Inflammatory myopathies

Single-cell landscape of peripheral immune response in patients with anti-melanoma differentiation–associated gene 5 dermatomyositis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Our study has illustrated the peripheral immune cell atlas of a number of DM subtypes, has provided compelling evidence for a viral infection-derived origin for anti-MDA5 DM, and has indicated potential targets for innovative therapeutic interventions.

Study context

Population
Patients with DM, including anti-MDA5-positive DM, and healthy controls; Peripheral blood mononuclear cells (PBMCs)plus 4 external healthy donors
Participants
8 vs 2
Comparison
DM patients vs healthy donors
  • DMn = 8
  • Healthy donorsn = 2reference
Outcome
Peripheral immune landscape in anti-MDA5 DM (scRNA-seq)
Methodological detailssingle-cell RNA sequencing, 10X Genomics platform
  • Single-cell RNA sequencing
  • 10X Genomics platform

Main finding

As reported in the abstract

  • Aberrantly increased proportions of CD14+ monocytes and plasma cells in anti-MDA5 DM PBMC samples
  • Overactivated type I IFN response and antiviral immunity in innate and adaptive immune cells from anti-MDA5 DM patients, positively correlated with disease severity
  • Unique subset of CD14+ monocytes highly expressing IFI27 (viral infection biomarker) and IFIH1 (encodes MDA5) specifically identified in anti-MDA5 DM samples

Original publication

Single-cell landscape of peripheral immune response in patients with anti-melanoma differentiation–associated gene 5 dermatomyositis. Rheumatology (Oxford). Published 6 November 2023. doi:10.1093/rheumatology/kead597

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