Inflammatory myopathies

CD73low B-cell phenotypes and distinct cytokine profiles in patients with active anti-Jo-1 antibody positive idiopathic inflammatory myopathies

RMD OpenPublished Mechanistic study

Authors' conclusion

Since CD73 has an immunoregulatory function by modulating the ATP/adenosine pathway, which is also targeted by methotrexate, the low CD73 B-cell expression in anti-Jo-1 antibody-positive IIM may lead to B-cell hyperactivation.

Study context

Population
Patients with anti-Jo-1 antibody positive idiopathic inflammatory myopathies (IIM)
Participants
16 patients
Comparison
Active vs inactive anti-Jo-1 antibody positive IIM
  • Untreated active IIMn = 7
  • Active and treated IIMn = 4
  • Inactive IIMn = 5reference
Methodological detailsmultiparameter spectral flow cytometry, dimensionality reduction and clustering analysis
  • Multiparameter spectral flow cytometry
  • Dimensionality reduction and clustering analysis

Main finding

As reported in the abstract

  • Anti-Jo-1 antibody levels correlated positively to disease activity
  • Significantly lower CD73 expression on naïve, switched memory and double negative B cells in active IIM
  • Expansions of CD73- IgM+ naïve B cells and CD73- CD95+ switched memory B cells in active IIM
  • CD73+CD21+ unswitched memory B cells decreased in active IIM
  • Significantly higher serum B-cell activating factor, inducible protein-10, IL-6 and sCD40L in active IIM, correlating with changes in B-cell populations

Original publication

CD73low B-cell phenotypes and distinct cytokine profiles in patients with active anti-Jo-1 antibody positive idiopathic inflammatory myopathies. RMD Open. Published 9 April 2025. doi:10.1136/rmdopen-2024-005401

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