The fate of the lymphocyte is determined by integration of signals delivere
d after the binding of antigen to the surface antigen receptor, signals del
ivered by cytokines that bind to their surface receptors, and signals initi
ated after the engagement of other surface receptors, known as costimulator
y molecules. The summation of this input determines whether the immune cell
will become stimulated, ignore the signal (anergy), or die (apoptosis). An
tigen-receptor signaling events are abnormal in lupus lymphocytes, manifest
ed by increased calcium responses and hyperphosphorylation of several cytos
olic protein substrates. Further down, at the gene transcription level, the
activity of the nuclear factor kappa B is decreased. These events are unde
rwritten by defective T cell receptor zeta chain expression, overexpression
of the gamma chain of the Fc epsilon RI that functions as an alternate of
zeta chain, and decreased p65 -Rel A protein that is responsible for the in
ducible NF kappa B activity, Accumulated research data have enabled us to b
egin deciphering the molecular basis of the abnormal lupus lymphocyte and m
ay lead to the development of new medicinal treatments for lupus. (C) 2000
Lippincoit Williams & Wilkins, Inc.