent model to test the hypothesis that limiting levels of active Pol β leads to SLE. The Y265C mutant of POL B encodes a protein that synthesizes DNA significantly more slowly than WT Pol β (Washington et al., 1997). Therefore, we constructed the POL BY265C/C mouse model using targeted gene disruption (Senejani et al., 2012). We demonstrate that these mice exhibit several pathologies associated with SLE. In addition, our strategy allowed us to define the contributions of Pol β during V(D)J recombination and SHM. Importantly, our studies suggest that an imbalance of error-prone and error-free break repair during V(D)J recombination and SHM results in autoimmune disease.
RESULTS
The POL BY265C/C mice have pathologies resembling SLE
We previously constructed the POL BY265C/C mouse model using targeted gene disruption (Senejani et al., 2012). Observation of the mice as they aged revealed an intriguing set pathologies resembling SLE. The POL BY265C/C and POL BY265C/+ mice exhibited an increased prevalence of dermatitis (Figure 1A and Figure S1). Dermatitis is a major manifestation of SLE in humans (Norris and Lee, 1985) and is also observed in the SLE-prone MRL/lpr lupus-like mouse model (Furukawa et al., 1984). The POL BY265C/+ and POL BY265C/C mice exhibited significantly increased levels of antinuclear antibodies (ANA) in their blood sera compared to that of WT mice, and the ANA levels continued to rise over the life of the mice (Figure 1B).
Besides ANA, another hallmark feature of SLE is glomerular nephritis (Radic et al., 2011), which results from the formation of immune complexes on the kidneys. The POL BY265C/+ and POL BY265C/C mice develop significantly increased levels of glomerular nephritis compared to WT mice, (Figure 1C). By 12 months of age we observe increased levels of IgG localized to the glomeruli of the POL BY265C/C mice versus WT controls (Figure 1E). Approximately 70% of the POL BY265C/+ and POL BY265c/c mice exhibit cervical lymphadenopathy (Figure 1F–G) with significant infiltration of T and B lymphocytes (Figure S2), which are recognized symptoms of SLE (Jonsson et al., 1987; Lavoie et al., 2011). In contrast, few of their WT siblings had enlarged cervical lymph nodes. Several of the mutant mice also exhibited enlarged salivary glands that had infiltrating lymphocytes, which were predominantly T and B cells (Fig. S3). In combination, our results are consistent with the interpretation that expression of a low activity Pol β variant leads to lupus-like disease in mice.
The CDR3 Junctions of the Heavy Chains are Short in the POL BY265c/c Mice
To determine if the process of V(D)J recombination was altered in our mice, we sequenced the V-D and D–J junctions of T and B-cell receptors from the WT and POL BY265C/C mice and found that the B-cells derived from mutant mice had shorter CDR3 junctions in the immunoglobulin heavy chain compared to WT (Figures 2A, 2B and Figure S4). The majority of CDR3 junctions in the POL BY265C/C mice were between 31–35 base pairs in length whereas they were 41–45 base pairs in WT mice (Figure 2A), with many more unidentifiable D regions in the mutant versus WT mice (Figure 2C) (Bertocci et al., 2006). The lengths of N/P additions between the rearranged V and D segments were significantly shorter in the POL BY265C/C mice versus WT controls (p<0.05) (Figure 2D). No significant differences in length of the immunoglobulin light chain junctions or the T cell receptors were observed (data not shown). Thus, the slow polymerase activity of the Y265C variant leads to fewer N/P additions between the rearranged V and D segments of the Ig heavy chain.
Class Switch Recombination is Similar in the WT and POL BY265C/C Mice
Previous work has suggested that Pol β functions in CSR. In these studies, fetal liver cells isolated from the WT or POL BΔ/Δ mice were transplanted into irradiated hosts and in vitro CSR assays showed slight increases in switching to IgG2a (Wu and Stavenezer, 2007). As shown in Figure 3, we observed no differences in the levels of IgG1, IgG2a, IgG2b and IgG3 in the POL BY265C/C versus WT mice, suggesting that CSR is not altered in the Pol β mutant mice.
The Rate of SHM is Significantly Higher in the POL BY265C/C Mice
SHM is a coopted form of BER and occurs in later stages of B cell development within the germinal center (Di Noia and Neuberger, 2007; Maul and Gearhart, 2010; Victora and Nussenzweig, 2012). SHM occurs primarily in the variable region of the immunoglobulin heavy chain, which results in the production of high-affinity antibodies (Di Noia and Neuberger, 2007; Liu and Schatz, 2009; Rajewsky et al., 1987; Weigert et al., 1970). Because Y265C Pol β is a very slow BER polymerase, gaps in DNA that are generated during SHM are unlikely to be filled efficiently during SHM in the POL BY265C/C mice. To determine if this was the case, we characterized SHM in the JH4 intron downstream of VH81xDJH4, using PCR followed by DNA sequencing. Our analysis revealed that the POL BY265C/C mice exhibit a significantly increased frequency of somatic hypermutation compared to WT (Figure 4A and B). The frequencies of transversions at GC base pairs are most significantly increased (Figure 4A and C) although increases in mutations at A:T base pairs are also elevated. The POL BY265C/C mice also display increased levels of mutation in the hotspot motifs that are targeted by AID (Figure 4D).
Increased numbers of Germinal Centers in the POL BY265C/C Mice
The increased frequencies of SHM in POL BY265C/C mice prompted us to determine if these mice possess increased numbers of germinal centers (GCs), as is often found in lupus-prone mice. The POL BY265C/C mice exhibit increased numbers of germinal centers (GCs) in spleen (Figure 5A). This observation is supported by FACs analysis showing that the elevated numbers of GC B-cells and follicular helper T-cells (TFH) in the spleens of the POL BY265C/C compared to WT mice (Figure 5B). However, there are significantly higher levels of apoptosis in the spleen of the POL BY265C/C versus WT mice (Figure 5C). To determine if cell death was occurring in the GCs, we performed TUNEL analysis. The POL BY265C/C exhibit significantly increased levels of TUNEL positive cells that mostly overlap with CD4 T-helper cells. (Figure 5D and E).
Discussion
Here we show that mice carrying the Y265C hypomorphic allele of POLB develop several SLE-associated pathologies, suggesting that low activity of Pol β leads to SLE. Our results suggest that this phenotype arises as a result of aberrant V(D)J recombination and a high frequency of SHM. Our findings strongly implicate Pol β as being a critical player in both V(D)J recombination and somatic hypermutation.
Processing by POL BY265C/C Leads to Short CDR3 Junctions During V(D)J Recombination
SLE is a classic autoimmune disease that is characterized by the production and circulation of antinuclear antibodies (ANA) that participate in tissue destruction. We have shown that the POL BY265C/C mice produce significantly higher levels of ANA than WT mice by six months of age, and that the levels of ANA continue to increase over the life of the mice, leading to glomerulonephritis, dermatitis, and cervical lymphadenopathy. Because the production of ANA is a major causative factor of SLE and because DNA repair proteins are central players in development of the lymphocyte repertoire, we investigated the potential role of Pol β Y265C in that process, starting with VDJ recombination. We showed that the CDR3 junctions of IgH, especially the N/P additions between the V and D fragments, are shorter in the POL BY265C/C mice versus WT. A model depicting the role of Pol β Y265C in joining the V and D fragments is shown in Figure 6. After cleavage by the RAG proteins, hairpins are formed and cut by the Artemis endonuclease. Should the incision by Artemis result in staggered ends as shown in Figure 6, a DNA polymerase fills the gap, followed by ligation. When Y265C is present, gap filling is slow and inefficient, leading to nuclease activity that results in a shorter CDR3 junction. We suggest that Y265C Pol β acts in a dominant negative manner by not permitting access of other DNA polymerases, including Pol λ and Pol μ, to the gapped DNA, eliminating functional redundancy. We point out that short gaps are the optimum DNA substrate for Pol β (Chagovetz et al., 1997). Previous work (Bertocci et al., 2006) has provided evidence that Pol λ processes this gap, using mice deleted of the POL L gene. Characterization of V(D)J recombination in the absence of Pol β was not possible because the POL BΔ/Δ mice do not survive past birth. In vitro reconstitution studies (Ma et al., 2004) did not demonstrate a role for Pol β. However, in these studies, Pol β was never assessed in combination with terminal transferase, Pol λ, and/or Pol μ, so its participation may have not been detected.
The Presence of POL BY265C/C Does Not Alter CSR
CSR occurs by a process of intrachromasomal deletion that is initiated by the formation of double-strand breaks (DSBs). DSB formation is initiated when AID deaminates cytosine on both strands of the DNA in the switch regions. The resulting uracil residues are recognized and excised by UNG, followed by APE1 incision (for a review see (Stavnezer et al., 2008)). Should the uracils be clustered and on opposite strands of the DNA, incision by APE1 results in DSBs. Alternatively, the U:G mispair is recognized by mismatch repair proteins that recruit exonuclease I (Exo I) to the DNA. Exo 1 excision opposite a nick that results from incision by APE1 can also result in a DSB. Therefore, gap filling by Pol β can prevent formation of DSBs during CSR, as suggested previously when a slight increase in switching to IgG2a was observed in POL BΔ/Δ B cells (Wu and Stavnezer, 2007). In contrast, we observed no significant increases in CSR in the B cells from the POL BY265C/C mice induced to switch in vitro. One explanation for our results is that the presence of the Y265C Pol β polymerase prevents significant DSB formation through the APE1 pathway because it has the ability to bind to and slowly fill the DNA gap. This suggests that a major DSB formation pathway during CSR could be through mismatch repair. The binding of Y265C Pol β to the 3’OH of the gap could also prevent further processing by nucleases.
Lack of Gap Filling by Y265C Pol β Results in Increased SHM
We showed that the rate of SHM in the POL BY265C/C mice is significantly increased over that of WT mice, and we observe increases predominantly in transversions at AID hotspots. These findings are consistent with the idea that Pol β plays a critical role in maintaining a balance between error-free and error-prone repair during SHM. A model for the role of Pol β Y265C is presented in Figure 7. After AID deaminates cytosine to uracil, there are three pathway choices. If replication occurs, transitions are observed at AID deamination hotspots. If the U:G mismatch is recognized by the mismatch repair pathway, mutations at A:T base pairs are observed. Alternatively, UNG removes uracil. Bypass of the resulting AP site by a translesion polymerase leads to transversions at the AID hotspot. However, should APE1 incise the backbone, a single nucleotide gap could be filled in by a translesion polymerase, resulting in transversions or the gap could be filled in by Pol β in the canonical BER pathway, resulting in error-free repair. We suggest that gap filling is slow in the presence of Y265C Pol β, which would eventually lead to gap filling by TLS polymerases and the transversions we observe during SHM. Alternatively, Y265C could fill the gap in an error-prone manner. We do not favor this explanation because we do not observe increased levels of transversions at G:C base pairs in in vivo or in vitro studies with Y265C Pol β (Clairmont et al., 1999; Opresko et al., 1998; Washington et al., 1997). Another possibility is that many gaps remain unfilled, eventually resulting in cell death, consistent with our observation of increased TUNEL foci in the spleens of the POL BY265C/C mice. We note that in addition to increased levels of mutation at G:C base pairs, we also observe increases of A:T mutations. This could occur if the unfilled gap is bound by a nuclease, which would enlarge the gap. Filling of the larger gap by a translesion polymerase would lead to mutations at A:T base pairs.
The significance of our findings is that a balance between error-prone and error-free repair during SHM is critical, and that Pol β plays an important role in maintaining this balance. Our results suggest that too much mutagenesis during SHM has the potential to lead to autoimmune disease. In support of this suggestion, reversion of the mutations produced during SHM results in antibodies that no longer have antinuclear activity, suggesting that SHM itself is one mechanism of creating autoreactive antibodies (Guo et al., 2010; Wellmann et al., 2005).
Selection in the Germinal Center?
Not only do the POL BY265C/C mice have increased numbers of GCs but the GCs exhibit significantly increased TUNEL staining compare to WT mice. Gaps that arise during SHM or during the repair of oxidative damage that occurs during the proliferation of B cells in the germinal center may not be filled in efficiently by Y265C Pol β, leading to cell death. The presence of apoptotic or dying cells in the GCs could result in the release of antigen, resulting in positive selection of germinal center B cells that produce autoantibodies. This suggestion is supported by studies showing that mice with defective clearance of apoptotic cells develop lupus-like disease (Bickerstaff et al., 1999; Hanayama et al., 2004; Napirei et al., 2000). We suggest that for the POL BY265C/C the large amount of apoptotic cells in GCs could overwhelm the apoptotic clearance machinery, thereby escaping clearance and being used for positive selection of autoreactive B cells. It is also possible that the increased SHM generates autoreactivity by targeting IgG-expressing memory B cells re-entering the germinal center as a result of chronic exposure to self-antigen (Kohler et al., 2008; Meffre and Wardemann, 2008). Finally, it is possible that extrafollicular B cells could play a role in the generation of autoantibodies as described for the MRL/lpr mouse model of SLE (Teichmann et al., 2010).
Aberrant DNA Repair and Autoimmunity
Previous work has shown that mutations of the TREX1 DNA repair gene in humans are also associated with SLE (Stetson et al., 2008) but there is no evidence that these proteins act during the immunological processes of V(D)J, CSR, and SHM. Our findings demonstrate for the first time that a balance of hypermutation and error-free BER during SHM is critical for the prevention of autoimmune disease. Our results do not rule out the possibility of other mechanisms that are not B cell-intrinsic. For example, many cell types utilize Pol β Y265C during BER and the accumulation of BER intermediates in these cells could lead to alterations in a variety of tissues including alterations of the gut epithelial barrier, including stem cells. Any resulting mucosal alterations could drive expansion of autoreactive clones. The results of our study suggest that mutations in DNA repair genes associated with immunological processes could lead to the development of autoimmune disease, including SLE.
Experimental Procedures
Strain and genotyping of mice
Hybrid (129/Sv and C57BL/6) mice of both sexes were used for this study.
Skin histology
Skin tissues were fixed in histological 10% formalin solution fixative (Sigma-Aldrich), and embedded in paraffin. Skin sections were analyzed by a dermatopathologist.
Detection and scoring of antinuclear autoantibodies (ANA)
ANA was tested by immunofluorescence using human epithelial (Hep-2) cells on 12-well slides (Diasorin Inc).
Histology and scoring of kidney lesions
Tissues from mice were isolated and fixed in histological 10% formalin solution fixative (Sigma-Aldrich), and embedded in paraffin. H&E stained tissues were evaluated as described in Supplemental Information.
Immunohistochemistry
Details are described in Supplemental Information.
Analysis of Somatic Hypermutation (SHM)
Genomic DNA was extracted from B220+PNAhigh cells obtained from Peyer’s patches of two non-immunized mice that were 3.5–5 months of age and analyzed as described (Jolly et al., 1997; McDonald et al., 2003)(Maccarthy et al., 2009).
Preparation of genomic DNA, PCR amplification and analysis of VDJ recombination sequences
Genomic DNA was prepared from B220+ IgM− cells from spleen and bone marrow of 3–5 three week-old mice and analyzed as described in Supplemental Information (Gilfillan et al., 1993; Komori et al., 1993).
ELISA
ELISA 96 well plates were coated overnight at 4°C with appropriate antisera and analyzed as described in Supplemental Information.
Supplementary Material
Highlights.
Introduction of a hypermorphic mutation of the POL B gene in mice leads to SLE.
V(D)J recombination and SHM are aberrant in mice expressing the hypermorphic POL B mutation.
Our studies suggest that an imbalance of error-free and error-prone mutagenesis during development of the lymphocyte repertoire leads to autoimmune disease.
Our studies suggest that mutation of DNA repair genes lead to SLE.
Footnotes
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