Chronic endoplasmic reticulum stress in myotonic dystrophy type 2 promotes autoimmunity via mitochondrial DNA release

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Sarah Rösing - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)
  • Fabian Ullrich - , University of Bonn (Author)
  • Susann Meisterfeld - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)
  • Franziska Schmidt - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)
  • Laura Mlitzko - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)
  • Marijana Croon - , CECAD Research Center (Author)
  • Ryan G. Nattrass - , University of Bonn (Author)
  • Nadia Eberl - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)
  • Julia Mahlberg - , University of Bonn (Author)
  • Martin Schlee - , University of Bonn (Author)
  • Anja Wieland - , University of Bonn (Author)
  • Philipp Simon - , University of Bonn (Author)
  • Daniel Hilbig - , University of Bonn (Author)
  • Ulrike Reuner - , Department of Neurology, University Hospital Carl Gustav Carus Dresden (Author)
  • Alexander Rapp - , Technische Universität Darmstadt (Author)
  • Julia Bremser - , University of Bonn (Author)
  • Peter Mirtschink - , Institute of Clinical Chemistry and Laboratory Medicine, University Hospital Carl Gustav Carus Dresden (Author)
  • Stephan Drukewitz - , Leipzig University (Author)
  • Thomas Zillinger - , University of Bonn (Author)
  • Stefan Beissert - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)
  • Katrin Paeschke - , University of Bonn (Author)
  • Gunther Hartmann - , University of Bonn (Author)
  • Aleksandra Trifunovic - , CECAD Research Center (Author)
  • Eva Bartok - , University of Bonn, Institute of Tropical Medicine Antwerp (Author)
  • Claudia Günther - , Department of Dermatology, University Hospital Carl Gustav Carus Dresden (Author)

Abstract

Myotonic dystrophy type 2 (DM2) is a tetranucleotide CCTG repeat expansion disease associated with an increased prevalence of autoimmunity. Here, we identified an elevated type I interferon (IFN) signature in peripheral blood mononuclear cells and primary fibroblasts of DM2 patients as a trigger of chronic immune stimulation. Although RNA-repeat accumulation was prevalent in the cytosol of DM2-patient fibroblasts, type-I IFN release did not depend on innate RNA immune sensors but rather the DNA sensor cGAS and the prevalence of mitochondrial DNA (mtDNA) in the cytoplasm. Sublethal mtDNA release was promoted by a chronic activation of the ATF6 branch of the unfolded protein response (UPR) in reaction to RNA-repeat accumulation and non-AUG translated tetrapeptide expansion proteins. ATF6-dependent mtDNA release and resulting cGAS/STING activation could also be recapitulated in human THP-1 monocytes exposed to chronic endoplasmic reticulum (ER) stress. Altogether, our study demonstrates a novel mechanism by which large repeat expansions cause chronic endoplasmic reticulum stress and associated mtDNA leakage. This mtDNA is, in turn, sensed by the cGAS/STING pathway and induces a type-I IFN response predisposing to autoimmunity. Elucidating this pathway reveals new potential therapeutic targets for autoimmune disorders associated with repeat expansion diseases.

Details

Original languageEnglish
Article number1534
Number of pages15
JournalNature communications
Volume15
Issue number1
Publication statusPublished - 20 Feb 2024
Peer-reviewedYes

External IDs

PubMed 38378748
ORCID /0000-0002-4330-1861/work/156812171
ORCID /0000-0002-3772-3590/work/156813746

Keywords

Sustainable Development Goals

Keywords

  • Autoimmunity/genetics, Nucleotidyltransferases/genetics, Endoplasmic Reticulum Stress/genetics, RNA, Humans, DNA, Mitochondrial/genetics, Autoimmune Diseases, Myotonic Dystrophy/genetics, Leukocytes, Mononuclear/metabolism, Interferon Type I