Inflammatory myopathies

Pathological autoantibody internalisation in myositis

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

This study demonstrates that, in myositis, autoantibodies are internalised into living cells, causing biological effects consistent with the disrupted function of their autoantigen.

Study context

Population
Muscle biopsies from patients with myositis, disease controls and healthy controls; cultured myoblasts
Participants
669 samples
Outcome
Whether myositis autoantibodies targeting intracellular proteins enter living muscle cells
Methodological detailsconfocal immunofluorescence microscopy, bulk RNA sequencing, electroporation of patient antibodies into cultured myoblasts
  • Confocal immunofluorescence microscopy
  • Bulk RNA sequencing
  • Electroporation of patient antibodies into cultured myoblasts

Main finding

As reported in the abstract

  • In patients with myositis autoantibodies, antibodies accumulated inside myofibres in the same subcellular compartment as the autoantigen
  • Biopsies from patients with autoantibodies targeting transcriptional regulators showed transcriptomic patterns consistent with autoantigen dysfunction
  • Anti-PM/Scl (nuclear RNA exosome complex): accumulation of divergent transcripts and long non-coding RNAs, typically degraded by the exosome
  • Patient antibodies introduced into cultured muscle cells recapitulated the transcriptomic effects seen in human disease

Further findings

Supporting evidence suggested myositis autoantibodies recognising other autoantigens may also disrupt their targets' function

Original publication

Pathological autoantibody internalisation in myositis. Ann Rheum Dis. Published 21 October 2024. doi:10.1136/ard-2024-225773

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