Pediatric rheumatology

Role of CD14+ monocyte-derived oxidised mitochondrial DNA in the inflammatory interferon type 1 signature in juvenile dermatomyositis

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

These results describe a novel pathway where altered mitochondrial biology in JDM CD14+ monocytes lead to oxmtDNA production and stimulates ISG expression.

Study context

Population
Children with Juvenile dermatomyositis (JDM) and age/sex-matched child healthy controlsfunctional experiments: JDM n=82, CHC n=35
Participants
10 / 11 / 4
Comparison
Pretreatment and on-treatment JDM vs child healthy controls
  • Pretreatment JDMn = 10
  • On-treatment JDMn = 11
  • CHCn = 4reference
Methodological detailsage/sex-matched healthy controls, RNA-sequencing of sorted peripheral blood mononuclear cell (PBMC) subsets, in vitro PBMC culture experiments
  • Age/sex-matched healthy controls
  • RNA-sequencing of sorted PBMC subsets
  • In vitro PBMC culture experiments

Main finding

As reported in the abstract

  • Dysregulated mitochondrial-associated gene expression correlated with increased ISG expression in JDM CD14+ monocytes
  • Altered mitochondrial biology, including 'megamitochondria', cellular metabolism and decreased SOD1 gene expression
  • Associated with enhanced production of oxidised mitochondrial DNA (oxmtDNA)
  • OxmtDNA induced ISG expression in healthy PBMC, blocked by targeting oxidative stress and intracellular nucleic acid sensing pathways
  • In vitro, n-acetyl cysteine (NAC), TLR9 antagonist and to a lesser extent cGAS-inhibitor suppressed ISG expression in pretreatment JDM PBMC

Original publication

Role of CD14+ monocyte-derived oxidised mitochondrial DNA in the inflammatory interferon type 1 signature in juvenile dermatomyositis. Ann Rheum Dis. Published 23 December 2022. doi:10.1136/ard-2022-223469

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