PMID- 21855683 OWN - NLM STAT- MEDLINE DCOM- 20111209 LR - 20211020 IS - 1525-2191 (Electronic) IS - 0002-9440 (Print) IS - 0002-9440 (Linking) VI - 179 IP - 3 DP - 2011 Sep TI - Inclusion body myositis: laser microdissection reveals differential up-regulation of IFN-gamma signaling cascade in attacked versus nonattacked myofibers. PG - 1347-59 LID - 10.1016/j.ajpath.2011.05.055 [doi] AB - Sporadic inclusion body myositis (IBM) is a muscle disease with two separate pathogenic components, degeneration and inflammation. Typically, nonnecrotic myofibers are focally surrounded and invaded by CD8(+) T cells and macrophages. Both attacked and nonattacked myofibers express high levels of human leukocyte antigen class I (HLA-I) molecules, a prerequisite for antigen presentation to CD8(+) T cells. However, only a subgroup of HLA-I(+) myofibers is attacked by immune cells. By using IHC, we classified myofibers from five patients with sporadic IBM as attacked (A(IBM)) or nonattacked (N(IBM)) and isolated the intracellular contents of myofibers separately by laser microdissection. For comparison, we isolated myofibers from control persons (H(CTRL)). The samples were analyzed by microarray hybridization and quantitative PCR. HLA-I up-regulation was observed in A(IBM) and N(IBM), whereas H(CTRL) were negative for HLA-I. In contrast, the inducible chain of the interferon (IFN) gamma receptor (IFNGR2) and several IFN-gamma-induced genes were up-regulated in A(IBM) compared with N(IBM) and H(CTRL) fibers. Confocal microscopy confirmed segmental IFNGR2 up-regulation on the membranes of A(IBM), which positively correlated with the number of adjacent CD8(+) T cells. Thus, the differential up-regulation of the IFN-gamma signaling cascade observed in the attacked fibers is related to local inflammation, whereas the ubiquitous HLA-I expression on IBM muscle fibers does not require IFNGR expression. CI - Copyright (c) 2011 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved. FAU - Ivanidze, Jana AU - Ivanidze J AD - Institute of Clinical Neuroimmunology, Ludwig Maximilians University, Munich, Germany. FAU - Hoffmann, Reinhard AU - Hoffmann R FAU - Lochmuller, Hanns AU - Lochmuller H FAU - Engel, Andrew G AU - Engel AG FAU - Hohlfeld, Reinhard AU - Hohlfeld R FAU - Dornmair, Klaus AU - Dornmair K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (HLA Antigens) RN - 0 (IFNGR2 protein, human) RN - 0 (Receptors, Interferon) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Aged MH - Case-Control Studies MH - Female MH - HLA Antigens/metabolism MH - Humans MH - Interferon-gamma/*metabolism MH - Laser Therapy MH - Male MH - Microdissection MH - Middle Aged MH - Muscle Fibers, Skeletal/*metabolism/pathology MH - Muscle, Skeletal/pathology/surgery MH - Myositis, Inclusion Body/*metabolism/pathology MH - Receptors, Interferon/metabolism MH - Signal Transduction/physiology MH - *Up-Regulation PMC - PMC3157228 EDAT- 2011/08/23 06:00 MHDA- 2011/12/14 06:00 PMCR- 2012/09/01 CRDT- 2011/08/23 06:00 PHST- 2011/02/10 00:00 [received] PHST- 2011/05/25 00:00 [revised] PHST- 2011/05/31 00:00 [accepted] PHST- 2011/08/23 06:00 [entrez] PHST- 2011/08/23 06:00 [pubmed] PHST- 2011/12/14 06:00 [medline] PHST- 2012/09/01 00:00 [pmc-release] AID - S0002-9440(11)00555-4 [pii] AID - 10.1016/j.ajpath.2011.05.055 [doi] PST - ppublish SO - Am J Pathol. 2011 Sep;179(3):1347-59. doi: 10.1016/j.ajpath.2011.05.055.