Inflammatory myopathies

Interleukin-6 trans-signalling regulates monocyte chemoattractant protein-1 production in immune-mediated necrotizing myopathy

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

IL-6 trans-signalling may contribute to the immunopathogenesis of IMNM by augmenting inflammation through regulation of MCP-1 expression in IMNM.

Study context

Population
Patients with immune-mediated necrotizing myopathy (IMNM) and controls; human myoblasts in vitro
Comparison
IMNM patients vs controls; IL-6/sIL-6R stimulation of human myoblasts
Outcome
MCP-1 expression and IL-6 signalling in IMNM

Main finding

As reported in the abstract

  • MCP-1 scattered and positively expressed within myofibres and a few inflammatory cells in IMNM muscle
  • Sarcoplasmic MCP-1 expression significantly correlated with myonecrosis, myoregeneration and inflammatory infiltration
  • Serum MCP-1, IL-6 and sIL-6R elevated in IMNM vs controls
  • Serum MCP-1 significantly associated with serum IL-6 and clinical disease severity in IMNM
  • IL-6/sIL-6R complex induced MCP-1 expression via the STAT3 pathway in human myoblasts
  • Phospho-STAT3 enriched in the MCP-1 promoter region and promoted transcription

Original publication

Interleukin-6 trans-signalling regulates monocyte chemoattractant protein-1 production in immune-mediated necrotizing myopathy. Rheumatology (Oxford). Published 23 February 2024. doi:10.1093/rheumatology/keae118

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