Inflammatory myopathies

Potential role of type I interferon/IP-10 axis in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

IP-10 is a potentially useful disease activity marker of DM with anti-MDA5 antibodies, correlating more with IFN-α2 then IFN-γ.

Study context

Population
Patients with collagen vascular diseases; serum level of 28 cytokines quantified at hospital admission3 anti-MDA5+ dermatomyositis (DM) followed up
Comparison
DM with anti-MDA5 antibodies vs DM without the antibody
Methodological detailsbead-based multiplex immunoassays, immunohistochemistry, in vitro monocyte stimulation
  • Bead-based multiplex immunoassays
  • Immunohistochemistry
  • In vitro monocyte stimulation

Main finding

As reported in the abstract

  • Serum IP-10 significantly higher in DM with anti-MDA5 antibodies than in those without, decreasing drastically upon treatment
  • Time course of IP-10 paralleled interferon (IFN)-α2, not IFN-γ
  • Most IP-10-positive cells in skin were macrophages
  • Monocytes stimulated with type I IFN in vitro produced IP-10 in a dose-dependent manner

Original publication

Potential role of type I interferon/IP-10 axis in the pathogenesis of anti-MDA5 antibody-positive dermatomyositis. Clin Exp Rheumatol. Published 6 September 2022. doi:10.55563/clinexprheumatol/em67zx

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