Mice homozygous for the lymphoproliferation mutation (Faslpr) exhibit autoimmune disease that closely resembles human systemic lupus erythematosus (SLE).
Spontaneous onset.
Systemic autoimmunity, lymphadenopathy associated with proliferation of aberrant T cells, immune complex glomerulonephritis and arthritis start at approximately 10-12 weeks of age. The disease significantly affects both female and male MRL/Mp-Faslpr mice; female mice die at an average age of 17 weeks of age and males at 22 weeks1, 7.
Animals are observed daily for significant clinical signs, moribundity and mortality. Body weights and proteinuria are recorded weekly and at scheduled termination points. Urine protein is measured using Albustix test strips (Siemens). Lymphadenopathy (bilateral cervical, brachial/axillary, and inguinal) and skin lesions (when present) are also scored weekly and at termination (see Scoring Keys below). Plasma samples for anti-dsDNA ELISA can be collected periodically at desired time points. At necropsy, kidneys (paired), spleens and lymph nodes are collected and weighed.
0 = None.
1 = 1–30 mg/dL
2 = 31–99 mg/dL
3 = 100–299 mg/dL
4 = 300–1999 mg/dL
5 = ≥2000 mg/dL
0 = None.
1 = Small (<1 cm diameter combined) at one bilateral site.
2 = Small at two bilateral sites.
3 = Small at three bilateral sites.
4 = Large (>1 cm combined) at one bilateral site and small at two.
5 = Large at two bilateral sites and small at one.
6 = Large at all three bilateral sites.
0 = None.
1 = 1 or 2 small (2-4 mm in length).
2 = Lesion(s) larger than a “1”, but with total area <0.5 cm2.
3 = Lesion(s) with total area >0.5, but <1.0 cm2.
4 = Lesion(s) with total area >1.0 cm2.
Kidneys from all surviving animals are examined microscopically by a board certified veterinary pathologist (Dr. Alison Bendele) and scored for: glomerular diameters and crescents, tubular protein casts, interstitial inflammation, and vasculitis, according to these methods.
In addition to multiple underlying genetic factors contributing to the pathogenesis of SLE in MRL/lpr mice, a single genetic mutation that leads to aberrant Fas transcription accelerates the disease’s progression. As in human lupus, SLE in MRL/lpr mice is biased in favor of females, although it significantly affects males as well1. Clinical manifestations of SLE in this model include hyperactive B and T cells, high titers of several autoantibodies including antineutrophil antibodies (ANA) and anti-dsDNA antibodies2, defective clearance of immune complexes, and fatal renal disease (glomerulonephritis, interstitial nephritis, vasculitis, and proteinuria). MRL/lpr mice differ from other strains in that they have the highest titers and largest array of auto-antibody specificities, and they develop antibodies against the nuclear components Smith (Sm) and ribonucleoprotein (RNP). A proportion of MRL/lpr mice also develop skin rash, inflammatory arthritis, and immunoglobulin (Ig) M rheumatoid factors. Lymphoid hyperplasia, which is not a feature of human SLE, is exhibited by MRL/lpr mice and this can confound histopathology3. The speed of the disease in the MRL/lpr strain is sufficiently rapid to be efficient in testing new therapies and sufficiently slow to dissect the pathogenesis of the disease4–6.
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