PMID- 38391023 OWN - NLM STAT- Publisher LR - 20240223 IS - 1462-0332 (Electronic) IS - 1462-0324 (Linking) DP - 2024 Feb 23 TI - Interleukin-6 trans-signaling regulates monocyte chemoattractant protein-1 production in immune-mediated necrotizing myopathy. LID - keae118 [pii] LID - 10.1093/rheumatology/keae118 [doi] AB - OBJECTIVE: Immune-mediated necrotizing myopathy (IMNM) is pathologically characterized by diffuse myofiber necrosis and regeneration, myophagocytosis, and a sparse inflammatory infiltrate. The monocyte chemoattractant protein-1 (MCP-1) is a key chemokine that regulates monocyte/macrophage infiltration into injured tissues. The interleukin-6 (IL-6) signalling in the induction of MCP-1 expression has not been investigated in IMNM. METHODS: MCP-1 expression in muscle specimens was assessed using immunohistochemistry and real-time quantitative polymerase chain reaction (RT-qPCR). Levels of multiple serological cytokines were evaluated using the Meso Scale Discovery electrochemiluminescence system. Flow cytometry, RT-qPCR, enzyme-linked immunosorbent assay, western blot, dual-luciferase reporter assays, and chromatin immunoprecipitation-qPCR were performed to explore the effects of IL-6 signalling on MCP-1 production in human myoblasts. RESULTS: MCP-1 was scattered and was positively expressed within myofibers and a few inflammatory cells in the muscles of patients with IMNM. Sarcoplasmic MCP-1 expression significantly correlated with myonecrosis, myoregeneration, and inflammatory infiltration. Serum MCP-1, IL-6, and the soluble form of the IL-6 receptor (sIL-6R) were elevated in patients with IMNM compared with controls. Serological MCP-1 levels were significantly associated with serum IL-6 expression and clinical disease severity in IMNM patients. The IL-6/sIL-6R complex induced MCP-1 expression via the signal transducer and activator of transcription 3 (STAT3) pathway in human myoblasts. Mechanistically, phospho-STAT3 was enriched in the MCP-1 promoter region and promoted the transcription. CONCLUSION: IL-6 trans-signalling may contribute to the immunopathogenesis of IMNM by augmenting inflammation through regulation of MCP-1 expression in IMNM. CI - (c) The Author(s) 2024. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Ma, Xue AU - Ma X AD - Department of Neurology, The First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, 710000, China. AD - Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Gao, Hua-Jie AU - Gao HJ AD - Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Ge, Hui-Zhen AU - Ge HZ AD - Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Zhang, Qing AU - Zhang Q AD - Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Bu, Bi-Tao AU - Bu BT AUID- ORCID: 0000-0003-3686-4153 AD - Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. LA - eng PT - Journal Article DEP - 20240223 PL - England TA - Rheumatology (Oxford) JT - Rheumatology (Oxford, England) JID - 100883501 SB - IM OTO - NOTNLM OT - immune-mediated necrotizing myopathies OT - interleukin-6 trans-signaling OT - macrophages OT - monocyte chemoattractant protein-1 OT - signal transducer and activator of transcription 3 EDAT- 2024/02/23 12:42 MHDA- 2024/02/23 12:42 CRDT- 2024/02/23 08:04 PHST- 2023/08/23 00:00 [received] PHST- 2024/01/06 00:00 [revised] PHST- 2024/02/12 00:00 [accepted] PHST- 2024/02/23 12:42 [medline] PHST- 2024/02/23 12:42 [pubmed] PHST- 2024/02/23 08:04 [entrez] AID - 7613067 [pii] AID - 10.1093/rheumatology/keae118 [doi] PST - aheadofprint SO - Rheumatology (Oxford). 2024 Feb 23:keae118. doi: 10.1093/rheumatology/keae118.