It is clear that estrogen can accelerate and exacerbate disease in some lupus-prone mouse strains. It also appears that estrogen can contribute to disease onset or flare in a subset of patients with lupus. We have previously shown estrogen alters B-cell development to decrease lymphopoiesis and increase the frequency of marginal zone B cells. Furthermore, estrogen diminishes Bcell receptor signaling and allows for the increased survival of high-affinity DNA-reactive B cells. Here, we analyze the contribution of estrogen receptor α or β engagement to the altered B-cell maturation and selection mediated by increased exposure to estrogen. We demonstrate that engagement of either estrogen receptor α or β can alter B-cell maturation, but only engagement of estrogen receptor α is a trigger for autoimmunity. Thus, maturation and selection are regulated differentially by estrogen. These observations have therapeutic implications. © 2011 The Feinstein Institute for Medical Research.
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Hill, L., Jeganathan, V., Chinnasamy, P., Grimaldi, C., & Diamond, B. (2011). Differential roles of estrogen receptors α and β in control of B-cell maturation and selection. Molecular Medicine, 17(3–4), 211–220. https://doi.org/10.2119/molmed.2010.00172