Abstrakti
Objective: Inclusion body myositis (IBM) has an unclear molecular etiology exhibiting both characteristic inflammatory T-cell activity and rimmed-vacuolar degeneration of muscle fibers. Using in-depth gene expression and splicing studies, we aimed at understanding the different components of the molecular pathomechanisms in IBM. Methods: We performed RNA-seq on RNA extracted from skeletal muscle biopsies of clinically and histopathologically defined IBM (n = 24), tibial muscular dystrophy (n = 6), and histopathologically normal group (n = 9). In a comprehensive transcriptomics analysis, we analyzed the differential gene expression, differential splicing and exon usage, downstream pathway analysis, and the interplay between coding and non-coding RNAs (micro RNAs and long non-coding RNAs). Results: We observe dysregulation of genes involved in calcium homeostasis, particularly affecting the T-cell activity and regulation, causing disturbed Ca2+-induced apoptotic pathways of T cells in IBM muscles. Additionally, LCK/p56, which is an essential gene in regulating the fate of T-cell apoptosis, shows increased expression and altered splicing usage in IBM muscles. Interpretation: Our analysis provides a novel understanding of the molecular mechanisms in IBM by showing a detailed dysregulation of genes involved in calcium homeostasis and its effect on T-cell functioning in IBM muscles. Loss of T-cell regulation is hypothesized to be involved in the consistent observation of no response to immune therapies in IBM patients. Our results show that loss of apoptotic control of cytotoxic T cells could indeed be one component of their abnormal cytolytic activity in IBM muscles.
| Alkuperäiskieli | Englanti |
|---|---|
| Sivumäärä | 13 |
| Julkaisu | Journal of Neurology |
| Vuosikerta | 269 |
| Numero | 8 |
| DOI - pysyväislinkit | |
| Tila | Julkaistu - 2022 |
| OKM-julkaisutyyppi | A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä |
Rahoitus
Open Access funding provided by the University of Helsinki including Helsinki University Central Hospital. This work was supported by the Folkhälsan Research Foundation, Doctoral program in Integrative Life Science (ILS) and Doctoral school in Health Sciences (DSHealth), University of Helsinki (MJ), the Päivikki and Sakari Sohlberg Foundation (MJ), the Biomedicum Helsinki Foundation (MJ), Finska läkaresällskapet (BU/MJ), the Finnish Medical Foundation (JP), the Paulo foundation (MS), the Jane and Aatos Erkko Foundation (PH) and the Sigrid Jusélius Foundation (BU). The authors would like to thank the patients and their families. We thank the Oxford Genomics Centre at the Wellcome Centre for Human Genetics (funded by Wellcome Trust grant reference 203141/Z/16/Z) for the generation and initial processing of the sequencing data. We would like to thank CSC – IT Center for Science, Finland, for its computational resources. We thank Helena Luque, Merja Soininen, Talha Qureshi and Eini Penkkimäki for their technical assistance. We would like to thank Peter-Bram 't Hoen for his critical review of this manuscript.
Julkaisufoorumi-taso
- Jufo-taso 1
!!ASJC Scopus subject areas
- Neurology
- Clinical Neurology
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