RT Journal Article T1 Trimethylamine N-Oxide Promotes Autoimmunity and a Loss of Vascular Function in Toll-like Receptor 7-Driven Lupus Mice. A1 Gonzalez-Correa, Cristina A1 Moleon, Javier A1 Miñano, Sofia A1 Visitacion, Nestor de la A1 Robles-Vera, Iñaki A1 Gomez-Guzman, Manuel A1 Jimenez, Rosario A1 Romero, Miguel A1 Duarte, Juan K1 3,3-dimethyl-1-butanol K1 cardiovascular complications K1 hypertension K1 systemic lupus erythematosus K1 trimethylamine N-oxide AB Plasma levels of trimethylamine N-oxide (TMAO) are elevated in lupus patients. We analyzed the implication of TMAO in autoimmunity and vascular dysfunction of the murine model of systemic lupus erythematosus (SLE) induced by the activation of the Toll-like receptor (TLR)7 with imiquimod (IMQ). Female BALB/c mice were randomly divided into four groups: untreated control mice, control mice treated with the trimethylamine lyase inhibitor 3,3-dimethyl-1-butanol (DMB), IMQ mice, and IMQ mice treated with DMB. The DMB-treated groups were administered the substance in their drinking water for 8 weeks. Treatment with DMB reduced plasma levels of TMAO in mice with IMQ-induced lupus. DMB prevents the development of hypertension, reduces disease progression (plasma levels of anti-dsDNA autoantibodies, splenomegaly, and proteinuria), reduces polarization of T lymphocytes towards Th17/Th1 in secondary lymph organs, and improves endothelial function in mice with IMQ-induced lupus. The deleterious vascular effects caused by TMAO appear to be associated with an increase in vascular oxidative stress generated by increased NADPH oxidase activity, derived in part from the vascular infiltration of Th17/Th1 lymphocytes, and reduced nrf2-driven antioxidant defense. In conclusion, our findings identified the bacterial-derived TMAO as a regulator of immune system, allowing for the development of autoimmunity and endothelial dysfunction in SLE mice. PB MDPI AG SN 2076-3921 YR 2021 FD 2021-12-29 LK http://hdl.handle.net/10668/20768 UL http://hdl.handle.net/10668/20768 LA en NO González-Correa C, Moleón J, Miñano S, Visitación N, Robles-Vera I, Gómez-Guzmán M, et al. Trimethylamine N-Oxide Promotes Autoimmunity and a Loss of Vascular Function in Toll-like Receptor 7-Driven Lupus Mice. Antioxidants (Basel). 2021 Dec 30;11(1):84. DS RISalud RD Apr 11, 2025