Systemic sclerosis & Raynaud's

DNA from macrophages induces fibrosis and vasculopathy through POLR3A/stimulator of IFN genes (STING)/type I interferon axis in systemic sclerosis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

SSc presented increased DNA leakage and STING pathway activation. DNA from macrophages induced type I IFN signature of fibroblasts and ECs through POLR3A/STING pathway.

Study context

Population
SSc patients (skin, serum); SSc fibroblasts and human umbilical vein endothelial cells (HUVECs) transfected with macrophage DNA; Bleomycin (BLM)-induced SSc mice
Outcome
Role of POLR3A/STING/type I IFN in SSc
Methodological detailsin vitro, animal model (BLM-induced SSc mice)
  • In vitro
  • Animal model (BLM-induced SSc mice)

Main finding

As reported in the abstract

  • Cytosolic DNA, colocalization of STING with α-SMA or CD31 in skin, and STING pathway in serum increased in SSc patients
  • Macrophage-derived DNA stimulated translocation of POLR3A from nucleus to perinuclear region near STING and activated POLR3A/STING/type I IFN response, monocyte adhesion and MCP-1 expression in fibroblasts/HUVECs and collagen overproduction of fibroblasts
  • Activated IRF3 bound to the MCP-1 promoter
  • STING deficiency or H151 ameliorated fibrosis and vasculopathy in vitro and in BLM-induced SSc mice

Original publication

DNA from macrophages induces fibrosis and vasculopathy through POLR3A/STING/type I interferon axis in systemic sclerosis. Rheumatology (Oxford). Published 10 June 2022. doi:10.1093/rheumatology/keac324

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