We describe a patient with sickle cell disease (SCD) and elevated antiphospholipid antibodies (aPL) who developed multi-organ failure resembling catastrophic antiphospholipid syndrome. Autoimmune screening revealed several autoantibodies characteristic of systemic lupus erythematosus (SLE). Notably, routinely housed and unmanipulated transgenic sickle mice displayed significantly elevated titres of aPL- and SLE-associated autoantibodies. We hypothesize that SCD may be a risk factor not only for the development of aPL but also more widespread autoimmunity.

Systemic lupus erythematosus (SLE) is an autoimmune condition characterized by the production of autoantibodies to cellular and nuclear self-antigens, with damage to multiple organs. Immunization with the SLE autoantigen β2-glycoprotein I (β2GPI) and TLR4 ligand lipopolysaccharide (LPS) induces a murine model of SLE characterized by the generation of autoantibodies to multiple SLE antigens. LPS induces both inflammatory cytokines and type I interferons (IFNs) by signaling through the adaptor proteins MyD88 and TRIF, respectively. We investigated the mechanisms of LPS-dependent signaling on the induction of murine SLE following β2GPI/LPS immunization. Immunization of mice deficient in MyD88 or TRIF with β2GPI/LPS revealed that LPS-dependent TRIF signaling preferentially promoted autoantibody production in this model, compared to MyD88 signaling. Furthermore, SLE-specific autoantibody production was induced by TLR3 or TLR4 agonists, in combination with β2GPI, but not by agonists of TRIF-independent TLRs. RNA-sequencing of dendritic cells and macrophages isolated from wildtype (WT) and TRIF-deficient mice immunized with β2GPI/LPS revealed differential expression of both type I IFN-dependent and -independent genes. Moreover, type I IFN receptor (IFNaR)-deficient mice immunized with β2GPI/LPS showed diminished autoantibody production compared to WT mice, but to a lesser extent than TRIF-deficient mice. We conclude that LPS-dependent TRIF signaling is required for the generation of autoantibody production in our induced SLE model, both through type I IFN-dependent and - independent effects. Supported by grants from CIHR (????)

Abstract STUDY OBJECTIVE: We have previously shown that RIPK3 (receptor-interacting protein kinase 3)-deficient mice are protected from the development of an induced murine model of systemic lupus erythematosus (SLE). The development of SLE autoantibodies in this model is associated with the generation of an antigen-specific T cell response. We hypothesize that RIPK3-deficient antigen-presenting cells (APCs) are impaired in generation of a robust T cell response, thereby impacting induction of SLE in our murine model. METHODS: We performed a complete cellular immunophenotyping on mice deficient in RIPK3, compared with wild type C57BL/6 mice. We also assessed the function of RIPK3-deficient APCs in an in vitro antigen presentation assay using ovalbumin (OVA) and OVA-specific OT-II T cells. RESULTS: No major differences in immune cell composition and phenotype were identified between naïve RIPK3-deficient and WT mice. However, RIPK3-deficient bone marrow-derived dendritic cells (BMDCs) were found to produce lower levels of pro-inflammatory cytokines (interleukin [IL]-6 and tumor necrosis factor [TNF]-α) following lipopolysaccharide (LPS) stimulation. Moreover, presentation of OVA by RIPK3-deficient BMDCs resulted in a lower proportion of interferon (IFN)-γ producing OT-II T cells, compared to antigen presentation by WT BMDCs. In contrast, T cell proliferation was similar whether antigen was presented by RIPK3-deficient or WT BMDCs. CONCLUSION: Our results suggest that RIPK3 deficiency in APCs impacts antigen presentation to T cells, identifying a possible mechanism by which RIPK3-deficient mice are protected from induction of SLE.

Potatoes (Solanum tuberosum L.) are a good dietary source of carbohydrates in the form of digestible starch (DS) and resistant starch (RS). As increased RS content consumption can be associated with decreased chronic disease risk, breeding efforts have focused on identifying potato varieties with higher RS content, which requires high-throughput analysis of starch profiles. For this purpose, freeze drying of potatoes has been used but this approach leads to inaccurate RS values. The present study objective was to assess the starch content (RS, DS and total starch (TS)) of three cooked potato genotypes that were dried using freeze drying and innovative drying techniques (microwave vacuum drying, instant controlled pressure drop drying and conductive hydro-drying) relative to freshly cooked potato samples. Depending on the genotype, all drying methods showed one or more starch measures that were significantly different from freshly cooked values. The combination of ultrasound and infrared assisted conductive hydro-drying was the only method identified to be associated with accurate assessment of DS and TS content relative to fresh samples. The drying treatments were all generally associated with highly variable RS content relative to fresh controls. We conclude that freshly cooked samples must be used for selecting varieties with a high proportion of RS starch as drying of cooked potatoes leads to unreliable RS measurements.