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Publication : Female mouse fetal loss mediated by maternal autoantibody.

First Author  Wang L Year  2012
Journal  J Exp Med Volume  209
Issue  6 Pages  1083-9
PubMed ID  22565825 Mgi Jnum  J:189050
Mgi Id  MGI:5444101 Doi  10.1084/jem.20111986
Citation  Wang L, et al. (2012) Female mouse fetal loss mediated by maternal autoantibody. J Exp Med 209(6):1083-9
abstractText  Systemic lupus erythematosus (SLE), a disease of women during childbearing years, is characterized by the production of double-stranded DNA antibodies. A subset of these antibodies, present in 40% of patients, cross-reacts with the NR2A and NR2B subunits of the N-methyl-d-aspartate receptor (NMDAR). In this study, we show that, in mouse models, these antibodies cause a loss of female fetus viability by inducing apoptosis of NR2A-expressing neurons within the brainstem late in fetal development; gender specificity derives from a time-dependent increased expression of NR2A in female brainstem or increased vulnerability of female fetal neurons to signaling through NR2A-containing NMDARs. This paradigm is consistent with available data on the sex ratio of live births of women with SLE. It represents a novel mechanism by which maternal autoantibodies can severely affect fetal health in a gender-specific fashion and raises the question of how many maternal antibodies affect brain development or exhibit gender-specific fetal effects.
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