Abstract
Lupus susceptibility results from the combined effects of numerous genetic loci, but the contribution of these loci to disease pathogenesis has been difficult to study due to the large cellular heterogeneity of the autoimmune immune response. We performed single cell RNA, B cell receptor (BCR), and T cell receptor (TCR) sequencing of splenocytes from mice with multiple polymorphic lupus susceptibility loci. We not only observed lymphocyte and myeloid expansion, but also characterized changes in subset frequencies and gene expression, such as decreased CD8 and marginal zone B cells and increased Fcrl5 and Cd5l expressing macrophages. Clonotypic analyses revealed expansion of B and CD4 clones, and TCR repertoires from lupus prone mice were distinguishable by algorithmic specificity prediction and unsupervised machine learning classification. Myeloid differential gene expression, metabolism, and altered ligand-receptor interaction were associated with decreased antigen presentation. This dataset provides novel mechanistic insight into the pathophysiology of a spontaneous model of lupus, highlighting potential therapeutic targets for autoantibody mediated disease.
Introduction
Systemic lupus erythematosus (SLE) is a chronic multiorgan autoimmune disease characterized by development of autoantibodies and potentially fatal lupus nephritis (1, 2). Current treatments for SLE are limited to broad immunosuppressants with little development of novel targeted therapies in recent decades, underpinned by an incomplete understanding of disease pathogenesis (3–5). Mouse models and human linkage studies have demonstrated that SLE is a complex polygenic disease linked to many individually weak susceptibility alleles that in combination with environmental factors result in a range of disease phenotypes (6, 7). Detailed genetic dissection of these loci has led to the identification of a growing list of susceptibility genes (8–10), but the relationship between susceptibility loci and cellular and molecular mechanisms of disease pathogenesis has not been fully characterized.
Spontaneous mouse models of lupus have provided a valuable tool to both discover and validate susceptibility loci in human disease (5, 9, 11). Congenic mouse studies led to the identification and characterization of the NZM2410-dervied Sle lupus susceptibility loci consisting of Sle1, Sle2, and Sle3 (12, 13). Sle1 includes at least seven independent loci including the Slam/Cd2 haplotype and polymorphic Fcgr2b that in combination lead to loss of tolerance to chromatin (14, 15). Addition of the BXSB-derived y-linked autoimmune accelerating (yaa) locus which includes Tlr7 to create bicongenic B6.Sle1.yaa (SLE.yaa) mice leads to the development of highly penetrant fatal glomerulonephritis (16–18). Individual potential therapeutic targets have been identified or validated in SLE.yaa mice, including IL-6 (19, 20), TLR7 (16), CXCR4 (21), IL-21 (22), and BANK1 (23) pathways, but broad characterization of the immune landscape of SLE.yaa mice has not been performed.
Generalized mechanistic studies in lupus susceptible mice have been difficult due to the complexity of immune cell types and phenotypes that arise to drive disease pathogenesis (11, 24, 25). Therapeutic approaches for SLE have historically focused on the adaptive immune response (4, 26), and the potential role of innate immune cell types such as myeloid cells in disease pathogenesis has only recently been appreciated (19, 27–29). These studies have been unable to capture the heterogeneity of cell states and cell-cell interactions that is made possible by recent advances in single cell sequencing technologies. Paired single cell RNA sequencing (scRNA-seq) with B cell receptor (BCR) and T cell receptor (TCR) sequencing allows for characterization of innate and adaptive cell states at single cell resolution. Unbiased approaches to profile the entire immune landscape of lupus prone mice would not only facilitate discovery of SLE therapeutic targets but also provide biological insight of the autoreactive germinal center.
In this study, we performed scRNA-seq, scBCR-seq, and scTCR-seq of splenocytes from SLE.yaa or immunized wild type mice to generate a single cell dataset of a spontaneous mouse model of lupus. Single cell sequencing captured vast changes in immune cell heterogeneity and phenotype, including identification of novel myeloid subpopulations associated with lupus. Metabolic modeling revealed opposing changes in metabolic activity between B cells and myeloid cells in lupus prone mice. BCR tracing identified clonal expansion towards the plasma cell compartment and algorithmic analyses of the TCR repertoire was capable of separating CD4 clonotypes based on genotype. Ligand-receptor interaction analysis highlighted signaling relationships between innate and adaptive immune cell types that may contribute to loss of tolerance. Functional validation using co-culture experiments demonstrated decreased ability of autoimmune splenocytes to stimulate antigen specific CD4 responses. As the first single cell atlas of lupus prone mice, our dataset serves as a resource for therapeutic target discovery and biological characterization of autoantibody mediated disease.
Materials and Methods
Mice
C57BL/6J (B6, JAX #000664), B6.SJL (CD45.1, JAX #002014), and B6.Sle1yaa mice (SLE.yaa, JAX #021569) were obtained from Jackson Laboratories. OT-II mice were a gift from Gabriel Victora (Rockefeller) and crossed onto a CD45.1 background. Mice were maintained at Harvard Medical School in an AAALAC-accredited facility. Fifteen-week-old male mice were used for all experiments unless noted otherwise. All animal experiments were approved by the Institutional Animal Care and Use Committee of Harvard Medical School (IS111).
Immunization
Immunization was performed by intraperitoneal injection of 100 μg 4-Hydroxy-3-nitrophenylacetyl hapten conjugated to ovalbumin (NP-OVA, Biosearch Technologies) in 50 μL HBSS in 50 μL of Imject Alum Adjuvant (ThermoScientific). Three weeks after immunization, mice were boosted with intraperitoneal 100 μg NP-OVA in 100 μL HBSS (Corning). Mice were sacrificed ten days after booster immunization.
Flow cytometry
Spleens were mechanically digested through a 70 μm cell strainer (Corning), incubated in RBC lysis buffer (155 mM NH4Cl, 12 mM NaHCO3, 0.1 mM EDTA) for 3 min at room temperature, and washed with FACS buffer (PBS with 1% heat inactivated FBS, 1 mM EDTA, and 0.05% sodium azide). Cells were counted and 1 × 106 cells/well were incubated with 50 μL of appropriate antibodies and eFluor 780 viability dye (eBioscience) in FACS buffer for 30 min on ice. The following antibodies were used: anti-CD45.1 (A20, 1:400), anti-CD45.2 (104, 1:400), anti-CXCR3 (CXCR3–173, 1:200), anti-CD1d (1B1, 1:300), anti-CD24 (M1/69, 1:200), anti-CD19 (1D3/CD19, 1:200), anti-CD21/35 (7E9, 1:300), anti-CD138 (281–2, 1:200), anti-CCR6 (29–2L17, 1:200), anti-CD74 (In1/CD74, 1:200), anti-CD16/32 (2.4G2, 1:300), anti-F4/80 (BM8, 1:300), anti-IA/IE (M5/114.15.2, 1:2000), anti-CD31 (390, 1:300), anti-CD11c (N418, 1:300), anti-CD68 (FA-11, 1:300), anti-CD11b (M1/70, 1:300), anti-CD267, anti-B220 (RA3–6B2, 1:400), anti-CD268, anti-Ly6c (HK1.4, 1:300), anti-Ly6d (49-H4, 1:300), anti-Ly49C/F/I/H (14B11, 1:300), anti-CD122 (TM-β1, 1:300), anti-CD8 (53–6.7, 1:300), anti-CD16.2 (9E9, 1:300), anti-Fcrl5 (FAB6757, 1:300), anti-CD5L (AF2834, 1:300), anti-MARCO (FAB2956A, 1:300), anti-Ki67 (SolA15, 1:500), anti-CD153 (RM153, 1:200), anti-ICOS (C398.4A, 1:200), anti-Lag-3 (C9B7W, 1:200), anti-CD49b (DX5, 1:300), anti-CD3 (500A2, 1:400), anti-CD44 (IM7, 1:1000), anti-CD69 (H1.2F3, 1:300), anti-CD62L (MEL-14, 1:200), anti-CXCR5 (L138D7, 1:200), anti-PD-1 (RMP1–30, 1:200), anti-Sca-1 (D7, 1:400), anti-GL7 (GL7, 1:300), anti-CD4 (GK1.5, 1:400), and anti-FoxP3 (FJK-16s, 1:200). For two-step staining procedures cells were incubated with 50 μL of streptavidin conjugated fluorophore or AlexaFluor 488 anti-goat (ThermoFisher A27012, 1:400) in FACS buffer for 20 min on ice. For intracellular staining, cells were fixed with Fixation/Permeabilization Buffer (eBioscience) for 30 min at room temperature, washed with Permeabilization Buffer (eBioscience), and incubated with 50 μL of intracellular antibody in Permeabilization Buffer for 30 min at room temperature. Cells were resuspended in FACS buffer and read on a FACSCanto II (BD Biosciences) with 488, 405, and 640 nm lasers using FACSDiva (BD Biosciences). Data were analyzed using FlowJo (Tree Star).
Immunofluorescence confocal microscopy
Spleens were perfused with PBS followed by 2% paraformaldehyde (PFA, Electron Microscopy Sciences) in PBS. Tissues were fixed in 2% PFA for 8 hr at 4°C, cryoprotected with 30% sucrose in PBS overnight at 4°C, perfused with 30% OCT (TissueTek) in PBS, and embedded in 100% OCT in Standard Cryomolds (TissueTek) in the vapor phase of liquid nitrogen and stored at −80°C. Frozen sections were cut on a cryostat at a thickness of 20 μm and allowed to dry for 60 min at room temperature. Sections were fixed with acetone for 5 min at −20°C, then permeabilized and blocked with 10% normal rat serum (ThermoFisher) in IF buffer (PBS with 0.2% BSA and 0.3% Triton X-100) for 1 hr at room temperature. Slides were stained with primary antibody in IF buffer overnight at 4°C and secondary antibody or streptavidin-conjugated fluorophore in IF buffer for 4 hr at room temperature where appropriate. The following antibodies were used: PacBlue anti-CD21/35 (7E9, 1:100), goat anti-CD5L (AF2834, 1:200), Biotin anti-CD11c (N418, 1:100), APC anti-CD11b (M1/70, 1:100), AlexaFluor 488 anti-CD74 (In1/CD74, 1:100), FITC anti-CD169, PE anti-CD11b (M1/70, 1:100), AlexaFluor 647 anti-CD16/32 (2.4G2, 1:100), PacBlue anti-GL7 (GL7, 1:100), AlexaFluor 488 anti-CD16.2 (9E9, 1:100), and AlexaFluor 488 anti-goat (ThermoFisher A27012, 1:400). Slides were mounted using Fluoro-Gel (Electron Microscopy Sciences). Images were acquired using a Fluoview FV3000 confocal laser scanning microscope (Olympus) with the 10X or 30X objectives and analyzed using Fiji (ImageJ).
Splenocyte and CD4 co-culture
Spleens were harvested into ice cold MACS buffer (PBS with 0.5% BSA and 2 mM EDTA) and mechanically digested through a 70 μm cell strainer (Corning). Spleens were incubated in RBC lysis buffer (155 mM NH4Cl, 12 mM NaHCO3, 0.1 mM EDTA) for 3 min at room temperature and washed with MACS buffer. OTII CD45.1 splenocytes were pooled and CD4 cells were isolated using the CD4 T cell Isolation Kit (Miltenyi Biotec) and labeled with 5 μM CellTrace Violet (ThermoFisher) for 20 min at 37°C. Total splenocytes from B6 or SLE.yaa mice were counted and 4 × 105 cells/well were added to round-bottom 96 well plates and incubated with indicated concentrations of NP-OVA (Biosearch Technologies) in complete RPMI (cRPMI; RPMI with 10% heat inactivated FCS, 50 μM β-mercaptoethanol, 2 mM L-glutamine, 100 U/mL penicillin, 100 μg/mL streptomycin, 20 mM HEPES, 1 mM sodium pyruvate, and 100 μM non-essential amino acids) for 1 hr at 37°C. Splenocytes were washed with cRPMI and 1 × 105 OTII CD45.1 CD4 cells/well were added to splenocytes or 5 μg/mL anti-CD3 (145–2C11, BioLegend) and 5 μg/mL anti-CD28 (37.51, BioLegend) coated wells with 10 ng/mL of human IL-2 (PeproTech). After four days supernatants were stored at −80°C and cells were subject to flow cytometry as described above.
Droplet-based single-cell RNA, BCR, and TCR sequencing
The scRNA-seq, scBCR-seq, and scTCR-seq libraries were prepared using the 10X Single Cell Immune Profiling Solution Kit (10X Genomics). CD45 cells were isolated from 107 splenocytes per sample using CD45 MicroBeads (Miltenyi Biotec) according to manufacturer’s protocol. Biological replicates were kept separate. Immediately after isolation cells were captured in Gel Beads-in-emulsions (GEMs) at a targeted recovery of 10,000 cells per sample and multiplet rate of ~7.6 % using a Chromium Controller (10X Genomics), followed by barcoding, GEM cleanup and cDNA amplification for 13 cycles. For gene expression library preparation, 50 ng of amplified cDNA was fragmented and end-repaired, double-sided size selected with SPRIselect beads (Beckman Coulter), adaptor ligated, PCR amplified with indexing primers, and double-sided size-selected with SPRIselect beads. For VDJ library construction, BCR and TCR transcripts were enriched from 2 μL of amplified cDNA by PCR, and 50 ng of PCR product was fragmented and end-repaired, size-selected with SPRIselect beads, adaptor-ligated, PCR-amplified with indexing primers, and size-selected with SPRIselect beads. Sequencing of scRNA, scBCR, and scTCR libraries were performed together on a NovaSeq 6000 (Illumina) to a minimum sequencing depth of 40,000 reads per cell.
Processing and filtering of scRNA-seq data
The cellranger (10X Genomics, version 5.0.0) count pipeline was used to align 5’ gene expression reads to the GRCm38 reference genome (mm10–2020-A). We obtained reads from 30,885 cells with an average of 1,639 genes per cell and 67,601 reads per cell. Individual sample matrices were loaded in Seurat (version 4.0.0) (30) using the Read10X function and filtered for cells with at least 200 genes detected and genes detected in at least 3 cells using the CreateSeuratObject function, leaving 14,190 cells from B6 mice and 16,326 cells from SLE.yaa mice. Individual samples were merged using the merge function, and S and G2/M cell cycle phase scoring was assigned using CellCycleScoring. To remove batch effects between samples associated with a heat-shock gene expression signature, genes annotated with the Gene Ontology biological process (GOBP) term “cellular response to heat” (GO:0034605) was used to assign a heat shock score using AddModuleScore. Cells with less than 200 or greater than 3,000 genes detected, less than 1,000 reads detected, greater than 5% mitochondrial RNA content, greater than 25% ribosomal RNA content, an S phase score greater than 0.15, or a G2/M phase score greater than 0.15 were excluded from analysis, with 11,194 cells from B6 mice and 11,091 cells from SLE.yaa mice passing the filters. BCR and TCR variable and constant genes were excluded from scRNA-seq analysis to prevent clustering based on VDJ transcripts.
Unsupervised clustering of scRNA-seq data
Regularized negative binomial regression was performed on cells from B6 or SLE.yaa mice separately using the sctransform normalization method (31) to normalize, scale, select variable genes, and regress out mitochondrial RNA content, ribosomal RNA content, number of UMIs, and heat shock score. B6 and mixed SLE.yaa datasets were then integrated (32) using SelectIntegrationFeatures, PrepSCTIntegration, FindIntegrationAnchors, and IntegrateData. Following principal component analysis (PCA), clusters were identified using FindClusters to apply shared nearest neighbor (SNN)-based clustering using the first 25 principal components with k = 20 and resolution = 0.15. The same principal components were used to generate UMAP projections.
Diffusion map and pseudotime analysis
Seurat objects were exported to scanpy (version 1.5.1) using anndata2ri (version 1.0.2). Partition based graph abstraction was performed using the PAGA function (33) with 15 neighbors and the first 20 principal components. A randomly selected follicular B cell was used as the root cell for diffusion pseudotime computation using the first 10 diffusion components. Diffusion component coordinates and pseudotime values were added back to the Seurat object using CreateDimReducObject and AddMetaData, respectively.
RNA velocity analysis
RNA velocity processing was performed on cellranger counts using velocyto (version 0.17.17) (34) and RNA velocity was computed from loom files using scvelo (version 0.2.3)(35). Seurat objects were exported using anndata2ri (version 1.0.2) and RNA velocity embeddings were added and visualized using scvelo.
Cell cluster annotation
Clusters were annotated based on expression of marker genes for known populations, including Cd19 (B), Cd4 (CD4), Cd8a (CD8), Cd68 (Mac), S100a8 (PMN), Itgax (DC), Klra8 (NK), Ifit3 (B-ISG), Siglech (pDC), Mki67, Xbp1, and Jchain (PC), Cd63 (Baso), and Vpreb3 and Iglc1 (B-early). Cluster determination was confirmed by identifying differentially expressed marker genes for each cluster using FindAllMarkers with the MAST algorithm (36) and comparing to known cell-type specific marker genes. Cluster names were updated using RenameIdents. B cells were subset using the B, B-early, PC, and B-ISG clusters with the subset function, leaving 7,243 cells from B6 mice and 5,943 cells from SLE.yaa mice. Normalization, integration, and clustering were performed as above. Clusters were annotated based on expression of marker genes for known populations, including Sell, Cd55, and Ighd (Fo), Mif, Cd83, and Myc (Activated), Fcrl5, Cr2, Cd1d1, Sema7a, and Dtx1 (MZ), Lars2 (T2-B), Jchain, Xbpi1, Prdm1, and Slamf7 (PC), Cd24a, Cd93, Vpreb3, Ms4a1, and Niban3 (T1-B), Ifit3 and Isg15 (B-ISG), Apoe, Spn, and Itgb1 (B1). T cells were subset using the CD4 and CD8 clusters with the subset function, leaving 2,648 cells from B6 mice and 1,814 cells from SLE.yaa mice. Clusters were annotated based on expression of marker genes for known and novel populations, including Cd4 and Cd40lg (CD4), Cd8a (CD8), Ccl5 and Nkg7 (CD8-eff), Foxp3, Ctla4, and Ikzf2 (Treg), Cd74 (CD74), and Cxcr6 (CD4-eff). Myeloid cells were subset using the Mac, PMN, DC, and pDC clusters with the subset function, leaving 1,067 cells from B6 mice and 3,238 cells from SLE.yaa mice. Clusters were annotated based on expression of marker genes for known and novel populations, including Cd68, Apoc2, and Ace (Mac-1), Ccr2, Lyz, Crip1, and Fn1 (Mono), S100a8, Slpi, and Csf3r (PMN-1), Cd68, Itgax, Cd72, C1qb, Fcrl5, and Fcgr4 (Mac-2), S100a8, Ngp, and Camp (PMN-2), Cd68, Marco, Mertk, Sirpa, Adgre1, Vcam1, and Cd5l (Mac-3), Cd79a and Cr2 (FDC), Siglech (pDC), and Cd63 and Cyp11a1 (Baso). CD4 cells were subset using the CD4, Treg, and CD4-eff clusters with the subset function, leaving 1,544 cells from B6 mice and 1,159 cells from SLE.yaa mice. Clusters were annotated based on expression of marker genes for known populations, including Foxp3 and Il2ra (Treg), Ccl5, Stat1, and Isg15 (CD4-eff), Smg1 (CD4-mem), Pdcd1 and Id2 (CD4-exhausted), Ccr7 and Il7r (CD4-naïve), Nr4a1 (CD4-activated), Pdcd1, Sostdc1, Icos, Bcl6, and Cxcr5 (Tfh). CD8 cells were subset using the CD8 and CD8-eff clusters with the subset function, leaving 935 cells from B6 mice and 562 cells from SLE.yaa mice. Clusters were annotated based on expression of marker genes for known populations, including Ccr7 and Sell (CD8-naïve), Ccl5, Gzmk, and S100a6 (CD8-eff), and Slamf6 and Id3 (CD8-stem).
Differential gene expression
Differentially expressed genes between SLE.yaa and B6 mice were determined using FindMarkers with the MAST algorithm (36) across all genes. For differential expression analysis within individual clusters or clonotypes, Seurat objects were first subset using the subset function. To compare differential gene expression between different models of autoimmunity, differentially expressed genes were computed using scRNA-seq data from follicular CD4 cells isolated mixed autoimmune chimeras (37) and log fold changes were compared on a gene-by-gene basis to log fold changes observed in SLE.yaa mice.
Analysis of human scRNA-seq data
Reference scRNA-seq data from human renal biopsies were obtained from ImmPort (SDY997)(38) and processed as previously described (37). Briefly, raw count matrices from healthy controls and SLE patients were imported into Seurat and processed as described above. Clusters were annotated based on expression of marker genes for known populations, including CD3E, CD4 (CD4 T cells), CD8A (CD8 T cells), LYZ (macrophages), KLRF1 (NK cells), MS4A1, BCL11A (B cells), and IRF8 (monocytes). Comparison between human and mouse differential expression analysis was performed by determining the homologs of each gene using getLDS from biomaRt (version 2.24.0). From the 15,817 differentially expressed genes identified by scRNA-seq of mouse cells and 13,558 differentially expressed genes identified by scRNA-seq of human renal biopsies, 10,854 homologs were identified in both datasets.
Gene expression signature scoring
Pathway analysis and gene set enrichment analysis was performed using clusterProfiler (version 3.14.3)(39). Differentially expressed genes were selected using P-adj < 0.01 and ranked according to log2FC for enrichment analysis. Ranked gene lists were used to query GOBP (40, 41) and MSigDB (version 7.0.1)(42, 43) signature libraries. For gene ontology analysis and annotation, differentially expressed genes were selected using P-adj < 0.05 and absolute log2FC >0.1 thresholds.
Data processing of scBCR-seq and scTCR-seq libraries
The cellranger (10X Genomics, version 5.0.0) vdj pipeline was used to align BCR and TCR reads to the vdj-GRCm38 alts ensemble 5.0.0 reference genome (10X Genomics). After BCR alignment we obtained reads from 15,270 cells with an average of 71,917 reads per cell. Only BCRs with full length and productive heavy and light chain sequences were included in analysis. After TCR alignment we obtained reads from 5,063 cells with an average of 52,352 reads per cell. Only TCRs with full length and productive α and β chain sequences were included in analysis.
BCR clonality analysis
BCR repertoire and clonality analysis was performed using the Immcantation suite (version 4.1.0)(44, 45). Clonal clustering and germline reconstruction was performed from cellranger contigs using changeo (version 1.0.0). Clonal distances were calculated using scoper (version 1.1.0) and clonal lineage trees were created using igphyml (version 1.1.3). Lineage reconstruction and topology, VDJ gene usage, and repertoire diversity was calculated using alakazam (version 1.0.2). Mutation profiling, selection pressure scores, and somatic hypermutation modeling was performed using shazam (version 1.0.2). Clonality was matched with gene-expression analysis in Seurat by adding clonality information to the metadata using AddMetaData based on cell barcodes. UMAP clone size topography map created using clonalOverlay, clonal networks were created using clonalNetwork, and clonal Morisita overlap scores between different clusters was calculated using clonalOverlap in scRepertoire (version 1.1.4)(46).
TCR clonality analysis
TCR clonality analyses was performed as previously described (37). Clonotypes were defined by identical productive CDR3α and CDR3β amino acid sequences, and clone size was calculated by the number of unique cell barcodes belonging to an individual clonotype. Clonality was matched with gene-expression analysis in Seurat by adding clonality information to the metadata using AddMetaData based on cell barcodes. Unweighted TCR network analysis between samples and conditions was performed using the qgraph package (version 1.6.9). To evaluate public clonotype environments, non-metric multidimensional scaling (NMDS) was performed using vegan (version 2.5–7) with k =2. Stress < 0.1 was confirmed using a Shepard plot. Public repertoires were compared using immunarch (version 0.6.7).
Unsupervised classification of TCR repertoires
TCR repertoires of each individual chimera were constructed from CDR3αβ and VDJ gene usage from scTCR-seq. TCR featurization was performed using a variable autoencoder (VAE) in DeepTCR (version 1.4.15)(47) as previously described (37). We used a neural network with 256 latent dimensions, k = 5 for the first convolutional layer of the graph, learned latent dimensionality of 64 for amino acids, learned latent dimensionality of 48 for VDJ genes, latent alpha of 0.001, and three convolutional layers with 32, 64, and 128 neurons respectively. The VAE was trained using an Adam Optimizer with learning rate = 0.001 until convergence criteria of >0.01 decrease in determined interval was met. For sample-agnostic clustering, a heatmap was created to assess unbiased hierarchical clustering of sample genotype based on VAE featurization.
Metabolic modeling
Metabolic heterogeneity modeling of single cells was performed using COMPASS (version 0.9.9.6.2)(48). Differential metabolic activity was computed from COMPASS metareaction consistency scores subset by scRNA-seq based cluster annotation. Metareactions were filtered for core reactions, defined as reactions with Recon2 confidence of either 0 or 4 and annotated with an EC (Enzyme Commission) number. Principal component analysis (PCA) was performed on COMPASS metareaction space using factoextra (version 1.0.7). Cell cluster annotation and metadata was loaded from Seurat and the top two principal components were used for two-dimensional mapping. Signature scores were assigned to individual cells using AddModuleScore and gene lists from KEGG (49), GOBP (40, 41) and MSigDB (version 7.0.1)(42, 43). Spearman correlations between signature scores and each individual metareaction or principal component were computed using all individual cells. Correlation coefficients for different signature scores were compared on a metareaction-by-metareaction basis.
Ligand-receptor analysis
Ligand-receptor interaction analysis was performed using CellPhoneDB (version 2.1.7)(50). Mouse gene were converted to human orthologs using getLDS from biomaRt (version 2.24.0). Separate count matrices for each genotype were exported from Seurat and ligand-receptor interaction scores and p-values were computed using CellPhoneDB.
TCR specificity group prediction
The grouping of lymphocyte interaction by paratope hotspots (GLIPH2) algorithm (51) was used to predict TCR specificity groups as previously described (37). The GLIPH2 mouse TCR dataset was used for reference. Fisher’s exact test was used to assess the statistical significance of a given motif, and specificity groups were filtered for clusters with significant V-gene bias (P<0.05 by GLIPH2) and significant final score (P< 1×10−5 by GLIPH2). Specificity group prediction was matched with gene-expression analysis in Seurat using AddMetaData based on clonotype sequences.
CDR3β database construction
To predict antigen specificities, we used our previously published (37) reference database of known CDR3β sequences and their cognate antigens. To test whether TCR sequences identified by scTCR-seq had known antigen specifies, we searched for the presence of each CDR3β sequence in our reference database. To extend antigen predictions to CDR3β sequences not found in the reference database, we performed GLIPH2 analysis on our reference database, identifying annotated antigens associated with CDR3β local motif patterns. Antigen prediction was matched with gene-expression analysis in Seurat using AddMetaData based on GLIPH2 local motif predictions.
Statistical analyses
Flow cytometry quantification was compared using unpaired two-tailed Student’s t-test. COMPASS metabolic scores were compared using Wilcoxan rank sums for each metareaction and Cohen’s d statistic was used to assess effect size (48). Metareaction correlation with gene signature scores was computed using Spearman’s rank correlation coefficient. Differential gene expression was computed using the MAST algorithm (36). Pathway analysis was performed using differentially expressed genes and Fisher’s exact test. P-values were adjusted for multiple comparisons using Bonferroni correction.
Visualization
Bar graphs were created using ggpubr (version 0.4.0.999) or Prism (GraphPad), and correlation vs correlation scatter plots were created using ggplot2 (version 3.3.3). Biological theme comparisons, network plots, and gene set enrichment plots were generated using clusterProfiler (version 3.18.1). Heatmaps and hierarchical clustering was performed using pheatmap (version 1.0.12). UMAP and violin plots comparing gene expression across samples and clusters were generated using Seurat (version 4.0.0). Sequence motifs were created using ggseqlogo (version 0.1). Scatter plots, stacked bar graphs, and dot plots were created using ggplot2. Volcano plots were generated using EnhancedVolcano (version 1.8.0) and differentially expressed genes were highlighted in red.
Results
Lupus prone mice have expanded splenic lymphocyte and myeloid populations
SLE.yaa mice develop spontaneous severe glomerulonephritis with detectable autoantibodies by 4–6 months of age (16, 18). To profile the entire immune landscape of mice undergoing active loss of tolerance, we performed scRNA-seq, scBCR-seq, and scTCR-seq on CD45 cells isolated from the spleens of two fifteen-week-old SLE.yaa mice. Fifteen weeks represents a timepoint immediately preceding pathologic disease onset in SLE.yaa mice (18), and therefore differences in single cell profiles are more likely to represent pathogenic drivers of autoimmunity than consequences of established autoimmunity. Two age and sex matched B6 mice immunized with NP-OVA were used as controls to represent an active immune response against a foreign antigen, facilitating identification of autoimmune associated immunophenotypes rather than generalized immune activation. Known marker genes (Fig. 1A) and differentially expressed genes (Fig. S1A) were used to annotate the 12 clusters identified by scRNA-seq. All major splenic cell types were recovered, including B cells, CD4 cells, macrophages, CD8 cells, polymorphonuclear cell (PMN), dendritic cells (DC), plasma cells (PC), natural killer (NK) cells, and plasmacytoid dendritic cells (pDC) (Fig. 1B). The relative frequencies of individual clusters varied between immunized B6 and SLE.yaa mice, with a decrease in the relative frequency of B and CD8s cells and an increase in the frequency of macrophages, PMNs, DCs, and PCs in lupus-prone mice (Fig. 1C). Flow cytometric quantification confirmed expansion of these lymphocyte and myeloid populations in the spleens of lupus-prone mice (Fig. 1D). SLE.yaa mice exhibit profound splenomegaly, which accounts for significant increases in absolute total lymphocyte counts despite relative decreases in individual subset frequency.
Figure 1. Lupus prone mice have expanded splenic lymphocyte and myeloid populations.

(A) Gene expression of cluster defining genes projected onto UMAP of CD45 cells isolated from the spleens of B6 and SLE.yaa mice.
(B) UMAP visualization of CD45 cells colored by unbiased cluster assignment. Mac, macrophages; PMN, polymorphonuclear cells; DC, dendritic cells; PC, plasma cells; NK, natural killer cells; pDC, plasmacytoid dendritic cells; Baso, basophils.
(C) Stacked bar graph of percent of CD45 cells belonging to each cluster between B6 and SLE.yaa mice.
(D) Flow cytometric quantification of B (CD19+B220+), germinal center (GC; CD19+B220+GL7+Fas+), plasma cell (PC; CD138+), TCON (CD4+FoxP3−), TREG (CD4+FOXP3+), TFH (CD4+CXCR5+PD1+FoxP3−ICOS+), TFR (CD4+CXCR5+PD1+FoxP3+ICOS+), CD8, macrophage (Mϕ; F4/80+CD68+), CD11c, and natural killer (NK; CD49b+) cells from the spleens of B6 (black) or SLE.yaa (red) mice.
Recent immunometabolic studies have led to greater appreciation for a regulatory role of metabolism in various disease contexts, including autoimmune disease (52–57). To compare the metabolic states of individual cells in lupus prone mice to immunized mice, we applied the metabolic modeling algorithm COMPASS (48) to our single cell dataset. Principal component analysis (PCA) of the COMPASS metareaction space was unable to separate cells by transcriptome-defined clusters (Fig. 2A), but principal component 1 (PC1) displayed modest ability to separate SLE.yaa from B6 splenocytes (Fig. 2B). By combining COMPASS metareaction principal components with gene expression data, we determined that PC1 correlated with cells’ glycolysis (Spearman’s rho = 0.477, p < 2.2 × 10−16) and oxidative phosphorylation (Spearman’s rho = 0.514, p < 2.2 × 10−16) gene signature scores (Fig. 2C), suggesting that lymphocytes from lupus prone mice have increased glycolytic flux. Oxidative phosphorylation is paradoxically increased in T cells from SLE patients (57) and can drive Th17 pathogenicity over TREG development (58). To better characterize the consequences of increased oxidative phosphorylation signature scores in our dataset, we compared the correlations between individual metareactions with other signatures scores, identifying negative relationships with BCR signaling (Spearman’s rho = −0.762, p < 2.2 × 10−16) and the complement cascade (Spearman’s rho = −0.710, p < 2.2 × 10−16), and a positive relationship with antigen presentation (Spearman’s rho = 0.751, p < 2.2 × 10−16) (Fig. S1B).
Figure 2. Macrophages from lupus prone mice are less metabolically active.

(A) Biplot of COMPASS principal component scores of CD45+ cells (dots) colored by scRNA-seq based cluster assignment and top variable loadings (vectors).
(B) COMPASS principal component plot of CD45+ cells colored according to genotype (B6, black; SLE.yaa, red) with marginal histogram of PC1 and PC2 scores.
(C) Heatmap of spearman correlation of KEGG transcriptome signatures with top five COMPASS principal components. Only significant correlations (p < 0.05) are shown in color and non-significant correlation coefficients are greyed out.
(D) Volcano plots of differential COMPASS score activity between B, CD4, CD8, or macrophages from SLE.yaa and B6 mice. COMPASS metareactions are colored by their Recon2 pathways (outlined box).
(E) Dot plots of differential COMPASS score activity of metabolic reactions in B, CD4, CD8, or macrophages from SLE.yaa and B6 mice. Reactions (dots) are partitioned by Recon2 pathways (rows), and significant reactions (adjusted P-value <0.05) are colored by the sign of their Cohen’s d statistic. Non-significant reactions are greyed out.
COMPASS metareactions provide greater resolution of the metabolic network in individual cells than general pathway analysis (48). To identify metabolic pathways and reactions associated with lupus in individual cell types, we compared differential metabolic activity on a metareaction-by-metareaction basis in each individual cluster. B and CD4 cells from lupus-prone mice displayed increased activity in the majority of metareactions, while CD8 cells had a similar number of up and down regulated metareactions, and macrophages had decreased activity in the majority of metareactions (Fig. 2D). The increase in metabolic activity in B and CD4 cells was so profound that nearly all metareactions assigned to individual metabolic pathways had increased activity, as was the case for decreased activity in macrophages (Fig. 2E). In contrast, individual metabolic pathways in CD8 cells included both up and downregulated metareactions, suggesting more nuanced changes in metabolism than broad pathway level change. For example, the transaldolase step of the pentose phosphate pathway was upregulated in CD8 cells from lupus prone mice (Cohen’s d = 0.228, P-adj = 3.23 × 10−5) whereas G6PD initiation of the pentose phosphate pathway was downregulated (Cohen’s d = −0.164, P-adj = 0.009). The pentose phosphate pathway, specifically the rate-limiting G6PD step, influences CD8 activation and polarization (59, 60). These findings suggest that although B and CD4 cells have increased general metabolic activity in lupus prone mice, macrophages from lupus prone mice are less metabolically active.
Human SLE is a heterogenous disease linked to many loci beyond those homologous to Sle1 and yaa (7, 9, 61). To determine whether the differential expression observed in lupus prone mouse splenocytes is also present in human disease, we compared our dataset with scRNA-seq performed on renal biopsies from SLE patients (38, 62). Unbiased clustering of CD45 cells from SLE patients or healthy controls identified seven distinct clusters, all of which were also present in our mouse dataset (Fig. S1C). Few B cells were recovered from healthy controls (Fig. S1D), making differential gene expression analysis difficult for this cluster. We were able to perform differential gene expression analysis on CD4, CD8, and macrophages between SLE and healthy control biopsies (Fig. S1E), identifying decreased IL7R in SLE CD4s, decreased SOD2 in SLE CD8s, and decreased CXCR4 in SLE macrophages, amongst other differentially expressed genes (DEGs). To identify DEGs present in both datasets, we compared fold changes of all genes in CD4, CD8, and macrophage clusters (Fig. S1F). CD4s in both mouse and human disease upregulated Tigit, Maf, Ikf2, Itgb1, and Ahnak, although the co-inhibitory molecules Lag3 and Pdcd1 were only upregulated in CD4s from lupus-prone mice. CD8s in both mouse and human disease upregulated Nkg7, Itgb1, Eomes, and Cx3cr1, and macrophages in both mouse and human disease downregulated Fcgr2b. These results demonstrate that despite differences in both tissue and species, our mouse dataset captures some gene expression changes observed in human disease.
B cells are clonally expanded with altered subsets in lupus prone mice
B cells are activated and produce autoreactive IgG in SLE.yaa mice (16), however deeper characterization of B cell subsets and clonal evolution in lupus prone mice has not been performed. To this end, we subset B cell clusters from our dataset, and after additional clustering identified eight clusters of B cells present in both B6 and SLE.yaa mice (Fig. 3A). As observed by flow cytometry (Fig. 1D), plasma cells (PCs) were markedly increased in SLE.yaa mice relative to B6 mice, accompanied by a compensatory decrease in the relative frequency of follicular and marginal zone (MZ) B cells (Fig. 3B). This transition might represent the follicular entry, CD4 engagement, and eventual antibody secretion of MZ B cells observed in lupus prone mice (63–65). As we were able to capture distinct states of B cell development amongst splenic B cells, we next performed pseudotime (66) (Fig. 3C) and RNA velocity (34) (Fig. 3D) analyses to compare their potential developmental trajectories. T2-B cells differentiated into either follicular or MZ B cells (Fig. 3D), a fate decision dependent on both BCR signaling strength and B cell-activating factor (BAFF) availability (67). Both PC and B-ISG clusters represented later pseudotime states (Fig. 3C), with trajectories initiating from both follicular and MZ B cell clusters by RNA velocity and PAGA graph (Fig. 3E) analyses. PCs originate from both germinal center and extrafollicular compartments in SLE, although their origin likely influences their autoreactivity and pathogenicity (68–70). These observations confirm the emergence of an antibody secreting cell population in SLE.yaa mice and provide greater resolution to the accompanying changes in B cell states in lupus prone mice.
Figure 3. Marginal zone B cells are decreased in lupus prone mice.

(A) UMAP visualization of B cells from B6 (left) or SLE.yaa (right) mice colored by unbiased cluster assignment. Fo, follicular; MZ, marginal zone; T2-B, transitional stage 2; PC, plasma cell; T1-B, transitional stage 1.
(B) Stacked bar graph of percent of B cells belonging to each cluster between B6 and SLE.yaa mice.
(C) Pseudotime scores of B cells calculated from gene expression data projected onto UMAP embeddings.
(D) RNA velocity of B cells projected onto UMAP colored by cluster assignment. Velocity vector field is represented by streamlines that indicate speed and direction of cells.
(E) Trajectory inference computed using partition-based graph abstraction of paths between B cell clusters. Data topology is represented by weighted edges whose thickness correspond to the connectivity between two clusters.
(F) Volcano plots of differentially expressed genes between SLE.yaa versus B6 mice within indicated B cell clusters. Adjusted P-value <0.01 and absolute log2FC >0.2 shown in red.
(G) Dot plot of gene ontology analysis of differentially expressed genes between follicular (left) or activated (right) B cells from SLE.yaa versus B6 mice. Size represents gene ratio and color represents adjusted P-value.
(H) Network plot of gene ontology analysis of differentially expressed genes between follicular B cells from SLE.yaa versus B6 mice. Tan circles represent gene sets and colored dots represent genes colored by log2FC in SLE.yaa compared to B6 mice.
(I) Flow cytometry contour plots (left) and quantification (right) of marginal zone frequency amongst CD19+ cells from B6 (black) and SLE.yaa (red) mice.
(J) Flow cytometric quantification of indicated proteins in B (CD19+B220+), germinal center (GC; CD19+B220+GL7+Fas+), plasma (PC; CD138+), or marginal zone (MZ; CD19+B220+CD21/35+CD1d+) cells from B6 (black) and SLE.yaa (red) mice.
Beyond changes in relative abundances of B cell subsets, autoimmunity is likely driven by changes in gene expression and phenotypes of individual B cell subsets. We performed differential gene expression analysis to compare phenotypes of follicular, activated, MZ, or T2 B cells from SLE.yaa and B6 mice (Fig. 3F). Follicular B cells from lupus prone mice increased expression of Ly6a, Serpina3g, Slamf6, Psmb9, Cxcr3, Stat1, Ccr6, Tbx21, Itgax, and Pltp and decreased expression of Dnaja1, Cd24a, Cr2, Tnfrsf13b, and Tnfrsf13c, activated B cells increased expression of Ly6a, Gimap4, Psmb9, Stat1, Cxcr3, Ccr6, and Serpina3g and decreased expression of Cr2, Cd24a, Tnfrsf13c, and Fcmr, MZ B cells increased expression of Blvrb, Gimap4, Iigp1, Jun, Socs1, Stat1, Vim, Cd83, and Ccr6 and decreased expression of Cr2, Dph5, Myof, S1pr3, and Marcks, and T2-B cells increased expression of Jchain, Ly6a, Tap1, Ly6c2, and Cxcr3 and decreased expression of Cd24a, Dnaja1, Cd74, and Tnfrsf13c, amongst other DEGs. Cd83, Gimpa4, Iigp1, Jun, Ly6a, Ly6c2, Pltp, Psmb9, Serpina3g, Socs1, Stat1, and Tap1 are interferon-stimulated genes (ISG) (71), likely reflecting the excessive interferon response in SLE.yaa mice (72). Tmsb4x expression was increased in most B cell clusters, although this gene is expressed on the yaa duplication (17) and therefore likely represents an artifact of our model. Slamf6 is a transmembrane protein that signals via SAP to promote CD74/MIF pro-survival signaling between B and CD4 cells (73) and therefore represents an appealing potential pathway for further investigation. Increased expression of Tbx21 and Itgax and decreased expression of Cr2 is potentially reflective of the emergence of a subcluster of CD21−CD11c+T-bet+ age-associated B cells, which have been described in both human and murine SLE (74). Collectively, these DEGs represent candidate drivers or consequences of SLE in specific B cell subsets not previously appreciated at single cell resolution.
To investigate the biological relevance of DEGs in B cells from lupus prone mice, we performed gene ontology and pathway analysis. Biological theme comparison associated DEGs from follicular B cells in lupus prone mice with endoplasmic reticulum protein processing, antigen processing, Th17 differentiation, and BCR signaling pathways (Fig. 3G). Network visualization demonstrated these associations were driven by decreased Cr2 and Dnaja1 and increased Stat1 and Ifi30 expression (Fig. 3H), likely due to both increased interferon signaling and a transition to antibody secreting phenotypes. Gene ontology analysis of DEGs in activated B cells from lupus prone mice revealed similar pathway activation, namely protein processing, Th17 differentiation, BCR signaling, and antigen processing (Fig. 3G). B cell antigen presentation is a necessary driver of autoimmunity in lupus prone mice and can facilitate B cell escape of tolerance (75). These findings suggest that both follicular and activated B cells experience alterations in antigen presentation and protein processing pathways in SLE.
To confirm the B cell state and gene expression differences observed in our dataset, we performed flow cytometry on spleens of fifteen-week-old SLE.yaa mice and age-matched immunized B6 controls. We confirmed that SLE.yaa mice have a ~4-fold decrease in MZ B cells (Fig. 3I). Differential gene expression was validated at the protein level in total B cells, germinal center (GC) cells, and PCs (Fig. 3J), including decreased expression of CD267 (also known as Transmembrane activator and CAML interactor [TACI], protein name for Tnfrsf13b), decreased expression of CD268 (also known as BAFF receptor, protein name for Tnfrsf13c), increased expression of Stem Cell Antigen-1 (Sca-1, protein name for Ly6a), decreased expression of CD74, decreased expression of CD21/35 (protein name for Cr2), decreased CD24, increased CCR6, and increased CXCR3. CD267 and CD268 recognize BAFF and a proliferation-inducing ligand (APRIL), which are drivers and validated therapeutic targets for SLE (76, 77), and therefore their downregulation likely represents negative feedback from excessive BAFF and APRIL signaling. CD74 deficiency ameliorates disease severity in lupus prone mice and is an experimental target in human disease (78, 79). CD21/35 deficiency increases susceptibility to SLE and is correlated with disease severity (80, 81). Polymorphic CD24 is associated with SLE, although its pathogenic mechanism is unknown (82). CCR6 expression correlates with SLE severity and through interactions with its cognate ligand CCL20 regulates germinal center kinetics (83, 84). CXCR3 is upregulated on memory B cells in response to interferon signaling (85), although its relevance to SLE has not been studied. These observations provide validation of our transcriptional dataset at the protein level.
We next paired our scRNA-seq analysis with scBCR-seq on B cells from lupus prone mice. Clonal topography analysis indicated a shift in clonal abundance from MZ, T1-B, and T2-B cells in B6 mice towards the PC compartment in SLE.yaa mice, accompanied by an increase in mutational frequency in SLE.yaa PCs (Fig. 4A). Decreased clonality within the MZ compartment supports the hypothesis of MZ B cell entry into the PC compartment, particularly given the increased cross-reactivity of MZ BCRs and decreased activation threshold relative to follicular B cells (86, 87). Clonal overlap analysis revealed the greatest Morisita overlap index between the follicular and activated B cell clusters, and the least overlap between the T1-B and B1 or T1-B and PC clusters (Fig. 4B), supporting the proposed inter-cluster trajectories modeled by RNA velocity (Fig. 3D). Clonal network analysis was consistent with overlap score calculations (Fig. 4C), identifying the greatest amount of MZ B cell clonotype sharing with PCs. As expected, SLE.yaa B cells had markedly decreased diversity compared to B6 B cells (Fig. 4D) and increased somatic hypermutation mutability (Fig. 4E), likely representing clonal expansion, affinity maturation, and increased plasma cells. These clonal analyses represent a markedly more robust humoral response in lupus prone mice compared to immunized mice.
Figure 4. B cells are clonally expanded and mutated in lupus prone mice.

(A) Clone size topography (top) or mutational frequency (bottom) mapped onto UMAP visualization of B cells from B6 (left) or SLE.yaa (right) mice. Clonotypes defined by VDJC gene and size was calculated by the number of cells belonging to each clonotype. Mutational frequency was calculated by comparison with germline sequences.
(B) Clonal overlap between B cell clusters represented by Morisita index of clones between two clusters.
(C) Network interaction plot of clonotype sharing between clusters mapped onto UMAP visualization of B cells. Edge color represents proportion of clones shared between two clusters. Node sizes represents the number of unique clones in the underlying cluster.
(D) Diversity curve of B cells from B6 (black) or SLE.yaa (red) mice representing the Hill diversity index (qD) over uniform resampling across diversity orders (q). Shading represents 95% confidence interval.
(E) Hedgehog plot of somatic hypermutation mutability model for C (top) or A (bottom) nucleotides in B cells from B6 (left) or SLE.yaa (right) mice. Bar length represents the likelihood of a mutation in the given 5-mer. Bar colors represent known hot or cold spot motifs (WRC/GYW, red; WA/TW, green; SYC/GRS, blue; neutral, gray).
T cells are clonally expanded and express markers of exhaustion in lupus prone mice
The earliest studies of SLE.yaa mice described changes in CD4 molecular signatures towards a TFH phenotype with altered cytokine production (18). Here, we use our dataset to extend these findings towards increased pathways, genes, and T cell states with both single cell transcriptomic and clonal resolution. We subset T cell clusters from our dataset, and after additional clustering identified six clusters of T cells present in both B6 and SLE.yaa mice (Fig. 5A). Interestingly, we identified a novel T cell cluster that was defined by expression of Cd3e, Cd74, and Cd79a (Fig. S2A) whose frequency was decreased in SLE.yaa mice (Fig. 5B). CD74 is involved in antigen presentation by MHC class II with additional roles in pro-survival signaling (88, 89) and CD79a has been identified in T cell lymphoma (90, 91), although the functional relevance of this cluster remains unclear. Amongst the other clusters, CD8 cells were relatively decreased and TREG cells were relatively increased in SLE.yaa mice (Fig. 5B), consistent with our flow cytometry immune profiling (Fig. 1D). We further subset and clustered CD4 cells, identifying eight different cell states including TREG and TFH cells (Fig. S2B). Naive CD4 cells were decreased while TFH, exhausted, and activated CD4s were increased amongst CD4 cells from lupus prone mice (Fig. S2C). Similarly, CD8 cells were further subset into naïve, effector, and stem-like CD8 cells (Fig. S2E), with a relative increase in effector and compensatory decrease in naïve CD8 cells amongst CD8 cells from lupus prone mice (Fig. S2F). There were too few cells in these CD4 and CD8 subsets to perform differential expression analysis. These findings describe changes in T cell subset frequencies, most notably decreased CD8 cells and increased exhausted CD4 cells, that would likely not be appreciable by bulk sequencing.
Figure 5. T cells from lupus prone mice express markers of exhaustion.

(A) UMAP visualization of T cells from B6 (left) or SLE.yaa (right) mice colored by unbiased cluster assignment.
(B) Stacked bar graph of percent of T cells belonging to each cluster between B6 and SLE.yaa mice.
(C) Volcano plots of differentially expressed genes between T cells from SLE.yaa versus B6 mice within indicated clusters. Adjusted P-value <0.01 and absolute log2FC >0.2 shown in red.
(D) Gene set enrichment plot of indicated gene module against genes ranked by fold enrichment in SLE.yaa versus B6 cells within indicated T cell cluster.
(E) Flow cytometry contour plots (left) and quantification (right) of indicated population amongst CD4 or CD8 cells from B6 (black) and SLE.yaa (red) mice. Flow cytometry plots are gated on total CD4 cells.
(F) Flow cytometric quantification of indicated proteins in TCON (CD4+FoxP3−), TREG (CD4+FOXP3+), TFH (CD4+CXCR5+PD1+FoxP3−ICOS+), TFR (CD4+CXCR5+PD1+FoxP3+ICOS+), extrafollicular (EFO; CD4+CD62L−PSGL1−), or CD8 cells from B6 (black) and SLE.yaa (red) mice.
To study gene expression changes within individual T cell subsets, we performed differential gene expression analysis between SLE.yaa and B6 mice (Fig. 5C). CD4 cells from lupus prone mice increased expression of Ly6a, Itgb1, Lag3, Srgn, Maf, Eea1, Pdcd1, Cxcr3, Tnfsf8, and Tigit, CD8 cells increased expression of Ly6a, Stat1, Ptms, AW112010, Cxcr3, Pdcd1, and Lag3, effector like CD8 cells increased expression of Nkg7, Gzmk, Id2, and Ly6a, and TREG cells increased expression of S100a11, Lag3, Tigit, and Srgn, amongst other DEGs. AW112010, Id2, Itgb1, Lag3, Ly6a, Maf, Nkg7, Pdcd1, Ptms, Srgn, and Stat1 are ISGs (70, 71, 92) and Pdcd1, Tigit, and Lag3 are co-inhibitory molecules that are upregulated in exhausted T cells (93). To further study the biological relevance of these DEGs, we performed gene set enrichment analysis (GSEA), which identified significant associations between DEGs in CD4 and CD8-eff cells with antigen response and respective cell states in CD8 and TREG cells (Fig. 5D). To determine whether the transcriptional changes observed in CD4 cells from lupus prone mice is recapitulated in another model of autoimmune disease (94), we compared our dataset with scRNA-seq and scTCR-seq data from follicular T cells isolated from mixed 564Igi autoimmune chimeras (37). CD4 cells from SLE.yaa mice and follicular T cells from mixed autoimmune chimeras both upregulated Ccl5, Ly6a, Lag3, and Tnfsf8 although Ahnak, Itgb1, and Ikzf2 were only upregulated in CD4s from SLE.yaa mice (Fig. S2H).
We validated these cell state and gene expression changes by flow cytometry, including increased CD4+CXCR5+PD1+ follicular T cells, increased CD44+PD1+ activated CD4 and CD8s, and increased CD44+CD62L− effector memory CD4 and CD8 cells with compensatory decreases in CD44−CD62L+ naïve CD4 and CD8 cells in fifteen-week-old SLE.yaa mice (Fig. 5E). Differential gene expression was validated at the protein level in TCON (CD4+FoxP3−), TREG (CD4+FOXP3+), TFH (CD4+CXCR5+PD1+FoxP3−ICOS+), TFR (CD4+CXCR5+PD1+FoxP3+ICOS+), extrafollicular (EFO; CD4+CD62L−PSGL1−), and CD8 cells (Fig. 5F), including increased expression of ICOS, CD153 (protein name for Tnfsf8), CXCR3, Sca-1, PD-1 (protein name for Pdcd1), and Lag-3. CD153+ follicular T cells are sufficient to induce spontaneous germinal centers via osteopontin secretion (95), while CXCR3 expression on CD4 cells regulates migration towards the interferon-inducible ligands CXCL9, CXCL10, and CXCL11 (96). Flow cytometry confirmed a relative increase in TREG cells in SLE.yaa mice, and FoxP3 expression was not increased in EFO CD4 cells or follicular T cells (Fig. 5F). We also identified decreased Ki-67 expression in TFH cells, but increased Ki-67 expression in TCON and TREG cells from SLE.yaa mice (Fig. 5F). These gene and protein expression changes suggest that both CD4 and CD8 cells in lupus prone mice experience increased activation and accompanying exhaustion, with notable proliferation differences between TFH and TREG cells.
In addition to T cell phenotypic differences, the TCR repertoires of SLE patients are distinct (97). To examine the effects of lupus susceptibility loci on T cell clonality, we also performed scTCR-seq on T cells from lupus prone mice. After filtering for productive and paired TCRα and TCRβ chains, we retained 1,810 cells representing 1,501 unique clonotypes from SLE.yaa mice and 2,191 cells representing 2,163 unique clonotypes from B6 controls. When compared to scTCR-seq data from follicular T cells isolated from mixed 564Igi autoimmune chimeras we did not identify any shared TCR clonotypes, except for a single clone that was identified in both a SLE.yaa mouse and a control non-autoimmune chimera (Fig. S2I). SLE.yaa mice had a greater number of expanded clones, with clonal expansion observed in CD4, TREG, and effector CD8 cells (Fig. 6B–D, S3A), as observed in human (98, 99). To compare TCR repertoires from SLE.yaa and B6 mice, we performed both repertoire-wide and clonotype level analyses. Unbiased hierarchical clustering of variable gene usage separated SLE.yaa from B6 TCRs (Fig. S3B), although CDR3 consensus sequences were not significantly different between SLE.yaa and B6 mice (Fig. S3C). Machine learning classification of TCR repertoires using variable autoencoder featurization (47) was similarly able to distinguish SLE.yaa and B6 repertoires (Fig. S3D), suggesting that SLE.yaa and B6 mice have fundamentally different TCR repertoires. Individual samples had limited T cell clonal overlap (Fig. 6E), but public clonotype size was capable of separating SLE.yaa and B6 mice (Fig. S3E). Of the 3,663 unique clonotypes identified, only two were shared amongst SLE.yaa mice and none were shared amongst B6 mice. One of these clonotypes (CAASDYGSSGNKLIF+CASSFSSQNTLYF) was shared amongst both SLE.yaa and B6 mice. These results suggest that SLE.yaa T cells are clonally expanded and distinguishable at both the repertoire and individual clonotype level.
Figure 6. CD4 clonal expansion is associated with differential gene expression in lupus prone mice.

(A) UMAP visualization of T cells from B6 and SLE.yaa mice colored by cluster assignment.
(B) Clone size mapped onto UMAP visualization of transcriptomic data of individual T cells from B6 (left) or SLE.yaa (right) mice. Clonotypes are defined by paired full length TCRα and TCRβ sequences and clone sizes are number of individual cells within a given clonotype.
(C) Bar plot of number of individual cells belonging to each clonotype in B6 (black) or SLE.yaa (red) mice.
(D) Pie charts of clonal expansion of T cell clusters identified by scRNA-seq (columns) in B6 (top) or SLE.yaa (bottom) mice. Number of cells with both TCRα and TCRβ successfully identified is shown below each pie chart. For clonotypes expressed by two or more cells, the number of cells expressing that clone is shown by a distinct color.
(E) Unweighted network analysis of expanded clonotypes (>1 individual cells) from B6 (black) and SLE.yaa (red) mice. Clonotypes are defined by paired full length TCRα and TCRβ sequences. Individual samples (m232, m233, m234, m235) are depicted as colored circles, clonotypes are depicted as gray circles and sized according to number of cells belonging to given clonotype. Edges represent clonotype membership to individual samples.
(F) Volcano plot of differentially expressed genes between expanded CD4 clonotypes from SLE.yaa versus B6 mice. Adjusted P-value <0.01 and absolute log2FC >0.2 shown in red.
(G) Scatter plot comparing log fold change of gene expression between expanded versus unexpanded CD4 clones in B6 and SLE.yaa mice. Log2FC >0.1 are indicated in black (correlated in both conditions), red (correlated in SLE.yaa mice only), or red (correlated in B6 only).
(H) Scatter plot comparing GLIPH2 specificity group size between B6 and SLE.yaa mice and colored according to disease class of predicted antigen. Size of specificity groups represents total number of samples in which the given specificity group is observed.
(I) Mapping of predicted disease class onto UMAP visualization of T cell transcriptomic data from B6 (left) or SLE.yaa (right) mice. Cells for which disease class prediction was not possible are left grey.
To study whether T cell clonal expansion is associated with differential gene expression in lupus-prone mice, we paired scRNA-seq with scTCR-seq data. We compared DEGs in expanded compared to non-expanded T cells between SLE.yaa and B6 mice (Fig. 6F). SLE.yaa expanded T cells expressed increased Eea1, Pdcd1, Maf, and Ikzf2 and decreased Trat1 relative to B6 expanded T cells. These findings suggest that the increased markers of exhaustion we observed in SLE.yaa T cells is not trivially due to increased activation and clonal expansion, but rather intrinsic differences in clonal phenotypes. Further correlational comparisons using fold changes revealed that Rora expression was increased in expanded B6 T cells but decreased in SLE.yaa expanded T cells (Fig. 6G). Rora is a nuclear receptor involved in CD4 polarization (100, 101), suggesting that SLE.yaa T cells have altered polarization while undergoing clonal expansion. These analyses complement our DEG analysis by identifying additional candidate genes that are negatively associated with T cell clonal expansion in SLE.yaa mice.
Due to the cross-reactive nature of the TCR, clonotype level analysis might not be sensitive enough to capture antigen-specific differences in repertoire (102, 103). We therefore applied the GLIPH2 algorithm (51) to our scTCR-seq dataset to predict antigen specificity groups of SLE.yaa T cells. After filtering, GLIPH2 yielded 199 specificity groups representing 531 unique clonotypes. Integrating these specificity groups with our scRNA-seq dataset allowed us to predict the specificity of 187 cells (10.3 %) from SLE.yaa mice and 203 cells (7.7 %) from B6 mice. Non-metric multidimensional scaling (NMDS) analysis (Fig. S3F) and unweighted network analysis (Fig. S3G) separated SLE.yaa and B6 mice based on specificity group sharing between mice, suggesting that SLE.yaa and B6 T cells have distinct specificities. Shared specificity group size between SLE.yaa and B6 mice also showed limited specificity group overlap between genotypes, although the largest specificity groups were shared between SLE.yaa and B6 mice (Fig. 6H). Unweighted network analysis demonstrated that specificity groups with clonotypes from both SLE.yaa and B6 mice were polyclonal (Fig. S3H), confirming that GLIPH2 can capture predicted antigen overlap not appreciable from CDR3 sequences alone. These results suggest that although antigen specificity predication can separate the TCR repertoires of SLE.yaa and B6 mice, there are a subset of expanded clonotypes that share predicted antigen specificity between SLE.yaa and B6 mice.
To predict the antigen specificity of GLIPH2 groups, we annotated these groups using GLIPH2 analysis of a database of CDR3β sequences with known antigen specificities (37). Database annotation could predict antigen specificities of 41/199 (20.6 %) of GLIPH2 specificity groups. Successful specificity group annotation was limited to specificity groups uniquely present in either SLE.yaa or B6 mice, with few of the common specificity groups represented in the known antigen database (Fig. 6H). Notably, an autoimmune-related specificity group was identified amongst both SLE.yaa and B6 enriched specificity groups (Fig. 6H). Superimposition of UMAP visualization with disease-related antigen predictions revealed similarly broad distributions of specificity groups amongst SLE.yaa and B6 T cells (Fig. 6I). These data suggest that both SLE.yaa and B6 T cells have distinct specificities for viral and autoimmune related antigens, although we were unable to predict the specificities of SLE.yaa and B6 T cells predicted to react to similar antigens.
Myeloid subset distribution is altered in lupus prone mice
The earliest studies of SLE.yaa mice described an expanded myeloid compartment (16) likely due to IL-6 mediated myelopoiesis (19), but the heterogeneity of this compartment has not been profiled. We used our dataset to subcluster splenic myeloid cells from SLE.yaa mice, identifying nine clusters of myeloid cells (Fig. 7A). Macrophages – determined by Cd68 and Adgre1 expression – were represented by three novel subclusters, which we named Mac-1, Mac-2, and Mac-3. Mac-1 cells were defined by Apoc2 and Ace, Mac-2 cells were defined by Cd72, C1qb, Fcrl5, and Fcgr4, and Mac-3 were defined by Vcam1 and Cd5l (Fig. 7B). Fcrl5 is an IgG receptor found on dysfunctional atypical memory B cells (104), but has not been previously described on myeloid subsets, while CD5L is a glycoprotein secreted by macrophages that can regulate lipid metabolism and inflammation (105–107). We also identified two subclusters of PMNs: PMN-1 was defined by expression of Slpi, Csf3r, Il1b, and Cxcr2 while PMN-2 was defined by Ngp, Camp, and Ltf (Fig. 7B). Myeloid clusters were prominently altered in SLE.yaa mice, most notably by emergence of Mac-2 and Mac-3 cells which were nearly absent from B6 mice (Fig. 7C). The relative frequency of Mac-1 cells was also increased in SLE.yaa mice, while monocytes and PMN-1 were decreased. In addition to describing shifting myeloid subset distribution, these subset level changes identify novel myeloid clusters that arise in lupus prone mice.
Figure 7. Myeloid subset distribution is altered in lupus prone mice.

(A) UMAP visualization of myeloid cells from B6 (left) or SLE.yaa (right) mice colored by unbiased cluster assignment.
(B) Dot plot of averaged log-normalized expression of top six differentially expressed genes (columns) for each myeloid subcluster (row). Size represents percentage of cells in cluster expressing gene and color represents expression level.
(C) Stacked bar graph of percent of myeloid cells belonging to each cluster between B6 and SLE.yaa mice.
(D) Volcano plots of differentially expressed genes between myeloid cells from SLE.yaa versus B6 mice within indicated clusters. Adjusted P-value <0.01 and absolute log2FC >0.2 shown in red.
(E) Dot plot of gene ontology analysis of differentially expressed genes between myeloid cells from SLE.yaa versus B6 mice within indicated clusters. Size represents gene count and color represents adjusted P-value.
To study gene expression changes within individual myeloid subsets, we performed differential gene expression analysis between SLE.yaa and B6 mice (Fig. 7D). Mac-1 cells from lupus prone mice increased expression of Hp, Txn1, Fabp4, and Pecam1 and decreased expression of Cd74, H2.Eb1, and H2.Aa, monocytes increased expression of Gpx1, Hp, Apoc2, and Actg1 and decreased expression of H2.DMa, Fcgr3, Irf1, and Slamf7, PMN-1 cells increased expression of Ifi27l2a, Marcksl1, C3, Lcn2, and Slfn4 and decreased Fox, Pbx1, D8Ertd738e, and Tgbi, and Mac-2 cells increased expression of AW112010, S110a11, and Srgn and decreased expression of Rps24 and Rps7 amongst other DEGs. Too few cells were present in Mac-3, follicular dendritic cell (FDC), pDC, and basophil clusters to perform differential gene expression analysis. Apoc2, AW1102010, C3, Fabp4, Hp, Ifi27l2a, Lcn2, Macksl1, Pecam1, Slfn4, and Srgn are ISGs (71). Biological theme comparison associated DEGs from Mac-1 cells in lupus prone mice with phagocytosis, immune effector process, and antigen processing and presentation, amongst other pathways (Fig. 7E). Monocyte DEGs were associated with bacterial responses, cell-cell adhesion, phagocytosis, and inflammatory response to antigenic stimulus, PMN-1 DEGs were associated with viral responses, and Mac-2 DEGs were associated with ribosome biogenesis and assembly (Fig. 7E). These findings suggest that myeloid cells from lupus prone mice are broadly inflammatory and have altered antigen presentation pathway activity, with notable subset level differences in interferon response and ribosome processing.
We next used flow cytometry to validate these myeloid cell clusters and gene expression changes. To broadly identify splenic myeloid cells, we used dual staining for CD11c (protein name for Itgax) and CD11b (protein name for Itgam). We identified two distinct populations that were double positive for CD11c and CD11b (Fig. 8A), which we named DP1 (CD11chiCD11b+) and DP2 (CD11cmedCD11b+). As previously described (16, 19) and confirmed by scRNA-seq (Fig. 7C), myeloid cells were expanded in SLE.yaa mice, with increased relative frequency of DP1, DP2, and CD11c populations (Fig. 8B). Within the DP1 population, we also identified the emergence of a Fcrl5+ and CD16.2+ (protein name for Fcgr4) population in SLE.yaa mice likely representing our Mac-2 cluster, and a CD5L+ population, likely representing our Mac-3 cluster (Fig. 8A). Differential gene expression was validated in macrophages (F4/80+CD68+), DP1, DP2, and CD11c cells (Fig. 8B), including increased expression of CD31 (protein name for Pecam1), decreased expression of CD16/32 (protein name for Fcgr3), and decreased expression of CD74 in SLE.yaa mice. As observed by scRNA-seq, not all protein level changes were significantly altered in all myeloid subsets, suggesting subset level differences in myeloid phenotypes. Longitudinal flow cytometric profiling revealed that these myeloid subpopulations emerged between 12–15 weeks of age in SLE.yaa mice and persisted up to 21 weeks (Fig. S4A), suggesting that Mac-2 and Mac-3 represent stable states that emerge prior to development of pathologic autoimmunity.
Figure 8. Myeloid cell differential gene expression is validated by flow cytometry and histology.

(A) Flow cytometry contour plots of gating strategy to identify DP1 (CD11chiCD11b+), DP2 (CD11cmedCD11b+), and CD11c (CD11c+CD11b−) in B6 (left) and SLE.yaa (right) mice.
(B) Flow cytometric quantification of indicated proteins in macrophage (Mϕ; F4/80+CD68+), DP1, DP2, or CD11c cells from B6 (black) and SLE.yaa (red) mice.
(C) Confocal microscopy of spleens from B6 (top) or SLE.yaa (bottom) mice stained for indicated markers. Insets (below) show higher magnification. White arrows indicate myeloid cells that are positive for CD5L, CD74, CD16/32, or CD16.2. Hollow arrowhead indicates CD5L expression by follicular dendritic cells (FDC).
To visualize the spatial distribution of myeloid subsets observed by scRNA-seq, we performed immunofluorescence of SLE.yaa spleens for markers defined by scRNA-seq. Follicular architecture was disrupted in SLE.yaa mice, with loss of germinal center organization and CD169+ marginal zone macrophages (Fig. S4B). CD11c, CD11b, and double positive myeloid cells were no longer excluded to interfollicular regions, but were instead dispersed throughout the spleen, including within white pulp (Fig. S4B). Increased expression of CD5L and CD16.2 and decreased expression of CD74 and CD16/32 amongst myeloid cells was validated by confocal microscopy (Fig. 8C). Myeloid subsets expressing CD5L or CD16.2 were widely distributed in SLE.yaa spleens, located both near and far from germinal centers (Fig. S4B). CD74 was also expressed by B cells, which also downregulated its expression in SLE.yaa spleens (Fig. 8C), confirming B cell scRNA-seq observations (Fig. 3F). FDCs were not efficiently captured by scRNA-seq (Fig. 7A) but are easily visualized by immunofluorescence using the complement receptor CD21/35 (Fig. S4B). In contrast to our myeloid observations, we identified robust expression of CD5L on FDCs in immunized B6 spleens, which was lost in SLE.yaa spleens (Fig. 8C). CD5L expression has previously been described in macrophages and lymphocytes (108), but this is the first observation on FDCs in situ. These histologic findings not only validate our scRNA-seq observations, but also lend spatial insight towards follicular disorganization in lupus prone mice.
Myeloid cells from lupus prone mice are less capable of presenting antigen
Given the profound myeloid subset alterations and potentially disrupted antigen processing pathways in lupus prone mice, we next sought to identify the functional consequences of the myeloid gene expression changes we observed by scRNA-seq. Confirming the downregulation of antigen presentation related genes (H2.Aa, H2.Eb1, H2.Ab1, H2.DMa, Cd74) in Mac-1, Mac-2, and Mac-3 cells from SLE.yaa mice, we observed decreased I-A/I-E expression in macrophages, DP1, and CD11c cells by flow cytometry (Fig. 9A). MHC class II expression was most decreased in DP1 cells (Fig. 9A), which include subsets representative of the Mac-2 and Mac-3 clusters identified by scRNA-seq (Fig. 8A). These data suggest that the novel Fcrl5 and Cd5l expressing macrophage populations that emerge in SLE.yaa mice present less antigen via MHC class II.
Figure 9. Myeloid cells from lupus prone mice are less capable of presenting antigen to CD4 cells.

(A) Flow cytometry histograms (left) and quantification (right) of I-A/I-E expression in macrophage (Mϕ; F4/80+CD68+), DP1 (CD11chiCD11b+), DP2 (CD11cmedCD11b+), and CD11c (CD11c+CD11b−) cells from B6 (black) or SLE.yaa (red) mice.
(B) Flow cytometry histograms (left) and quantification (right) of CellTrace Violet (CTV), CD44, CD69, ICOS, or PD-1 expression in OT-II CD45.1+ CD4 cells following co-culture with splenocytes isolated from B6 (blue) or SLE.yaa (red) mice with or without ovalbumin (OVA). Data are representative of four independent experiments.
To test whether lower I-A/I-E expression leads to decreased ability to activate antigen-specific CD4 responses, we performed an in vitro co-culture experiment with antigen loaded splenocytes and CD4 cells. Splenocytes from SLE.yaa mice loaded with ovalbumin were less capable of stimulating OTII CD4 T cell proliferation in a concentration-dependent manner (Fig. 9B). In the absence of antigen, co-culture with SLE.yaa splenocytes led to a small but significant increase in CD4 proliferation, albeit to a much smaller degree than antigen or polyclonal TCR stimulation with anti-CD3 and anti-CD28 (Fig. 9B). Similar decreases in CD4 responsiveness to SLE.yaa splenocyte antigen presentation was observed based on CD44, CD69, ICOS, and PD-1 expression (Fig. 9B). These results suggest that although SLE.yaa splenocytes might provide antigen-independent stimulation to CD4 cells, they have reduced ability to process and present antigen to stimulate cognate CD4 responses.
To identify cellular interactions beyond antigen presentation that might contribute to loss of tolerance, we applied CellPhoneDB (50) to our dataset. Interaction scores were calculated for known receptor-ligand pairs between all clusters identified by scRNA-seq. Interaction scores were largely similar between SLE.yaa and B6 mice, with the largest differences observed in the CEACAM1/CD209 and CSF1/SIRPA pathways (Fig. 10A). CEACAM1 is an adhesion molecule with isoform and post-translational modification dependent ability to modulate inflammation (109), while CD209, also known as DC-SIGN, is a C-type lectin that mediates DC rolling and phagocyte activation (110). DC-SIGN binding to CEACAM1 through Lewis(x) moieties promotes neutrophil-DC interactions that modulate T cell responses (111). CSF1 is a growth factor that promotes macrophage differentiation (112), while SIRPA is an inhibitory receptor that prevents phagocytosis (113). The difference in interaction scores in these pathways emphasizes the prominence of altered myeloid signaling in SLE.yaa mice.
Figure 10. Lymphocytes and myeloid cells have differential ligand-receptor interactions in lupus prone mice.

(A) Scatter plot comparing CellPhoneDB ligand-receptor interaction scores between B6 and SLE.yaa mice. Interactions are colored according to the absolute difference in scores between B6 and SLE.yaa mice.
(B) Heatmaps of CellPhoneDB composite interaction scores between cell type clusters in B6 (left) or SLE.yaa (right) mice.
(C) Dot plot of CellPhoneDB ligand-receptor interaction scores of selected ligand-receptor pairs (rows) between cell type clusters in B6 (left) or SLE.yaa (right) mice. Color represents interaction score and size represents adjusted P-value.
To gain insight into broad differences in cellular interactions, the total of all interaction scores for each cluster-cluster combination was compared between genotypes. SLE.yaa mice had increased reaction scores between most cell types, with the greatest increases observed between DC and CD4 cells and between macrophages and B cells (Fig. 10B). To compare these altered interactions at the individual receptor-ligand level, we visualized all significant curated interactions (Fig. S5). These analyses highlighted specific interactions of biological relevance altered in SLE.yaa mice, such as persistence of CD40/CD40LG interactions between CD4 and B cells but not between CD4 and DCs in SLE.yaa mice (Fig. 10C). CECAM1/CD209 signaling between DCs and B cells also decreased in SLE.yaa mice, while CSF1/SIRPA signaling between DCs and B-ISG and CD4 cells increased (Fig. 10C). These findings highlight altered cellular interactions, namely between innate and adaptive immune cells, that potentially contribute to the myeloid dysfunction observed in SLE.yaa mice.
Discussion
In this Resource we present a transcriptomic and clonal dataset of lupus prone mice at single cell resolution. Paired scRNA-seq, scBCR-seq, and scTCR-seq of splenocytes from SLE.yaa mice identified cluster, transcriptomic, and clonal differences amongst myeloid and lymphocyte populations in autoimmune disease. While both preclinical and therapeutic study of SLE has focused on adaptive immune cells (4, 26), our findings highlight a disrupted and dysfunctional myeloid compartment as a potential therapeutic target in SLE. We not only confirm previously described myeloid expansion in SLE.yaa mice (16, 18, 19, 114), but we also identify two novel myeloid subpopulations defined by Cd5l and Fcrl5 expression that emerge in SLE.yaa mice. CD5L signaling can promote an anti-inflammatory cytokine response to TLR activation and M2 macrophage polarization (105, 105, 106), suppress DAMP mediated inflammation (115), and restrain pathogenic Th17 polarization (107), although a pathogenic role in autoantibody disease has not been described. Our observation of paradoxical loss of CD5L expression on FDCs in lupus prone mice suggest cell type dependent regulation in autoimmune disease.
Our newly identified myeloid clusters also exhibited decreased antigen presentation related genes, broadly suppressed metabolism, and decreased inflammatory receptor-ligand interactions, supporting the hypothesis that these myeloid subsets are less inflammatory despite being expanded in SLE.yaa mice. This is consistent with our observation of reduced antigen-specific CD4 activation by SLE.yaa splenocytes, which supports previous reports of myeloid dysfunction in SLE patients (116–120). While prior studies attribute this to serologic factors present in SLE (117, 121, 122), our co-culture experiments are consistent with myeloid cell intrinsic dysfunction, although are limited by use of a heterogenous antigen presenting cell population. Alternatively, reduced antigen specific CD4 activation in our co-culture assay might be due to differences in antigen presenting cell co-inhibitory receptor expression or frequency in SLE.yaa mice. We hypothesize that emergence and follicular entry of a suppressive myeloid subset in SLE.yaa mice is a homeostatic response to excessive chronic inflammation and accumulation of cellular debris, explaining the decreased adaptive immune responses to foreign pathogens or immunization observed in SLE patients (123–127). While detailed functional characterization and human validation of these myeloid subsets are necessary, these results introduce a novel therapeutic approach for SLE, with particular emphasis on myeloid directed therapy.
The cell type agnostic nature of our dataset allowed us to assess a range of potential mechanisms driving SLE.yaa pathology beyond the myeloid compartment. In contrast to previous reports of MZ B cell expansion in B6.Sle1.Sle2.Sle3 mice (65), we observed MZ B cell contraction and upregulation of CCR6 in SLE.yaa mice. RNA velocity and clonotypic analyses suggested that this is due to MZ B cell conversion to PCs, supporting previous reports of activation of extrafollicular autoreactive MZ B cells towards antibody secreting cells (63–65). Given their lowered activation threshold, polyreactive BCRs, and ability to rapidly differentiate to PCs without T cell help (69, 86, 87), we hypothesize that MZ B cell differentiation to PCs represents a major source of autoantibodies in SLE.yaa mice. We also observed both previously described and novel phenotypic changes in other B cell compartments, including broadly increased glycolysis and oxidative phosphorylation, increased expression of Slamf6, Cxcr3, Tbx21, Itgax, and Ccr6, and decreased expression of Cr2, Cd74, Cd24, Tnfrsf13b, and Tnfrsf13c at the gene and protein level. Recapitulation of previous findings, including therapeutic targets under active preclinical investigation such as CD74 (78, 79) or recently FDA approved such as BAFF targeting with belimumab (76, 77), supports the therapeutic potential of our newly identified potential targets for SLE.
CD8 abnormalities are observed in SLE patients and postulated to contribute to autoimmunity (128), including cytolytic deficiency of peripheral CD8 cells (129–131), expansion of effector memory tissue infiltrating CD8 cells (132–134), and impaired suppressive activity of regulatory CD8 cells (135–139). Consistent with these findings, we observed a relative increase and clonal expansion of effector but not other CD8 subsets in lupus prone mice. However, in contrast to circulating effector CD8s (129), these splenic effector CD8s appeared to have increased cytotoxicity due to increased Eomes and Gzmk expression. This supports more recent scRNA-seq observations from SLE patient kidney biopsies in which tissue resident CD8 cells increased GZMB and GZMK expression (38), highlighting the modulatory ability of tissue residence and potential for in situ therapeutic selectivity. Detailed single cell metabolic modeling revealed that in contrast to CD4 cells which broadly increased metabolic activity, CD8 cells exhibited nuanced tuning of individual metabolic reactions. Oxidative stress, impaired mitochondrial respiration, and mTORC1 signaling contribute to CD8 exhaustion and dysfunction in SLE (140–145), supporting our observation of elevated NAD metabolism, reactive oxygen species detoxification, and fatty acid oxidation in CD8 cells. Given the CD8 specific changes in gene expression and metabolism in our dataset, we hypothesize that subtle metabolic rewiring influenced by tissue residence drives CD8 dysfunction and conversion to effector phenotypes, representing a unique therapeutic approach for SLE.
CD4 cells were also transcriptionally and clonally distinct in SLE.yaa mice, consistent with prior observations in other mouse models of lupus and human disease (37, 146–148). Metabolic profiling identified increased CD4 glycolysis and oxidative phosphorylation, a previously validated therapeutic target for murine lupus (149). Although TREG cells are dysfunctional in NZBxNZW F1 and MRL/lpr mouse models of lupus (150–152), we observed paradoxically increased TREG and decreased TFH proliferation in SLE.yaa mice, which more closely resembles the heterogenous TREG phenotypes of human SLE (153–157). CD4 cells also upregulated CXCR3 and CD153, which regulate CD4 trafficking (96) and germinal center initiation (95), respectfully, representing potential therapeutic targets for SLE. Despite our ability to distinguish SLE.yaa from wild type TCR repertoires in silico, we also observed convergence of algorithmically predicted TCR specificity between autoimmune and non-autoimmune mice, consistent with our previous profiling of follicular T cells in a bone marrow chimera model of autoantibody disease (37). We hypothesize that autoimmune and non-autoimmune TCR specificity convergence reflects TCR cross-reactivity and is responsible for the ability of peripheral CD4 cells to provide help to autoreactive B cells despite central tolerance mechanisms (158–161). Reflecting our prior hypothesis of MZ B cell follicular entry and PC conversion, we predict that polyreactive MZ B cells with a lower activation threshold help polarize cross-reactive CD4 cells towards self. This model is consistent with molecular mimicry as a potential etiology of SLE, in which TCRs reactive to both foreign and self antigens may trigger autoreactive B cell responses following infection (162, 163).
This dataset, however, is subject to several limitations. In this study we profile splenocytes from SLE.yaa mice, which might not necessarily capture the immune cell phenotypes of human disease. Immune cell profiling of the blood or inflamed tissues such as the kidney, alternative mouse models of lupus – particularly those in which female mice may be used, different stages and severity of disease, and human biopsies are likely to yield both complementary and unique observations. Indeed, changes in splenic immune cell populations or phenotypes might reflect leukocyte migration or emigration from the spleen to other secondary lymphoid organs or peripheral tissues (164, 165). Nevertheless, even when comparing our dataset to scRNA-seq performed on human renal biopsies (38), we observed a set of concordant gene expression changes. By enriching for CD45+ cells prior to sequencing we were unable to capture CD45− splenocyte populations such as FDCs and might also be biased by modulation of CD45 expression amongst certain cell types. Our conclusions here might represent pathogenic drivers of autoimmunity or homeostatic feedback from already established autoimmunity. Furthermore, how the polymorphisms in the Sle1 and yaa loci, namely Slam/Cd2, Fcgr2b, and Tlr7, directly contribute to the phenotypes described here also remains unknown. Future experiments are necessary to test these mechanistic hypotheses and potential therapeutic targets.
Here we present extensive transcriptional and clonotypic changes in lupus prone mice, that may serve as a resource for ongoing profiling of SLE (166, 167). Characterization of novel myeloid subsets, CD8 metabolism, and MZ B cell loss highlights disease mechanisms for potential therapeutic targeting. Profiling of the TCR repertoire led to a potential model for B-T cell collaboration in loss of germinal center tolerance. Beyond its clear role in SLE pathogenesis, autoreactive germinal center biology and the insight gained here is broadly applicable to both autoimmune disease and our understanding of mechanisms of peripheral tolerance. Collectively, these findings emphasize the complex heterogeneity of the SLE immune landscape while providing potential novel therapeutic targets, particularly myeloid cell substates, for further interrogation.
Data availability
All scRNA-seq, scBCR-seq, and scTCR-seq data generated in this study have been deposited in the GEO database and are available under accession number GSE192762 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE192762).
Code availability
Relevant code are available through github (https://github.com/egarren/scSLE).
Supplementary Material
Key Points.
Lupus susceptibility loci lead to emergence of novel myeloid subpopulations
Myeloid cells from lupus mice have decreased metabolism and antigen presentation
Algorithmic specificity prediction distinguishes TCRs from autoimmune mice
Acknowledgements
We thank H. Leung of the Optical Microscopy Core and J. Moore of the Flow and Imaging Cytometry Resource at the PCMM for technical assistance.
E.A.G. was supported by NIH T32GM007753, T32AI007529, and F30AI160909. M.C.C. is supported by NIH R01AR074105.
Footnotes
Competing Interests
The authors declare no competing interests.
References
- 1.Tsokos GC 2020. Autoimmunity and organ damage in systemic lupus erythematosus. Nat. Immunol. 21: 605–614. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Tsokos GC, Lo MS, Reis PC, and Sullivan KE. 2016. New insights into the immunopathogenesis of systemic lupus erythematosus. Nat. Rev. Rheumatol. 12: 716–730. [DOI] [PubMed] [Google Scholar]
- 3.Basta F, Fasola F, Triantafyllias K, and Schwarting A. 2020. Systemic Lupus Erythematosus (SLE) Therapy: The Old and the New. Rheumatol. Ther. 7: 433–446. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Lo MS, and Tsokos GC. 2018. Recent developments in SLE pathogenesis and applications for therapy. Curr. Opin. Rheumatol. 30: 222–228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Moore E, Reynolds JA, Davidson A, Gallucci S, Morel L, Rao DA, Young HA, and Putterman C. 2021. Promise and complexity of lupus mouse models. Nat. Immunol. 22: 683–686. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Mohan C, and Putterman C. 2015. Genetics and pathogenesis of systemic lupus erythematosus and lupus nephritis. Nat. Rev. Nephrol. 11: 329–341. [DOI] [PubMed] [Google Scholar]
- 7.Wakeland EK, Liu K, Graham RR, and Behrens TW. 2001. Delineating the Genetic Basis of Systemic Lupus Erythematosus. Immunity 15: 397–408. [DOI] [PubMed] [Google Scholar]
- 8.Deng Y, and Tsao BP. 2010. Genetic susceptibility to systemic lupus erythematosus in the genomic era. Nat. Rev. Rheumatol. 6: 683–692. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Morel L 2010. Genetics of SLE: evidence from mouse models. Nat. Rev. Rheumatol. 6: 348–357. [DOI] [PubMed] [Google Scholar]
- 10.Song K, Liu L, Zhang X, and Chen X. 2020. An update on genetic susceptibility in lupus nephritis. Clin. Immunol. 210: 108272. [DOI] [PubMed] [Google Scholar]
- 11.Richard ML, and Gilkeson G. 2018. Mouse models of lupus: what they tell us and what they don’t. Lupus Sci. Med. 5: e000199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Morel L, Croker BP, Blenman KR, Mohan C, Huang G, Gilkeson G, and Wakeland EK. 2000. Genetic reconstitution of systemic lupus erythematosus immunopathology with polycongenic murine strains. Proc. Natl. Acad. Sci. U. S. A. 97: 6670–6675. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Morel L, Mohan C, Yu Y, Croker BP, Tian N, Deng A, and Wakeland EK. 1997. Functional dissection of systemic lupus erythematosus using congenic mouse strains. J. Immunol. 158: 6019–6028. [PubMed] [Google Scholar]
- 14.Morel L, Blenman KR, Croker BP, and Wakeland EK. 2001. The major murine systemic lupus erythematosus susceptibility locus, Sle1, is a cluster of functionally related genes. Proc. Natl. Acad. Sci. 98: 1787–1792. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Wandstrat AE, Nguyen C, Limaye N, Chan AY, Subramanian S, Tian X-H, Yim Y-S, Pertsemlidis A, Garner HR, Morel L, and Wakeland EK. 2004. Association of Extensive Polymorphisms in the SLAM/CD2 Gene Cluster with Murine Lupus. Immunity 21: 769–780. [DOI] [PubMed] [Google Scholar]
- 16.Fairhurst A-M, Hwang S, Wang A, Tian X-H, Boudreaux C, Zhou XJ, Casco J, Li Q-Z, Connolly JE, and Wakeland EK. 2008. Yaa-autoimmune phenotypes are conferred by an overexpression of TLR7. Eur. J. Immunol. 38: 1971–1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Pisitkun P, Deane JA, Difilippantonio MJ, Tarasenko T, Satterthwaite AB, and Bolland S. 2006. Autoreactive B cell responses to RNA-related antigens due to TLR7 gene duplication. Science 312: 1669–1672. [DOI] [PubMed] [Google Scholar]
- 18.Subramanian S, Tus K, Li Q-Z, Wang A, Tian X-H, Zhou J, Liang C, Bartov G, McDaniel LD, Zhou XJ, Schultz RA, and Wakeland EK. 2006. A Tlr7 translocation accelerates systemic autoimmunity in murine lupus. Proc. Natl. Acad. Sci. 103: 9970–9975. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Maeda K, Malykhin A, Teague-Weber BN, Sun X-H, Farris AD, and Coggeshall KM. 2009. Interleukin-6 aborts lymphopoiesis and elevates production of myeloid cells in systemic lupus erythematosus–prone B6.Sle1.Yaa animals. Blood 113: 4534–4540. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Maier-Moore JS, Horton CG, Mathews SA, Confer AW, Lawrence C, Pan Z, Coggeshall KM, and Farris AD. 2014. Interleukin-6 Deficiency Corrects Nephritis, Lymphocyte Abnormalities, and Secondary Sjögren’s Syndrome Features in Lupus-Prone Sle1.Yaa Mice. Arthritis Rheumatol. 66: 2521–2531. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Wang A, Fairhurst A-M, Tus K, Subramanian S, Liu Y, Lin F, Igarashi P, Zhou XJ, Batteux F, Wong D, Wakeland EK, and Mohan C. 2009. CXCR4/CXCL12 hyperexpression plays a pivotal role in the pathogenesis of lupus. J. Immunol. Baltim. Md 1950 182: 4448–4458. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Choi J-Y, Seth A, Kashgarian M, Terrillon S, Fung E, Huang L, Wang LC, and Craft J. 2017. Disruption of Pathogenic Cellular Networks by IL-21 Blockade Leads to Disease Amelioration in Murine Lupus. J. Immunol. 198: 2578–2588. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Wu Y-Y, Kumar R, Iida R, Bagavant H, and Alarcon-Riquelme M. 2016. BANK1 Controls IgG Production Through TLR7-Dependent STAT1 Activation in a Lupus Model. J. Immunol. 196: 48.12–48.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Marion TN, and Postlethwaite AE. 2014. Chance, genetics, and the heterogeneity of disease and pathogenesis in systemic lupus erythematosus. Semin. Immunopathol. 36: 495–517. [DOI] [PubMed] [Google Scholar]
- 25.Nehar-Belaid D, Hong S, Marches R, Chen G, Bolisetty M, Baisch J, Walters L, Punaro M, Rossi RJ, Chung C-H, Huynh RP, Singh P, Flynn WF, Tabanor-Gayle J-A, Kuchipudi N, Mejias A, Collet MA, Lucido AL, Palucka K, Robson P, Lakshminarayanan S, Ramilo O, Wright T, Pascual V, and Banchereau JF. 2020. Mapping systemic lupus erythematosus heterogeneity at the single-cell level. Nat. Immunol. 21: 1094–1106. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Allen ME, Rus V, and Szeto GL. 2021. Leveraging Heterogeneity in Systemic Lupus Erythematosus for New Therapies. Trends Mol. Med. 27: 152–171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Chan VS-F, Nie Y-J, Shen N, Yan S, Mok M-Y, and Lau C-S. 2012. Distinct roles of myeloid and plasmacytoid dendritic cells in systemic lupus erythematosus. Autoimmun. Rev. 11: 890–897. [DOI] [PubMed] [Google Scholar]
- 28.Crispin JC, and Alcocer-Varela J. 2007. The role myeloid dendritic cells play in the pathogenesis of systemic lupus erythematosus. Autoimmun. Rev. 6: 450–456. [DOI] [PubMed] [Google Scholar]
- 29.Grigoriou M, Banos A, Filia A, Pavlidis P, Giannouli S, Karali V, Nikolopoulos D, Pieta A, Bertsias G, Verginis P, Mitroulis I, and Boumpas DT. 2020. Transcriptome reprogramming and myeloid skewing in haematopoietic stem and progenitor cells in systemic lupus erythematosus. Ann. Rheum. Dis. 79: 242–253. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Stuart T, Butler A, Hoffman P, Hafemeister C, Papalexi E, Mauck WM, Hao Y, Stoeckius M, Smibert P, and Satija R. 2019. Comprehensive Integration of Single-Cell Data. Cell 177: 1888–1902.e21. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Hafemeister C, and Satija R. 2019. Normalization and variance stabilization of single-cell RNA-seq data using regularized negative binomial regression. Genome Biol. 20: 296. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Butler A, Hoffman P, Smibert P, Papalexi E, and Satija R. 2018. Integrating single-cell transcriptomic data across different conditions, technologies, and species. Nat. Biotechnol. 36: 411–420. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Wolf FA, Hamey FK, Plass M, Solana J, Dahlin JS, Göttgens B, Rajewsky N, Simon L, and Theis FJ. 2019. PAGA: graph abstraction reconciles clustering with trajectory inference through a topology preserving map of single cells. Genome Biol. 20. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.La Manno G, Soldatov R, Zeisel A, Braun E, Hochgerner H, Petukhov V, Lidschreiber K, Kastriti ME, Lönnerberg P, Furlan A, Fan J, Borm LE, Liu Z, van Bruggen D, Guo J, He X, Barker R, Sundström E, Castelo-Branco G, Cramer P, Adameyko I, Linnarsson S, and Kharchenko PV. 2018. RNA velocity of single cells. Nature 560: 494–498. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Bergen V, Lange M, Peidli S, Wolf FA, and Theis FJ. 2020. Generalizing RNA velocity to transient cell states through dynamical modeling. Nat. Biotechnol. 38: 1408–1414. [DOI] [PubMed] [Google Scholar]
- 36.Finak G, McDavid A, Yajima M, Deng J, Gersuk V, Shalek AK, Slichter CK, Miller HW, McElrath MJ, Prlic M, Linsley PS, and Gottardo R. 2015. MAST: a flexible statistical framework for assessing transcriptional changes and characterizing heterogeneity in single-cell RNA sequencing data. Genome Biol. 16. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Akama-Garren EH, van den Broek T, Simoni L, Castrillon C, van der Poel CE, and Carroll MC. 2021. Follicular T cells are clonally and transcriptionally distinct in B cell-driven mouse autoimmune disease. Nat. Commun. 12: 6687. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Arazi A, Rao DA, Berthier CC, Davidson A, Liu Y, Hoover PJ, Chicoine A, Eisenhaure TM, Jonsson AH, Li S, Lieb DJ, Zhang F, Slowikowski K, Browne EP, Noma A, Sutherby D, Steelman S, Smilek DE, Tosta P, Apruzzese W, Massarotti E, Dall’Era M, Park M, Kamen DL, Furie RA, Payan-Schober F, Pendergraft WF, McInnis EA, Buyon JP, Petri MA, Putterman C, Kalunian KC, Woodle ES, Lederer JA, Hildeman DA, Nusbaum C, Raychaudhuri S, Kretzler M, Anolik JH, Brenner MB, Wofsy D, Hacohen N, and Diamond B. 2019. The immune cell landscape in kidneys of patients with lupus nephritis. Nat. Immunol. 20: 902–914. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Yu G, Wang L-G, Han Y, and He Q-Y. 2012. clusterProfiler: an R Package for Comparing Biological Themes Among Gene Clusters. OMICS J. Integr. Biol. 16: 284–287. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Ashburner M, Ball CA, Blake JA, Botstein D, Butler H, Cherry JM, Davis AP, Dolinski K, Dwight SS, Eppig JT, Harris MA, Hill DP, Issel-Tarver L, Kasarskis A, Lewis S, Matese JC, Richardson JE, Ringwald M, Rubin GM, and Sherlock G. 2000. Gene Ontology: tool for the unification of biology. Nat. Genet. 25: 25–29. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.The Gene Ontology Consortium. 2019. The Gene Ontology Resource: 20 years and still GOing strong. Nucleic Acids Res. 47: D330–D338. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Subramanian A, Tamayo P, Mootha VK, Mukherjee S, Ebert BL, Gillette MA, Paulovich A, Pomeroy SL, Golub TR, Lander ES, and Mesirov JP. 2005. Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles. Proc. Natl. Acad. Sci. U. S. A. 102: 15545–15550. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Liberzon A, Subramanian A, Pinchback R, Thorvaldsdóttir H, Tamayo P, and Mesirov JP. 2011. Molecular signatures database (MSigDB) 3.0. Bioinformatics 27: 1739–1740. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Gupta NT, Vander Heiden JA, Uduman M, Gadala-Maria D, Yaari G, and Kleinstein SH. 2015. Change-O: a toolkit for analyzing large-scale B cell immunoglobulin repertoire sequencing data. Bioinformatics 31: 3356–3358. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Nouri N, and Kleinstein SH. 2018. A spectral clustering-based method for identifying clones from high-throughput B cell repertoire sequencing data. Bioinformatics 34: i341–i349. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Borcherding N, Bormann NL, and Kraus G. 2020. scRepertoire: An R-based toolkit for single-cell immune receptor analysis. F1000Research 9: 47. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Sidhom J-W, Larman HB, Pardoll DM, and Baras AS. 2021. DeepTCR is a deep learning framework for revealing sequence concepts within T-cell repertoires. Nat. Commun. 12: 1605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Wagner A, Wang C, Fessler J, DeTomaso D, Avila-Pacheco J, Kaminski J, Zaghouani S, Christian E, Thakore P, Schellhaass B, Akama-Garren E, Pierce K, Singh V, Ron-Harel N, Douglas VP, Bod L, Schnell A, Puleston D, Sobel RA, Haigis M, Pearce EL, Soleimani M, Clish C, Regev A, Kuchroo VK, and Yosef N. 2021. Metabolic modeling of single Th17 cells reveals regulators of autoimmunity. Cell 184: 4168–4185.e21. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Kanehisa M, Furumichi M, Tanabe M, Sato Y, and Morishima K. 2017. KEGG: new perspectives on genomes, pathways, diseases and drugs. Nucleic Acids Res. 45: D353–D361. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Efremova M, Vento-Tormo M, Teichmann SA, and Vento-Tormo R. 2020. CellPhoneDB: inferring cell–cell communication from combined expression of multi-subunit ligand–receptor complexes. Nat. Protoc. 15: 1484–1506. [DOI] [PubMed] [Google Scholar]
- 51.Huang H, Wang C, Rubelt F, Scriba TJ, and Davis MM. 2020. Analyzing the Mycobacterium tuberculosis immune response by T-cell receptor clustering with GLIPH2 and genome-wide antigen screening. Nat. Biotechnol. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Bettencourt IA, and Powell JD. 2017. Targeting Metabolism as a Novel Therapeutic Approach to Autoimmunity, Inflammation, and Transplantation. J. Immunol. 198: 999–1005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Buck MD, Sowell RT, Kaech SM, and Pearce EL. 2017. Metabolic Instruction of Immunity. Cell 169: 570–586. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Jung J, Zeng H, and Horng T. 2019. Metabolism as a guiding force for immunity. Nat. Cell Biol. 21: 85–93. [DOI] [PubMed] [Google Scholar]
- 55.Makowski L, Chaib M, and Rathmell JC. 2020. Immunometabolism: From basic mechanisms to translation. Immunol. Rev. 295: 5–14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.O’Neill LAJ, Kishton RJ, and Rathmell J. 2016. A guide to immunometabolism for immunologists. Nat. Rev. Immunol. 16: 553–565. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57.Yang Z, Matteson EL, Goronzy JJ, and Weyand CM. 2015. T-cell metabolism in autoimmune disease. Arthritis Res. Ther. 17: 29. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Shin B, Benavides GA, Geng J, Koralov SB, Hu H, Darley-Usmar VM, and Harrington LE. 2020. Mitochondrial Oxidative Phosphorylation Regulates the Fate Decision between Pathogenic Th17 and Regulatory T Cells. Cell Rep. 30: 1898–1909.e4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Daneshmandi S, Cassel T, Lin P, Higashi RM, Wulf GM, Boussiotis VA, Fan TW-M, and Seth P. 2021. Blockade of 6-phosphogluconate dehydrogenase generates CD8+ effector T cells with enhanced anti-tumor function. Cell Rep. 34: 108831. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Ghergurovich JM, García-Cañaveras JC, Wang J, Schmidt E, Zhang Z, TeSlaa T, Patel H, Chen L, Britt EC, Piqueras-Nebot M, Gomez-Cabrera MC, Lahoz A, Fan J, Beier UH, Kim H, and Rabinowitz JD. 2020. A small molecule G6PD inhibitor reveals immune dependence on pentose phosphate pathway. Nat. Chem. Biol. 16: 731–739. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Molineros JE, Yang W, Zhou X, Sun C, Okada Y, Zhang H, Heng Chua K, Lau Y-L, Kochi Y, Suzuki A, Yamamoto K, Ma J, Bang S-Y, Lee H-S, Kim K, Bae S-C, Zhang H, Shen N, Looger LL, and Nath SK. 2017. Confirmation of five novel susceptibility loci for systemic lupus erythematosus (SLE) and integrated network analysis of 82 SLE susceptibility loci. Hum. Mol. Genet. 26: 1205–1216. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Der E, Suryawanshi H, Morozov P, Kustagi M, Goilav B, Ranabothu S, Izmirly P, Clancy R, Belmont HM, Koenigsberg M, Mokrzycki M, Rominieki H, Graham JA, Rocca JP, Bornkamp N, Jordan N, Schulte E, Wu M, Pullman J, Slowikowski K, Raychaudhuri S, Guthridge J, James J, Buyon J, Tuschl T, and Putterman C. 2019. Tubular cell and keratinocyte single-cell transcriptomics applied to lupus nephritis reveal type I IFN and fibrosis relevant pathways. Nat. Immunol. 20: 915–927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Palm A-KE, and Kleinau S. 2021. Marginal zone B cells: From housekeeping function to autoimmunity? J. Autoimmun. 119: 102627. [DOI] [PubMed] [Google Scholar]
- 64.Sang A, Zheng Y-Y, and Morel L. 2014. Contributions of B cells to lupus pathogenesis. Mol. Immunol. 62: 329–338. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Zhou Z, Niu H, Zheng Y-Y, and Morel L. 2011. Autoreactive marginal zone B cells enter the follicles and interact with CD4+ T cells in lupus-prone mice. BMC Immunol. 12: 7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 66.Haghverdi L, Büttner M, Wolf FA, Buettner F, and Theis FJ. 2016. Diffusion pseudotime robustly reconstructs lineage branching. Nat. Methods 13: 845–848. [DOI] [PubMed] [Google Scholar]
- 67.Pillai S, and Cariappa A. 2009. The follicular versus marginal zone B lymphocyte cell fate decision. Nat. Rev. Immunol. 9: 767–777. [DOI] [PubMed] [Google Scholar]
- 68.Jenks SA, Cashman KS, Woodruff MC, Lee FE-H, and Sanz I. 2019. Extrafollicular responses in humans and SLE. Immunol. Rev. 288: 136–148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 69.Malkiel S, Barlev AN, Atisha-Fregoso Y, Suurmond J, and Diamond B. 2018. Plasma Cell Differentiation Pathways in Systemic Lupus Erythematosus. Front. Immunol. 9: 427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 70.Soni C, Perez OA, Voss WN, Pucella JN, Serpas L, Mehl J, Ching KL, Goike J, Georgiou G, Ippolito GC, Sisirak V, and Reizis B. 2020. Plasmacytoid Dendritic Cells and Type I Interferon Promote Extrafollicular B Cell Responses to Extracellular Self-DNA. Immunity 52: 1022–1038.e7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 71.Rusinova I, Forster S, Yu S, Kannan A, Masse M, Cumming H, Chapman R, and Hertzog PJ. 2013. Interferome v2.0: an updated database of annotated interferon-regulated genes. Nucleic Acids Res. 41: D1040–1046. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 72.Banchereau J, and Pascual V. 2006. Type I Interferon in Systemic Lupus Erythematosus and Other Autoimmune Diseases. Immunity 25: 383–392. [DOI] [PubMed] [Google Scholar]
- 73.Radomir L, Cohen S, Kramer MP, Bakos E, Lewinsky H, Barak A, Porat Z, Bucala R, Stepensky P, Becker-Herman S, and Shachar I. 2017. T Cells Regulate Peripheral Naive Mature B Cell Survival by Cell–Cell Contact Mediated through SLAMF6 and SAP. J. Immunol. 199: 2745–2757. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 74.Cancro MP 2020. Age-Associated B Cells. Annu. Rev. Immunol. 38: 315–340. [DOI] [PubMed] [Google Scholar]
- 75.Giles JR, Kashgarian M, Koni PA, and Shlomchik MJ. 2015. B Cell–Specific MHC Class II Deletion Reveals Multiple Nonredundant Roles for B Cell Antigen Presentation in Murine Lupus. J. Immunol. 195: 2571–2579. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 76.Dooley M, Houssiau F, Aranow C, D’Cruz D, Askanase A, Roth D, Zhong Z, Cooper S, Freimuth W, and Ginzler E. 2013. Effect of belimumab treatment on renal outcomes: results from the phase 3 belimumab clinical trials in patients with SLE. Lupus 22: 63–72. [DOI] [PubMed] [Google Scholar]
- 77.Vincent FB, Morand EF, Schneider P, and Mackay F. 2014. The BAFF/APRIL system in SLE pathogenesis. Nat. Rev. Rheumatol. 10: 365–373. [DOI] [PubMed] [Google Scholar]
- 78.Wallace DJ, Figueras F, Wegener WA, and Goldenberg DM. 2021. Experience with milatuzumab, an anti-CD74 antibody against immunomodulatory macrophage migration inhibitory factor (MIF) receptor, for systemic lupus erythematosus (SLE). Ann. Rheum. Dis. 80: 954–955. [DOI] [PubMed] [Google Scholar]
- 79.Zhou Y, Chen H, Liu L, Yu X, Sukhova GK, Yang M, Zhang L, Kyttaris VC, Tsokos GC, Stillman IE, Ichimura T, Bonventre JV, Libby P, and Shi G-P. 2017. CD74 deficiency mitigates systemic lupus erythematosus-like autoimmunity and pathological findings in mice. J. Immunol. Baltim. Md 1950 198: 2568–2577. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 80.Carroll MC 2004. A protective role for innate immunity in systemic lupus erythematosus. Nat. Rev. Immunol. 4: 825–831. [DOI] [PubMed] [Google Scholar]
- 81.Prodeus AP, Goerg S, Shen L-M, Pozdnyakova OO, Chu L, Alicot EM, Goodnow CC, and Carroll MC. 1998. A Critical Role for Complement in Maintenance of Self-Tolerance. Immunity 9: 721–731. [DOI] [PubMed] [Google Scholar]
- 82.Sánchez E, Abelson A-K, Sabio JM, González-Gay MA, Ortego-Centeno N, Jiménez-Alonso J, de Ramón E, Sánchez-Román J, López-Nevot MA, Gunnarsson I, Svenungsson E, Sturfelt G, Truedsson L, Jönsen A, González-Escribano MF, Witte T, Alarcón-Riquelme ME, and Martín J. 2007. Association of a CD24 gene polymorphism with susceptibility to systemic lupus erythematosus. Arthritis Rheum. 56: 3080–3086. [DOI] [PubMed] [Google Scholar]
- 83.Lee AYS, and Körner H. 2019. The CCR6-CCL20 axis in humoral immunity and T-B cell immunobiology. Immunobiology 224: 449–454. [DOI] [PubMed] [Google Scholar]
- 84.Wiede F, Fromm PD, Comerford I, Kara E, Bannan J, Schuh W, Ranasinghe C, Tarlinton D, Winkler T, McColl SR, and Körner H. 2013. CCR6 is transiently upregulated on B cells after activation and modulates the germinal center reaction in the mouse. Immunol. Cell Biol. 91: 335–339. [DOI] [PubMed] [Google Scholar]
- 85.Muehlinghaus G, Cigliano L, Huehn S, Peddinghaus A, Leyendeckers H, Hauser AE, Hiepe F, Radbruch A, Arce S, and Manz RA. 2005. Regulation of CXCR3 and CXCR4 expression during terminal differentiation of memory B cells into plasma cells. Blood 105: 3965–3971. [DOI] [PubMed] [Google Scholar]
- 86.Cerutti A, Cols M, and Puga I. 2013. Marginal zone B cells: virtues of innatelike antibody-producing lymphocytes. Nat. Rev. Immunol. 13: 118–132. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 87.Lopes-Carvalho T, Foote J, and Kearney JF. 2005. Marginal zone B cells in lymphocyte activation and regulation. Curr. Opin. Immunol. 17: 244–250. [DOI] [PubMed] [Google Scholar]
- 88.Starlets D, Gore Y, Binsky I, Haran M, Harpaz N, Shvidel L, Becker-Herman S, Berrebi A, and Shachar I. 2006. Cell-surface CD74 initiates a signaling cascade leading to cell proliferation and survival. Blood 107: 4807–4816. [DOI] [PubMed] [Google Scholar]
- 89.Stumptner-Cuvelette P, and Benaroch P. 2002. Multiple roles of the invariant chain in MHC class II function. Biochim. Biophys. Acta 1542: 1–13. [DOI] [PubMed] [Google Scholar]
- 90.Hashimoto M, Yamashita Y, and Mori N. 2002. Immunohistochemical detection of CD79a expression in precursor T cell lymphoblastic lymphoma/leukaemias. J. Pathol. 197: 341–347. [DOI] [PubMed] [Google Scholar]
- 91.Lai R, Juco J, Lee SF, Nahirniak S, and Etches WS. 2000. Flow Cytometric Detection of CD79a Expression in T-Cell Acute Lymphoblastic Leukemias. Am. J. Clin. Pathol. 113: 823–830. [DOI] [PubMed] [Google Scholar]
- 92.Khan KD, Lindwall G, Maher SE, and Bothwell AL. 1990. Characterization of promoter elements of an interferon-inducible Ly-6E/A differentiation antigen, which is expressed on activated T cells and hematopoietic stem cells. Mol. Cell. Biol. 10: 5150–5159. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 93.Anderson AC, Joller N, and Kuchroo VK. 2016. Lag-3, Tim-3, and TIGIT: Co-inhibitory Receptors with Specialized Functions in Immune Regulation. Immunity 44: 989–1004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 94.Degn SE, van der Poel CE, Firl DJ, Ayoglu B, Al Qureshah FA, Bajic G, Mesin L, Reynaud C-A, Weill J-C, Utz PJ, Victora GD, and Carroll MC. 2017. Clonal Evolution of Autoreactive Germinal Centers. Cell 170: 913–926.e19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 95.Tahir S, Fukushima Y, Sakamoto K, Sato K, Fujita H, Inoue J, Uede T, Hamazaki Y, Hattori M, and Minato N. 2015. A CD153+CD4+ T Follicular Cell Population with Cell-Senescence Features Plays a Crucial Role in Lupus Pathogenesis via Osteopontin Production. J. Immunol. 194: 5725–5735. [DOI] [PubMed] [Google Scholar]
- 96.Groom JR, and Luster AD. 2011. CXCR3 in T cell function. Exp. Cell Res. 317: 620–631. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 97.Liu X, Zhang W, Zhao M, Fu L, Liu L, Wu J, Luo S, Wang L, Wang Z, Lin L, Liu Y, Wang S, Yang Y, Luo L, Jiang J, Wang X, Tan Y, Li T, Zhu B, Zhao Y, Gao X, Wan Z, Huang C, Fang M, Li Q, Peng H, Liao X, Chen J, Li F, Ling G, Zhao H, Luo H, Xiang Z, Liao J, Liu Y, Yin H, Long H, Wu H, Yang H, Wang J, and Lu Q. 2019. T cell receptor β repertoires as novel diagnostic markers for systemic lupus erythematosus and rheumatoid arthritis. Ann. Rheum. Dis. 78: 1070–1078. [DOI] [PubMed] [Google Scholar]
- 98.Kato T, Kurokawa M, Sasakawa H, Masuko-Hongo K, Matsui T, Sekine T, Tanaka C, Yamamoto K, and Nishioka K. 2000. Analysis of accumulated T cell clonotypes in patients with systemic lupus erythematosus. Arthritis Rheum. 43: 2712–2721. [DOI] [PubMed] [Google Scholar]
- 99.Mato T, Masuko K, Misaki Y, Hirose N, Ito K, Takemoto Y, Izawa K, Yamamori S, Kato T, Nishioka K, and Yamamoto K. 1997. Correlation of clonal T cell expansion with disease activity in systemic lupus erythematosus. Int. Immunol. 9: 547–554. [DOI] [PubMed] [Google Scholar]
- 100.Baumjohann D, Kageyama R, Clingan JM, Morar MM, Patel S, de Kouchkovsky D, Bannard O, Bluestone JA, Matloubian M, Ansel KM, and Jeker LT. 2013. The microRNA cluster miR-17∼92 promotes TFH cell differentiation and represses subset-inappropriate gene expression. Nat. Immunol. 14: 840–848. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 101.Yang XO, Pappu BP, Nurieva R, Akimzhanov A, Kang HS, Chung Y, Ma L, Shah B, Panopoulos AD, Schluns KS, Watowich SS, Tian Q, Jetten AM, and Dong C. 2008. T helper 17 lineage differentiation is programmed by orphan nuclear receptors ROR alpha and ROR gamma. Immunity 28: 29–39. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 102.Mason D 1998. A very high level of crossreactivity is an essential feature of the T-cell receptor. Immunol. Today 19: 395–404. [DOI] [PubMed] [Google Scholar]
- 103.Nelson RW, Beisang D, Tubo NJ, Dileepan T, Wiesner DL, Nielsen K, Wüthrich M, Klein BS, Kotov DI, Spanier JA, Fife BT, Moon JJ, and Jenkins MK. 2015. T Cell Receptor Cross-Reactivity between Similar Foreign and Self Peptides Influences Naive Cell Population Size and Autoimmunity. Immunity 42: 95–107. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 104.Sullivan RT, Kim CC, Fontana MF, Feeney ME, Jagannathan P, Boyle MJ, Drakeley CJ, Ssewanyana I, Nankya F, Mayanja-Kizza H, Dorsey G, and Greenhouse B. 2015. FCRL5 Delineates Functionally Impaired Memory B Cells Associated with Plasmodium falciparum Exposure. PLOS Pathog. 11: e1004894. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 105.Sanjurjo L, Aran G, Téllez É, Amézaga N, Armengol C, López D, Prats C, and Sarrias M-R. 2018. CD5L Promotes M2 Macrophage Polarization through Autophagy-Mediated Upregulation of ID3. Front. Immunol. 9: 480. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 106.Sanjurjo L, Amézaga N, Aran G, Naranjo-Gómez M, Arias L, Armengol C, Borràs FE, and Sarrias M-R. 2015. The human CD5L/AIM-CD36 axis: A novel autophagy inducer in macrophages that modulates inflammatory responses. Autophagy 11: 487–502. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 107.Wang C, Yosef N, Gaublomme J, Wu C, Lee Y, Clish CB, Kaminski J, Xiao S, Zu Horste GM, Pawlak M, Kishi Y, Joller N, Karwacz K, Zhu C, Ordovas-Montanes M, Madi A, Wortman I, Miyazaki T, Sobel RA, Park H, Regev A, and Kuchroo VK. 2015. CD5L/AIM Regulates Lipid Biosynthesis and Restrains Th17 Cell Pathogenicity. Cell 163: 1413–1427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 108.Sanjurjo L, Aran G, Roher N, Valledor AF, and Sarrias M-R. 2015. AIM/CD5L: a key protein in the control of immune homeostasis and inflammatory disease. J. Leukoc. Biol. 98: 173–184. [DOI] [PubMed] [Google Scholar]
- 109.Gray-Owen SD, and Blumberg RS. 2006. CEACAM1: contact-dependent control of immunity. Nat. Rev. Immunol. 6: 433–446. [DOI] [PubMed] [Google Scholar]
- 110.van Kooyk Y, and Geijtenbeek TBH. 2003. DC-SIGN: escape mechanism for pathogens. Nat. Rev. Immunol. 3: 697–709. [DOI] [PubMed] [Google Scholar]
- 111.van Gisbergen KPJM, Ludwig IS, Geijtenbeek TBH, and van Kooyk Y. 2005. Interactions of DC-SIGN with Mac-1 and CEACAM1 regulate contact between dendritic cells and neutrophils. FEBS Lett. 579: 6159–6168. [DOI] [PubMed] [Google Scholar]
- 112.Pixley FJ, and Stanley ER. 2004. CSF-1 regulation of the wandering macrophage: complexity in action. Trends Cell Biol. 14: 628–638. [DOI] [PubMed] [Google Scholar]
- 113.Takizawa H, and Manz MG. 2007. Macrophage tolerance: CD47–SIRP-α–mediated signals matter. Nat. Immunol. 8: 1287–1289. [DOI] [PubMed] [Google Scholar]
- 114.De Groof A, Hémon P, Mignen O, Pers J-O, Wakeland EK, Renaudineau Y, and Lauwerys BR. 2017. Dysregulated Lymphoid Cell Populations in Mouse Models of Systemic Lupus Erythematosus. Clin. Rev. Allergy Immunol. 53: 181–197. [DOI] [PubMed] [Google Scholar]
- 115.Maehara N, Taniguchi K, Okuno A, Ando H, Hirota A, Li Z, Wang C-T, Arai S, and Miyazaki T. 2021. AIM/CD5L attenuates DAMPs in the injured brain and thereby ameliorates ischemic stroke. Cell Rep. 36: 109693. [DOI] [PubMed] [Google Scholar]
- 116.Kávai M, Csipö I, Sonkoly J, Csongor J, and Szegedi GY. 1986. Defective Immune Complex Degradation by Monocytes in Patients with Systemic Lupus Erythematosus. Scand. J. Immunol. 24: 527–532. [DOI] [PubMed] [Google Scholar]
- 117.Li Y, Lee PY, and Reeves WH. 2010. Monocyte and Macrophage Abnormalities in Systemic Lupus Erythematosus. Arch. Immunol. Ther. Exp. (Warsz.) 58: 355–364. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 118.Phillips R, Lomnitzer R, Wadee AA, and Rabson AR. 1985. Defective monocyte function in patients with systemic lupus erythematosus. Clin. Immunol. Immunopathol. 34: 69–76. [DOI] [PubMed] [Google Scholar]
- 119.Svensson B, and Hedberg H. 1973. Impaired phagocytosis by macrophages in SLE. Scand. J. Rheumatol. 2: 78–80. [DOI] [PubMed] [Google Scholar]
- 120.Tsokos GC, Kovacs B, Sfikakis PP, Theocharis S, Vogelgesang S, and Via CS. 1996. Defective antigen-presenting cell function in patients with systemic lupus erythematosus. Arthritis Rheum. 39: 600–609. [DOI] [PubMed] [Google Scholar]
- 121.Brozek CM, Hoffman CL, Savage SM, and Searles RP. 1988. Systemic lupus erythematosus sera inhibit antigen presentation by macrophages to T cells. Clin. Immunol. Immunopathol. 46: 299–313. [DOI] [PubMed] [Google Scholar]
- 122.Svensson BO 1975. Serum Factors Causing Impaired Macrophage Function in Systemic Lupus Erythematosus. Scand. J. Immunol. 4: 145–150. [DOI] [PubMed] [Google Scholar]
- 123.Abu-Shakra M, Press J, Varsano N, Levy V, Mendelson E, Sukenik S, and Buskila D. 2002. Specific antibody response after influenza immunization in systemic lupus erythematosus. J. Rheumatol. 29: 2555–2557. [PubMed] [Google Scholar]
- 124.Cuchacovich R, and Gedalia A. 2009. Pathophysiology and clinical spectrum of infections in systemic lupus erythematosus. Rheum. Dis. Clin. North Am. 35: 75–93. [DOI] [PubMed] [Google Scholar]
- 125.Gladman DD, Hussain F, Ibañez D, and Urowitz MB. 2002. The nature and outcome of infection in systemic lupus erythematosus. Lupus 11: 234–239. [DOI] [PubMed] [Google Scholar]
- 126.Nived O, Sturfelt G, and Wollheim F. 1985. Systemic lupus erythematosus and infection: a controlled and prospective study including an epidemiological group. Q. J. Med. 55: 271–287. [PubMed] [Google Scholar]
- 127.Williams GW, Steinberg AD, Reinertsen JL, Klassen LW, Decker JL, and Dolin R. 1978. Influenza Immunization in Systemic Lupus Erythematosus. Ann. Intern. Med. 88: 729–734. [DOI] [PubMed] [Google Scholar]
- 128.Chen P-M, and Tsokos GC. 2021. The role of CD8+ T-cell systemic lupus erythematosus pathogenesis: an update. Curr. Opin. Rheumatol. 33: 586–591. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 129.Comte D, Karampetsou MP, Yoshida N, Kis-Toth K, Kyttaris VC, and Tsokos GC. 2017. SLAMF7 engagement restores defective effector CD8+ T cells activity in response to foreign antigens in systemic lupus erythematosus. Arthritis Rheumatol. Hoboken NJ 69: 1035–1044. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 130.Katsuyama E, Suarez-Fueyo A, Bradley SJ, Mizui M, Marin AV, Mulki L, Krishfield S, Malavasi F, Yoon J, Sui SJH, Kyttaris VC, and Tsokos GC. 2020. The CD38/NAD/SIRTUIN1/EZH2 Axis Mitigates Cytotoxic CD8 T Cell Function and Identifies Patients with SLE Prone to Infections. Cell Rep. 30: 112–123.e4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 131.Stohl W 1995. Impaired polyclonal T cell cytolytic activity. A possible risk factor for systemic lupus erythematosus. Arthritis Rheum. 38: 506–516. [DOI] [PubMed] [Google Scholar]
- 132.Couzi L, Merville P, Deminière C, Moreau J-F, Combe C, Pellegrin J-L, Viallard J-F, and Blanco P. 2007. Predominance of CD8+ T lymphocytes among periglomerular infiltrating cells and link to the prognosis of class III and class IV lupus nephritis. Arthritis Rheum. 56: 2362–2370. [DOI] [PubMed] [Google Scholar]
- 133.Dolff S, Abdulahad WH, van Dijk MCRF, Limburg PC, Kallenberg CGM, and Bijl M. 2010. Urinary T cells in active lupus nephritis show an effector memory phenotype. Ann. Rheum. Dis. 69: 2034–2041. [DOI] [PubMed] [Google Scholar]
- 134.Tilstra JS, Avery L, Menk AV, Gordon RA, Smita S, Kane LP, Chikina M, Delgoffe GM, and Shlomchik MJ. 2018. Kidney-infiltrating T cells in murine lupus nephritis are metabolically and functionally exhausted. J. Clin. Invest. 128: 4884–4897. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 135.Filaci G, Bacilieri S, Fravega M, Monetti M, Contini P, Ghio M, Setti M, Puppo F, and Indiveri F. 2001. Impairment of CD8+ T suppressor cell function in patients with active systemic lupus erythematosus. J. Immunol. Baltim. Md 1950 166: 6452–6457. [DOI] [PubMed] [Google Scholar]
- 136.Kim H-J, Wang X, Radfar S, Sproule TJ, Roopenian DC, and Cantor H. 2011. CD8+ T regulatory cells express the Ly49 Class I MHC receptor and are defective in autoimmune prone B6-Yaa mice. Proc. Natl. Acad. Sci. 108: 2010–2015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 137.Kim H-J, Verbinnen B, Tang X, Lu L, and Cantor H. 2010. Inhibition of follicular T-helper cells by CD8 + regulatory T cells is essential for self tolerance. Nature 467: 328–332. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 138.Mishra S, Liao W, Liu Y, Yang M, Ma C, Wu H, Zhao M, Zhang X, Qiu Y, Lu Q, and Zhang N. 2020. TGF-β and Eomes control the homeostasis of CD8+ regulatory T cells. J. Exp. Med. 218: e20200030. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 139.Tulunay A, Yavuz S, Direskeneli H, and Eksioglu-Demiralp E. 2008. CD8+CD28-, suppressive T cells in systemic lupus erythematosus. Lupus 17: 630–637. [DOI] [PubMed] [Google Scholar]
- 140.Buang N, Tapeng L, Gray V, Sardini A, Whilding C, Lightstone L, Cairns TD, Pickering MC, Behmoaras J, Ling GS, and Botto M. 2021. Type I interferons affect the metabolic fitness of CD8+ T cells from patients with systemic lupus erythematosus. Nat. Commun. 12: 1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 141.Huang N, and Perl A. 2018. Metabolism as a Target for Modulation in Autoimmune Diseases. Trends Immunol. 39: 562–576. [DOI] [PubMed] [Google Scholar]
- 142.Kato H, and Perl A. 2014. Mechanistic Target of Rapamycin Complex 1 Expands Th17 and IL-4+ CD4−CD8− Double-Negative T Cells and Contracts Regulatory T Cells in Systemic Lupus Erythematosus. J. Immunol. 192: 4134–4144. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 143.Lai Z, Marchena-Mendez I, and Perl A. 2015. Oxidative stress and Treg depletion in lupus patients with anti-phospholipid syndrome. Clin. Immunol. 158: 148–152. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 144.Li Y, Gorelik G, Strickland FM, and Richardson BC. 2014. Oxidative Stress, T Cell DNA Methylation, and Lupus. Arthritis Rheumatol. 66: 1574–1582. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 145.Vukelic M, Kono M, and Tsokos GC. 2020. T cell Metabolism in Lupus. Immunometabolism 2: e200009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 146.Bradley SJ, Suarez-Fueyo A, Moss DR, Kyttaris VC, and Tsokos GC. 2015. T Cell Transcriptomes Describe Patient Subtypes in Systemic Lupus Erythematosus. PLOS ONE 10: e0141171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 147.Chen P-M, and Tsokos GC. 2021. T Cell Abnormalities in the Pathogenesis of Systemic Lupus Erythematosus: an Update. Curr. Rheumatol. Rep. 23: 12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 148.Moulton VR, and Tsokos GC. 2015. T cell signaling abnormalities contribute to aberrant immune cell function and autoimmunity. J. Clin. Invest. 125: 2220–2227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 149.Yin Y, Choi S-C, Xu Z, Perry DJ, Seay H, Croker BP, Sobel ES, Brusko TM, and Morel L. 2015. Normalization of CD4+ T cell metabolism reverses lupus. Sci. Transl. Med. 7: 274ra18. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 150.Divekar AA, Dubey S, Gangalum PR, and Singh RR. 2011. Dicer insufficiency and microRNA-155 overexpression in lupus regulatory T cells: an apparent paradox in the setting of an inflammatory milieu. J. Immunol. Baltim. Md 1950 186: 924–930. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 151.Humrich JY, Morbach H, Undeutsch R, Enghard P, Rosenberger S, Weigert O, Kloke L, Heimann J, Gaber T, Brandenburg S, Scheffold A, Huehn J, Radbruch A, Burmester G-R, and Riemekasten G. 2010. Homeostatic imbalance of regulatory and effector T cells due to IL-2 deprivation amplifies murine lupus. Proc. Natl. Acad. Sci. U. S. A. 107: 204–209. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 152.Parietti V, Monneaux F, Décossas M, and Muller S. 2008. Function of CD4+,CD25+ Treg cells in MRL/lpr mice is compromised by intrinsic defects in antigen-presenting cells and effector T cells. Arthritis Rheum. 58: 1751–1761. [DOI] [PubMed] [Google Scholar]
- 153.Bonelli M, Savitskaya A, von Dalwigk K, Steiner CW, Aletaha D, Smolen JS, and Scheinecker C. 2008. Quantitative and qualitative deficiencies of regulatory T cells in patients with systemic lupus erythematosus (SLE). Int. Immunol. 20: 861–868. [DOI] [PubMed] [Google Scholar]
- 154.Sasaki T, Bracero S, Keegan J, Chen L, Cao Y, Stevens E, Qu Y, Wang G, Nguyen J, Alves SE, Lederer JA, Costenbader KH, and Rao DA. 2021. Longitudinal immune cell profiling in early systemic lupus erythematosus,.;:2021.11.08.467791. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 155.Valencia X, Yarboro C, Illei G, and Lipsky PE. 2007. Deficient CD4+CD25high T regulatory cell function in patients with active systemic lupus erythematosus. J. Immunol. Baltim. Md 1950 178: 2579–2588. [DOI] [PubMed] [Google Scholar]
- 156.Vargas-Rojas MI, Crispín JC, Richaud-Patin Y, and Alcocer-Varela J. 2008. Quantitative and qualitative normal regulatory T cells are not capable of inducing suppression in SLE patients due to T-cell resistance. Lupus 17: 289–294. [DOI] [PubMed] [Google Scholar]
- 157.Venigalla RKC, Tretter T, Krienke S, Max R, Eckstein V, Blank N, Fiehn C, Ho AD, and Lorenz H-M. 2008. Reduced CD4+,CD25− T cell sensitivity to the suppressive function of CD4+,CD25high,CD127 -/low regulatory T cells in patients with active systemic lupus erythematosus. Arthritis Rheum. 58: 2120–2130. [DOI] [PubMed] [Google Scholar]
- 158.Birnbaum ME, Mendoza JL, Sethi DK, Dong S, Glanville J, Dobbins J, Özkan E, Davis MM, Wucherpfennig KW, and Garcia KC. 2014. Deconstructing the Peptide-MHC Specificity of T Cell Recognition. Cell 157: 1073–1087. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 159.Lang HLE, Jacobsen H, Ikemizu S, Andersson C, Harlos K, Madsen L, Hjorth P, Sondergaard L, Svejgaard A, Wucherpfennig K, Stuart DI, Bell JI, Jones EY, and Fugger L. 2002. A functional and structural basis for TCR cross-reactivity in multiple sclerosis. Nat. Immunol. 3: 940–943. [DOI] [PubMed] [Google Scholar]
- 160.Lee CH, Salio M, Napolitani G, Ogg G, Simmons A, and Koohy H. 2020. Predicting Cross-Reactivity and Antigen Specificity of T Cell Receptors. Front. Immunol. 11: 2498. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 161.Sethi DK, Gordo S, Schubert DA, and Wucherpfennig KW. 2013. Crossreactivity of a human autoimmune TCR is dominated by a single TCR loop. Nat. Commun. 4: 2623. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 162.Agmon-Levin N, Blank M, Paz Z, and Shoenfeld Y. 2009. Molecular mimicry in systemic lupus erythematosus. Lupus 18: 1181–1185. [DOI] [PubMed] [Google Scholar]
- 163.Rojas M, Restrepo-Jiménez P, Monsalve DM, Pacheco Y, Acosta-Ampudia Y, Ramírez-Santana C, Leung PSC, Ansari AA, Gershwin ME, and Anaya J-M. 2018. Molecular mimicry and autoimmunity. J. Autoimmun. 95: 100–123. [DOI] [PubMed] [Google Scholar]
- 164.Kyttaris VC, and Tsokos GC. 2011. Targeting lymphocyte signaling pathways as a therapeutic approach to systemic lupus erythematosus. Curr. Opin. Rheumatol. 23: 449–453. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 165.Schrieber L, Steinberg AD, Rosenberg YJ, Csehi EE, Paull SA, and Santoro TJ. 1986. Aberrant lymphocyte trafficking in murine systemic lupus erythematosus. Rheumatol. Int. 6: 215–219. [DOI] [PubMed] [Google Scholar]
- 166.Dolgin E 2019. Massive NIH-industry project opens portals to target validation. Nat. Rev. Drug Discov. [DOI] [PubMed] [Google Scholar]
- 167.Hoover P, Der E, Berthier CC, Arazi A, Lederer JA, James JA, Buyon J, Petri M, Belmont HM, Izmirly P, Wofsy D, Hacohen N, Diamond B, Putterman C, and Davidson A. 2020. Accelerating Medicines Partnership: Organizational Structure and Preliminary Data From the Phase 1 Studies of Lupus Nephritis. Arthritis Care Res. 72: 233–242. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
All scRNA-seq, scBCR-seq, and scTCR-seq data generated in this study have been deposited in the GEO database and are available under accession number GSE192762 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE192762).
