Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by the activation of the immune response against self antigens. Numerous reproductive complications, including reduced birth rate and complications for the mother and the fetus during pregnancy, have been observed in women with SLE. In the present study, we aimed to investigate the effect of SLE development on oocyte meiosis in lupus-prone mice. Lupus-prone MRL/lpr mice were used for the experiments: disease-free (4 weeks of age) and sick (20 weeks of age, virgin and postpartum). The immune response was monitored by flow cytometry, ELISpot, ELISA, and histology. Oocytes were analyzed by fluorescence microscopy based on chromatin, tubulin, and actin structures. The lupus-prone MRL/lpr mice developed age-dependent symptoms of SLE with increased levels of various autoantibodies, proteinuria, and renal infiltrates and a tendency for the immune response to worsen with changes in cell populations and the cytokine profile. The number and quality of oocytes were also affected, and the successful pregnancy rate of MRL/lpr mice was limited to only 60%. Isolated oocytes showed severe structural changes in all studied groups. Systemic alterations in immune homeostasis in SLE affect the quality of developing oocytes, which is evident from a young age. The data obtained is in line with the trend of reduced fertility in lupus-prone MRL/lpr mice. The phenomenon can be explained by changes in the microenvironment of the relevant organs and close connection between ovulation and inflammatory processes.
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Data is available from the corresponding author upon reasonable request.
References
Pons-Estel GJ, Ugarte-Gil MF, Alarcón GS. Epidemiology of systemic lupus erythematosus. Expert Rev Clin Immunol. 2017;13(8):799–814. https://doi.org/10.1080/1744666X.2017.1327352.
Klein SL, Flanagan KL. Sex differences in immune responses. Nat Rev Immunol. 2016;16(10):626. https://doi.org/10.1038/nri.2016.90.
Lasrado N, Jia T, Massilamany C, Franco R, Illes Z, Reddy J. Mechanisms of sex hormones in autoimmunity: focus on EAE. Biol Sex Differ. 2020;11(1):1–14. https://doi.org/10.1186/s13293-020-00325-4.
Cutolo M, Capellino S, Sulli A, Serioli B, Secchi ME, Villaggio B, et al. Estrogens and autoimmune diseases. Ann N Y Acad Sci. 2006;1089(1):538–47. https://doi.org/10.1196/annals.1386.043.
Tabor DE, Gould KA. Estrogen receptor alpha promotes lupus in (NZB× NZW) F1 mice in a B cell intrinsic manner. Clin Immunol. 2017;174:41–52. https://doi.org/10.1016/j.clim.2016.10.011.
Vera-Lastra O, Jara LJ, Espinoza LR. Prolactin and autoimmunity. Autoimmun Rev. 2002;1(6):360–4. https://doi.org/10.1016/s1568-9972(02)00081-2.
Elbourne K, Keisler D, McMurray R. Differential effects of estrogen and prolactin on autoimmune disease in the NZB/NZW F1 mouse model of systemic lupus erythematosus. Lupus. 1998;7(6):420–7. https://doi.org/10.1191/096120398678920352.
Field SL, Dasgupta T, Cummings M, Orsi NM. Cytokines in ovarian folliculogenesis, oocyte maturation and luteinisation. Mol Reprod Dev. 2014;81(4):284–314. https://doi.org/10.1002/mrd.22285.
Imai F, Kishi H, Nakao K, Nishimura T, Minegishi T. IL-6 up-regulates the expression of rat LH receptors during granulosa cell differentiation. Endocrinology. 2014;155(4):1436–44. https://doi.org/10.1210/en.2013-1821.
Fauser BC, Tarlatzis BC, Rebar RW, Legro RS, Balen AH, Lobo R, et al. Consensus on women’s health aspects of polycystic ovary syndrome (PCOS): the Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group. Fertil Steril. 2012;97(1):28-38. e25. https://doi.org/10.1016/j.fertnstert.2011.09.024.
Jungheim ES, Moley KH. Current knowledge of obesity’s effects in the pre-and periconceptional periods and avenues for future research. Am J Obstet Gynecol. 2010;203(6):525–30. https://doi.org/10.1016/j.ajog.2010.06.043.
Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstet Gynecol. 2007;110(5):1050–8. https://doi.org/10.1097/01.AOG.0000287293.25465.e1.
Calongos G, Hasegawa A, Komori S, Koyama K. Harmful effects of anti-zona pellucida antibodies in folliculogenesis, oogenesis, and fertilization. J Reprod Immunol. 2009;79(2):148–55. https://doi.org/10.1016/j.jri.2008.06.003.
Otani Y, Ichii O, Otsuka-Kanazawa S, Chihara M, Nakamura T, Kon Y. MRL/MpJ-Fas lpr mice show abnormalities in ovarian function and morphology with the progression of autoimmune disease. Autoimmunity. 2015;48(6):402–11. https://doi.org/10.3109/08916934.2015.1031889.
Brunet S, Maro B. Cytoskeleton and cell cycle control during meiotic maturation of the mouse oocyte: integrating time and space. Reproduction. 2005;130(6):801–11. https://doi.org/10.1530/rep.1.00364.
Tchorbanov AI, Voynova EN, Mihaylova NM, Todorov TA, Nikolova M, Yomtova VM, et al. Selective silencing of DNA-specific B lymphocytes delays lupus activity in MRL/lpr mice. Eur J Immunol. 2007;37(12):3587–96. https://doi.org/10.1002/eji.200737143.
Papp K, Végh P, Tchorbanov A, Vassilev T, Erdei A, Prechl J. Progression of lupus-like disease drives the appearance of complement-activating IgG antibodies in MRL/lpr mice. Rheumatology. 2010;49(12):2273–80. https://doi.org/10.1093/rheumatology/keq278.
Bradyanova S, Mihaylova N, Chipinski P, Manassiev Y, Herbáth M, Kyurkchiev D, et al. Anti-ANX A1 antibody therapy in MRL/lpr murine model of systemic lupus erythematosus. Arch Immunol Ther Exp. 2021;69(1):1–12. https://doi.org/10.1007/s00005-021-00624-7.
Mihaylova N, Bradyanova S, Chipinski P, Chausheva S, Kyurkchiev D, Tchorbanov AI. Monoclonal antibody therapy that targets phospholipid-binding protein delays lupus activity in MRL/lpr mice. Scand J Immunol. 2020;92(3):e12915. https://doi.org/10.1111/sji.12915.
Delimitreva SM, Boneva GV, Chakarova IV, Hadzhinesheva VP, Zhivkova RS, Markova MD, et al. Defective oogenesis in mice with pristane-induced model of systemic lupus. J Reprod Immunol. 2021;148:103370. https://doi.org/10.1016/j.jri.2021.103370.
Nikolova V, Chakarova I, Zhivkova R, Markova M, Delimitreva S. Comparison of in vitro matured oocytes from two inbred mouse strains and their F1 hybrids. Embryol (Sofia). 2012;7(1):10–4.
Rosenblum MD, Remedios KA, Abbas AK. Mechanisms of human autoimmunity. J Clin Investig. 2015;125(6):2228–33. https://doi.org/10.1172/JCI78088.
Moulton VR. Sex hormones in acquired immunity and autoimmune disease. Front Immunol. 2018;9:2279. https://doi.org/10.3389/fimmu.2018.02279.
Dragin N, Nancy P, Villegas J, Roussin R, Le Panse R, Berrih-Aknin S. Balance between estrogens and proinflammatory cytokines regulates chemokine production involved in thymic germinal center formation. Sci Rep. 2017;7(1):7970. https://doi.org/10.1038/s41598-017-08631-5.
Desai MK, Brinton RD. Autoimmune disease in women: endocrine transition and risk across the lifespan. Front Endocrinol. 2019;10:265. https://doi.org/10.3389/fendo.2019.00265.
Carp HJ, Selmi C, Shoenfeld Y. The autoimmune bases of infertility and pregnancy loss. J Autoimmunity. 2012;38(2–3):J266–74. https://doi.org/10.1016/j.jaut.2011.11.016.
Chighizola CB, Raimondo MG, Meroni PL. Does APS impact women’s fertility? Curr Rheumatol Rep. 2017;19(6):33. https://doi.org/10.1007/s11926-017-0663-7.
Stamm B, Barbhaiya M, Siegel C, Lieber S, Lockshin M, Sammaritano L. Infertility in systemic lupus erythematosus: what rheumatologists need to know in a new age of assisted reproductive technology. Lupus Sci Med. 2022;9(1):e000840. https://doi.org/10.1136/lupus-2022-000840.
Gao R, Deng W, Meng C, Cheng K, Zeng X, Qin L. Combined treatment of prednisone and hydroxychloroquine may improve outcomes of frozen embryo transfer in antinuclear antibody-positive patients undergoing IVF/ICSI treatment. Lupus. 2021;30(14):2213–20. https://doi.org/10.1177/09612033211055816.
Mao R, Wang X, Long R, Wang M, Jin L, Zhu L. A new insight into the impact of systemic lupus erythematosus on oocyte and embryo development as well as female fertility. Front Immunol. 2023;23(14):1132045. https://doi.org/10.3389/fimmu.2023.1132045.
Yi X, Huang C, Huang C, et al. Fecal microbiota from MRL/lpr mice exacerbates pristane-induced lupus. Arthritis Res Ther. 2023;25:42. https://doi.org/10.1186/s13075-023-03022-w.
Hosotani M, Ichii O, Nakamura T, Masum MA, Otani Y, Otsuka-Kanazawa S, Elewa YHA, Kon Y. MRL/MpJ mice produce more oocytes and exhibit impaired fertilisation and accelerated luteinisation after superovulation treatment. Reprod Fertil Dev. 2019;31(4):760–73. https://doi.org/10.1071/RD18319.
Fu B, Wang F, Sun R, Ling B, Tian Z, Wei H. CD11b and CD27 reflect distinct population and functional specialization in human natural killer cells. Immunology. 2011;133(3):350–9. https://doi.org/10.1111/j.1365-2567.2011.03446.x.
Touma Z, Gladman DD. Current and future therapies for SLE: obstacles and recommendations for the development of novel treatments. Lupus Sci Med. 2017;4(1):e000239. https://doi.org/10.1136/lupus-2017-000239.
Durcan L, Petri M. Why targeted therapies are necessary for systemic lupus erythematosus. Lupus. 2016;25(10):1070-9.30. https://doi.org/10.1177/0961203316652489.
Sobhy N, Niazy MH, Kamal A. Lymphopenia in systemic lupus erythematosus patients: is it more than a laboratory finding? Egypt Rheumatologist. 2020;42(1):23–6. https://doi.org/10.1016/j.ejr.2019.04.003.
Codner E, Merino P, Tena-Sempere M. Female reproduction and type 1 diabetes: from mechanisms to clinical findings. Hum Reprod Update. 2012;18(5):568–85. https://doi.org/10.1093/humupd/dms024.
Komatsu K, Manabe N, Kiso M, Shimabe M, Miyamoto H. Changes in localization of immune cells and cytokines in corpora lutea during luteolysis in murine ovaries. J Exp Zool A Comp Exp Biol. 2003;296(2):152–9. https://doi.org/10.1002/jez.a.10246.
Sirotkin AV. Cytokines: signalling molecules controlling ovarian functions. Int J Biochem Cell Biol. 2011;43(6):857–61. https://doi.org/10.1016/j.biocel.2011.03.001.
Canipari R. Oocyte–granulosa cell interactions. Hum Reprod Update. 2000;6(3):279–89. https://doi.org/10.1093/humupd/6.3.279.
Ortona E, Pierdominici M, Maselli A, Veroni C, Aloisi F, Shoenfeld Y. Sex-based differences in autoimmune diseases. Annali dell’Istituto Super di Sanita. 2016;52(2):205–12. https://doi.org/10.4415/ANN_16_02_121.
Nikolova V, Delimitreva S, Chakarova I, Zhivkova R, Hadzhinesheva V, Markova M. Dynamics of lamins B and A/C and nucleoporin Nup160 during meiotic maturation in mouse oocytes. Folia Biol. 2017;63(1):6.
Tkachenko O, Scheerer-Bernhard J, Delimitreva S, Wedi E, Valle R, Heistermann M, et al. A retrospective analysis of adverse effects of an in vivo fluoroquinolone antibiotic enrofloxacin treatment on oocyte quality in the common marmoset. Reprod Toxicol. 2018;75:86–95. https://doi.org/10.1016/j.reprotox.2017.12.004.
Delimitreva S. The odd behavior of the nuclei in maturing mammalian oocytes and zygotes. Acta Morphol et Anthropol. 2022;29:3–4.
Funding
This study was supported by the Medical University of Sofia (grants ref. 25/2016, 65/2018); the European Fund for regional development through Operational Program Science and Education for Smart Growth 2014—2020, Grant BG05M2OP001-1.002–0001-C04 “Fundamental Translational and Clinical Investigations on Infections and Immunity”); and National Science Fund, Bulgaria, grant number [КP-06-H53/8/2021].
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G. B.: investigation, methodology, formal analysis, writing – original draft; I. C., V. H., R. Z., M. M., V. N., A. K., N. Mladenov: investigation, methodology, visualization; S. B.: investigation, methodology, formal analysis; N. Mihaylova: methodology, formal analysis; S. D., A. T,: conceptualization, methodology, formal analysis, writing – review and editing, supervision.
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Delimitreva, S., Boneva, G., Chakarova, I. et al. Lupus progression deteriorates oogenesis quality in MRL/lpr mice. Immunol Res (2024). https://doi.org/10.1007/s12026-024-09489-2
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DOI: https://doi.org/10.1007/s12026-024-09489-2