IFN-β-induced reactive oxygen species and mitochondrial damage contribute to muscle impairment and inflammation maintenance in dermatomyositis

IFN-β-induced reactive oxygen species and mitochondrial damage contribute to muscle impairment and inflammation maintenance in dermatomyositis

Alain Meyer;Gilles Laverny;Yves Allenbach;Elise Grelet;Vanessa Ueberschlag;Andoni Echaniz-Laguna;Béatrice Lannes;Ghada Alsaleh;Anne Laure Charles;François Singh;Joffrey Zoll;Evelyne Lonsdorfer;François Maurier;Olivier Boyer;Jacques-Eric Gottenberg;Anne Sophie Nicot;Jocelyn Laporte;Olivier Benveniste;Daniel Metzger;Jean Sibilia;Bernard Geny;Alain Meyer;Gilles Laverny;Yves Allenbach;Elise Grelet;Vanessa Ueberschlag;Andoni Echaniz-Laguna;Béatrice Lannes;Ghada Alsaleh;Anne Laure Charles;François Singh;Joffrey Zoll;Evelyne Lonsdorfer;François Maurier;Olivier Boyer;Jacques-Eric Gottenberg;Anne Sophie Nicot;Jocelyn Laporte;Olivier Benveniste;Daniel Metzger;Jean Sibilia;Bernard Geny;
acta neuropathologica 2017 Vol. 134 pp. 655-666
236
meyer2017actaifn-β-induced

Abstract

Dermatomyositis (DM) is an autoimmune disease associated with enhanced type I interferon (IFN) signalling in skeletal muscle, but the mechanisms underlying muscle dysfunction and inflammation perpetuation remain unknown. Transcriptomic analysis of early untreated DM muscles revealed that the main cluster of down-regulated genes was mitochondria-related. Histochemical, electron microscopy, and in situ oxygraphy analysis showed mitochondrial abnormalities, including increased reactive oxygen species (ROS) production and decreased respiration, which was correlated with low exercise capacities and a type I IFN signature. Moreover, IFN-β induced ROS production in human myotubes was found to contribute to mitochondrial malfunctions. Importantly, the ROS scavenger N-acetyl cysteine (NAC) prevented mitochondrial dysfunctions, type I IFN-stimulated transcript levels, inflammatory cell infiltrate, and muscle weakness in an experimental autoimmune myositis mouse model. Thus, these data highlight a central role of mitochondria and ROS in DM. Mitochondrial dysfunctions, mediated by IFN-β induced-ROS, contribute to poor exercise capacity. In addition, mitochondrial dysfunctions increase ROS production that drive type I IFN-inducible gene expression and muscle inflammation, and may thus self-sustain the disease. Given that current DM treatments only induce partial recovery and expose to serious adverse events (including muscular toxicity), protecting mitochondria from dysfunctions may open new therapeutic avenues for DM.

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doi:10.1007/s00401-017-1731-9
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