Inflammatory myopathies

N-formyl methionine peptide-driven neutrophil activation in idiopathic inflammatory myopathies

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Our findings show that fMET-FPR1 signalling drives neutrophil activation in DM and IBM, promoting inflammation and muscle damage.

Study context

Population
Patients with IIM (dermatomyositis (DM) and inclusion body myositis (IBM)) and healthy controls
Participants
46 / 40 / 40
Comparison
IBM and DM vs healthy controls
  • IBMn = 46
  • DMn = 40
  • Healthy controlsn = 40reference
Outcome
Plasma fMET levels
Methodological detailscase-control, flow cytometry, ELISA
  • Case-control
  • Flow cytometry
  • ELISA

Main finding

As reported in the abstract

Plasma fMET

DM vs Healthy controls: P < 0.0001 for DM · IBM vs Healthy controls: P = 0.0002 for IBM

Further findings

OutcomeP value
Plasma calprotectinDM vs Healthy controls · elevatedP = 0.01
NE-DNA complexesDM vs Healthy controls · increasedP = 0.03
NE-DNA complexesIBM vs Healthy controls · increasedP < 0.0001

Correlation of fMET with MMT8 in antibody-negative IBM

Inverse correlation, r
−0.53
P
P = 0.02

Plasma calprotectin

Not elevated in IBM

Plasma-induced neutrophil activation with FPR1 inhibition

Significantly reduced in DM
P < 0.0001
Significantly reduced in IBM
P = 0.0012
  • Restoring CD66b and partially CD11b to control levels

Original publication

N-formyl methionine peptide-driven neutrophil activation in idiopathic inflammatory myopathies. Rheumatology (Oxford). Published 15 September 2025. doi:10.1093/rheumatology/keaf495

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