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September 5, 2026AutoimmunityOpen Access

Androgen-associated remodeling of pulmonary NK cells and sex-biased susceptibility in lupus-associated diffuse alveolar hemorrhage

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Authors

LWLifang WenXLXin LuoXCXiaoyun Chen

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Overview

Preclinical study reveals that androgen therapy restores pulmonary NK cells and attenuates diffuse alveolar hemorrhage in female mice, highlighting hormonal targets for lupus lung complications.

Key Points

  • To determine how pulmonary innate lymphoid cells undergo remodeling during lupus-associated diffuse alveolar hemorrhage and evaluate whether androgen signaling modulates natural killer cell homeostasis and disease severity.
  • Pristane-induced diffuse alveolar hemorrhage models were established in C57BL/6J and Rag2−/− mice to evaluate innate lymphoid cell alterations independent of adaptive lymphocytes.
  • Pulmonary innate lymphoid cells were profiled via single-cell transcriptomics and flow cytometry, with baseline sex comparisons between healthy humans and mice.
  • In vivo interventions included male castration, female testosterone propionate administration, and antibody-mediated natural killer cell depletion.
  • Diffuse alveolar hemorrhage caused a marked reduction in pulmonary natural killer cells expressing elevated effector genes (Prf1, Ifng) alongside inhibitory Lag3 in both wild-type and Rag2−/− mice.
  • Testosterone propionate administration in female mice restored pulmonary natural killer cell dominance and significantly attenuated hemorrhage severity, whereas male castration did not significantly alter disease severity.
  • Pre-challenge depletion of natural killer cells trended toward exacerbating pulmonary hemorrhage severity (p = 0.084).

Cite This Study

Wen et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4536b95aff0620ebf97https://doi.org/10.1080/08916934.2026.2722939
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