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Journal of Translational Autoimmunity最新文献

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Mendelian randomization study of the causal relationship between autoimmune diseases and anemia using proteomic and genetic data 利用蛋白质组学和遗传学数据对自身免疫性疾病和贫血之间的因果关系进行孟德尔随机化研究
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-11-12 DOI: 10.1016/j.jtauto.2025.100333
Xin Zhuang , Tianen Pan

Background

Observational studies have suggested a potential association between autoimmune diseases and anemia, but the direction of causality remains unclear. To investigate the potential causal relationship between autoimmune diseases and anemia using Mendelian randomization (MR).

Methods

We conducted a bidirectional two-sample MR study using summary-level genetic data from the EBI and FinnGen databases. We examined 21 autoimmune diseases as exposures and anemia as the outcome, and vice versa. Multivariable MR, meta-analysis, and two-step mediation analysis involving 43 candidate mediators were also performed. Proteomic MR and colocalization analyses were used to validate causal relationships involving proteins. Functional annotations including KEGG pathway, GO enrichment, protein–protein interaction networks, and drug enrichment analyses were performed to identify potential therapeutic targets.

Results

Genetically determined type 1 diabetes mellitus (T1DM), rheumatoid arthritis (RA), and primary biliary cholangitis (PBC) were associated with an increased risk of anemia (P < 0.05 in meta-analysis). Reverse MR analyses suggested potential bidirectional causality between anemia and mixed connective tissue disease, hypothyroidism, and asthma. Mediation analysis indicated that hypothyroidism may contribute to anemia by elevating IgG levels. Proteomic and colocalization analyses identified several proteins associated with anemia (e.g., MCCD1, TMEM106B), T1DM (e.g., CTRB1, CTRB2, IL7RA), RA (e.g., TGFBI, IL1RN), and PBC (e.g., ALDH2, CXCL16).

Conclusion

This MR study supports a causal effect of certain autoimmune diseases on anemia risk and highlights potential protein targets for intervention, offering new insights for anemia prevention and treatment.
观察性研究表明自身免疫性疾病与贫血之间存在潜在关联,但因果关系的方向尚不清楚。利用孟德尔随机化(MR)研究自身免疫性疾病与贫血之间的潜在因果关系。方法利用来自EBI和FinnGen数据库的汇总级遗传数据进行双向双样本MR研究。我们检查了21种自身免疫性疾病作为暴露和贫血作为结果,反之亦然。还进行了涉及43个候选中介的多变量MR、meta分析和两步中介分析。蛋白质组学MR和共定位分析用于验证涉及蛋白质的因果关系。功能注释包括KEGG通路、氧化石墨烯富集、蛋白-蛋白相互作用网络和药物富集分析,以确定潜在的治疗靶点。遗传决定的1型糖尿病(T1DM)、类风湿性关节炎(RA)和原发性胆管炎(PBC)与贫血风险增加相关(荟萃分析P <; 0.05)。反向磁共振分析提示贫血与混合性结缔组织病、甲状腺功能减退和哮喘之间存在潜在的双向因果关系。中介分析提示甲状腺功能减退可能通过升高IgG水平导致贫血。蛋白质组学和共定位分析确定了几种与贫血相关的蛋白质(如MCCD1, TMEM106B), T1DM(如CTRB1, CTRB2, IL7RA), RA(如TGFBI, IL1RN)和PBC(如ALDH2, CXCL16)。结论本MR研究支持了某些自身免疫性疾病与贫血风险的因果关系,并强调了潜在的干预蛋白靶点,为贫血的预防和治疗提供了新的见解。
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引用次数: 0
Epidemiological assessment of six major immune-mediated inflammatory diseases based on the Global Burden of Disease Study 2021: analyses of age-standardized incidence, prevalence, mortality, and disability-adjusted life years 基于2021年全球疾病负担研究的六种主要免疫介导炎症性疾病的流行病学评估:年龄标准化发病率、患病率、死亡率和残疾调整生命年的分析
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-11-08 DOI: 10.1016/j.jtauto.2025.100330
Mengyu Huang , Zhaoli Ma , Xiu Luo , Qian Ren

Objective

Immune-mediated inflammatory diseases (IMIDs) are a group of chronic conditions characterized by dysregulated immune responses and tissue inflammation, posing a significant challenge to global health. However, comprehensive epidemiological analysis of the burden of these diseases remains limited. This study aimed to assess the trends in disease burden of six major IMIDs from 1990 to 2021 using the Global Burden of Disease (GBD) 2021 data, providing evidence for targeted prevention and control strategies.

Methods

Utilizing GBD 2021 data, we analyzed the epidemiological trends in age-standardized incidence rate (ASIR), age-standardized prevalence rate (ASPR), age-standardized death rate (ASDR), and disability-adjusted life years (DALYs) for six IMIDs across global, 21 regions, 5 Socio-demographic Index (SDI) quintiles, and 204 countries and territories. Joinpoint regression analysis was employed to evaluate temporal trends and calculated the average annual percentage change (AAPC) and its 95% confidence interval (CI).

Results

From 1990 to 2021, global ASIR, ASPR, ASDR, and DALYs for asthma, atopic dermatitis (AD), and multiple sclerosis (MS) exhibited declining trends. In contrast, ASIR, ASPR, and DALYs for psoriasis (PsO) showed a comprehensive increasing trend. For inflammatory bowel disease (IBD) and rheumatoid arthritis (RA), ASIR increased significantly, while ASDR and DALYs decreased. Furthermore, significant regional heterogeneity in disease burden was observed: high-SDI regions typically demonstrated higher ASIR and ASPR but lower ASDR; conversely, low-SDI regions exhibited lower ASIR and ASPR alongside higher ASDR.

Conclusion

Despite significant spatiotemporal heterogeneity in the burden of the six IMIDs at global and regional levels, they collectively impose a substantial health burden worldwide. Consequently, future efforts require region-specific, differentiated public health interventions to address the ongoing challenge posed by IMIDs to global health systems.
免疫介导的炎症性疾病(IMIDs)是一组以免疫反应失调和组织炎症为特征的慢性疾病,对全球健康构成了重大挑战。然而,对这些疾病负担的全面流行病学分析仍然有限。本研究旨在利用全球疾病负担(GBD) 2021数据评估1990年至2021年6个主要IMIDs的疾病负担趋势,为有针对性的预防和控制策略提供证据。方法利用GBD 2021数据,分析全球21个地区、5个社会人口指数(SDI)五分位数、204个国家和地区的6种IMIDs的年龄标准化发病率(ASIR)、年龄标准化患病率(ASPR)、年龄标准化死亡率(ASDR)和残疾调整生命年(DALYs)的流行病学趋势。采用连接点回归分析评价时间趋势,计算年平均百分比变化(AAPC)及其95%置信区间(CI)。结果从1990年到2021年,全球哮喘、特应性皮炎(AD)和多发性硬化症(MS)的ASIR、ASPR、ASDR和DALYs呈下降趋势。相比之下,银屑病(PsO)的ASIR、ASPR和DALYs呈综合上升趋势。对于炎症性肠病(IBD)和类风湿性关节炎(RA), ASIR显著增加,而ASDR和DALYs降低。此外,疾病负担的区域异质性显著:高sdi地区通常表现出较高的ASIR和ASPR,但较低的ASDR;相反,低sdi地区表现出较低的ASIR和ASPR以及较高的ASDR。结论:尽管6种疾病在全球和区域层面的负担存在显著的时空异质性,但它们共同在全球范围内造成了巨大的健康负担。因此,未来的努力需要针对特定区域的、有区别的公共卫生干预措施,以应对IMIDs对全球卫生系统构成的持续挑战。
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引用次数: 0
Emerging cell-based and cell-free therapeutic strategies for vitiligo 新兴的基于细胞和无细胞的白癜风治疗策略
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-11-08 DOI: 10.1016/j.jtauto.2025.100331
Nasser Gholijani , Effat Noori , Zeinab Zarei-Behjani , Delsuz Rezaee , Maryam Khodaei , Gholamhossien Darya , Kobra Mehdinejadiani , Zeinab Dehghan
Vitiligo is a chronic, acquired skin disorder characterized by the loss of pigmentation due to the destruction or dysfunction of melanocytes. Conventional treatments such as corticosteroids and phototherapy often produce limited and unpredictable outcomes. In recent years, novel therapeutic strategies—including both cell-based and cell-free approaches such as melanocyte transplantation, mesenchymal stem cells (MSCs), platelet-rich plasma (PRP), stem cell secretome, and exosomes—have emerged as promising alternatives. These therapies aim to restore pigmentation by replenishing melanocytes, modulating immune responses, and mitigating oxidative stress. This review explores the mechanisms of action, clinical efficacy, and translational challenges associated with each approach. While melanocyte transplantation demonstrates the highest repigmentation success in stable cases, stem cell- and exosome-based therapies offer significant potential for personalized and long-term treatment of vitiligo.
白癜风是一种慢性的、获得性的皮肤疾病,其特征是由于黑色素细胞的破坏或功能障碍而导致色素沉着的丧失。常规治疗如皮质类固醇和光疗通常产生有限和不可预测的结果。近年来,新的治疗策略——包括基于细胞和无细胞的方法,如黑素细胞移植、间充质干细胞(MSCs)、富血小板血浆(PRP)、干细胞分泌组和外泌体——已经成为有希望的替代方案。这些疗法旨在通过补充黑素细胞、调节免疫反应和减轻氧化应激来恢复色素沉着。这篇综述探讨了每种方法的作用机制、临床疗效和转化挑战。虽然黑素细胞移植在稳定病例中表现出最高的重新着色成功率,但基于干细胞和外泌体的疗法为白癜风的个性化和长期治疗提供了巨大的潜力。
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引用次数: 0
Discovery of a PDE4B and PDE4D selective bifunctional degrader for management of chronic inflammatory disorders 发现一种PDE4B和PDE4D选择性双功能降解剂用于治疗慢性炎性疾病
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-31 DOI: 10.1016/j.jtauto.2025.100329
Arvind Shakya , Qiao Liu , Chon Lai , Sherry Baker , Steven Greene , Paul Erdman , Athri Rathnayake , Angela Schoolmeesters , Connor M. Blair , Elka Kyurkchieva , Navin Rajapakse , Imelda Lam , Yuan Yan Sin , George S. Baillie , Shenlin Huang , Aparajita H. Chourasia , Leah Fung
Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by redness and itching, impacting over 15 million individuals in the US. The pathogenesis of AD involves T helper 2 (TH2) and 17 (TH17) cytokines, which contribute to increased inflammation, a compromised skin barrier, and heightened susceptibility to infections and allergen sensitization. PDE4, a specific enzyme that degrades cyclic 3′,5′-adenosine monophosphate (cAMP), shows elevated expression in AD patients, maintaining a highly inflammatory environment. Inhibiting PDE4 effectively reduces pro-inflammatory cytokines in several chronic inflammatory diseases. However, current PDE4 inhibitors are often associated with significant adverse effects due to off-target activities. Recent developments in targeted protein degradation techniques have prompted interest in alternative strategies to modulate PDE4 activity with improved selectivity. Consequently, we have developed potent and selective bifunctional degraders for PDE4B/D. These degraders significantly reduce pro-inflammatory cytokine release from activated T cells in vitro, demonstrating a potency which is a thousand times greater than traditional PDE4 inhibitors. In addition, the PDE4B/D degrader (BTX-AP02) efficiently degrades PDE4D in the spleens of treated mice in a dose-dependent manner, with no significant adverse effects at dose levels used in the study. We also demonstrate the efficacy of our lead oral PDE4B/D degrader (BTX-AP04) in a mouse model of graft-versus-host disease (GvHD). Notably, our PDE4D degraders exhibit minimal degradation of known neo-substrates of cereblon (CRBN), indicating high specificity. Taken together, we propose the introduction of a more potent, specific, and safe PDE4B/D degrader as a novel treatment for inflammatory skin conditions such as AD.
特应性皮炎(AD)是一种以发红和瘙痒为特征的慢性炎症性皮肤疾病,影响着美国超过1500万人。AD的发病机制涉及辅助性T细胞2 (TH2)和TH17 (TH17)细胞因子,它们有助于炎症增加,皮肤屏障受损,对感染和过敏原敏感的易感性增加。PDE4是一种降解环3′,5′-腺苷单磷酸(cAMP)的特异性酶,在AD患者中表达升高,维持高度炎症环境。抑制PDE4可有效降低几种慢性炎性疾病的促炎细胞因子。然而,目前的PDE4抑制剂通常由于脱靶活性而伴有显著的不良反应。靶向蛋白降解技术的最新发展促使人们对选择性调节PDE4活性的替代策略产生了兴趣。因此,我们开发了有效的、选择性的PDE4B/D双功能降解剂。这些降解剂显著减少体外活化T细胞的促炎细胞因子释放,其效力是传统PDE4抑制剂的一千倍。此外,PDE4B/D降解剂(BTX-AP02)在处理小鼠脾脏中以剂量依赖的方式有效降解PDE4D,在本研究使用的剂量水平下无明显不良反应。我们还证明了我们的口服PDE4B/D降解剂(BTX-AP04)在移植物抗宿主病(GvHD)小鼠模型中的有效性。值得注意的是,我们的PDE4D降解物对已知的小脑新底物(CRBN)的降解最小,表明了高特异性。综上所述,我们建议引入一种更有效、更特异、更安全的PDE4B/D降解剂,作为治疗炎症性皮肤疾病(如AD)的新方法。
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引用次数: 0
The clinical characteristics and treatment response of myasthenia gravis with positive thyroid peroxidase antibody or thyroid globulin antibody 甲状腺过氧化物酶抗体或甲状腺球蛋白抗体阳性重症肌无力的临床特点及治疗效果
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-29 DOI: 10.1016/j.jtauto.2025.100328
Hanyu Xin, Mingou Lu

Background and purpose

Myasthenia gravis (MG) frequently associates with thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TgAb), indicating shared autoimmunity. This study investigated the impact of TPOAb/TgAb on MG severity and pathogenesis, to inform improved management.

Methods

We retrospectively analyzed 144 MG patients (Jan 2022–Dec 2024), stratified into four groups by TPOAb/TgAb status. We compared demographic and clinical profiles, analyzed the effects of disease duration, stage, and onset age on TPOAb/TgAb titers, and evaluated treatment responses across groups.

Results

Among 144 included patients, 55.6 % were thyroid antibody (TAb) - positive (TPOAb + TgAb-: 18.8 %; TgAb + TPOAb-: 9.7 %; TPOAb + TgAb+: 27.1 %). Median onset age was 61 years, 67.5 % were female. TPOAb + TgAb- MG primarily presented as MGFA I (70.4 %), initial onset (63.0 %), with low thymoma (3.7 %) and no TitinAb/RyRAb. TPOAb + TgAb + MG exhibited a severe phenotype: higher MGFA III (30.8 %), relapsed (71.8 % vs 50.0 % in TPOAb-TgAb-, P = 0.030), thymoma (43.6 %), and TitinAb/RyRAb positivity (43.6 %/25.6 %). TgAb titers were significantly higher in relapsed MG (P = 0.001). Both TPOAb + TgAb+ and TPOAb-TgAb- MG responded better to pyridostigmine 90 mg/day, TPOAb + TgAb + MG showed superior response to high-dose glucocorticoids (40–60 mg/day) compared to TPOAb-TgAb- (P = 0.006). However, multivariate analysis indicated TPOAb + TgAb + status itself was not an independent predictor (OR = 0.077, 95 % CI: 0.000–23.487; P = 0.380).

Conclusions

This study demonstrates the clinical significance of TPOAb/TgAb in MG. TPOAb + TgAb + status identifies a clinical subgroup with a "triple-high" profile. TgAb may show potential as a disease activity biomarker. These findings inform precision treatment strategies, pending validation in large prospective studies.
背景与目的重症肌无力(MG)常伴有甲状腺过氧化物酶抗体(TPOAb)和甲状腺球蛋白抗体(TgAb),提示有共同的自身免疫。本研究探讨TPOAb/TgAb对MG严重程度和发病机制的影响,为改善管理提供依据。方法回顾性分析144例MG患者(2022年1月- 2024年12月),按TPOAb/TgAb状态分为4组。我们比较了人口统计学和临床资料,分析了病程、分期和发病年龄对TPOAb/TgAb滴度的影响,并评估了各组间的治疗反应。结果144例患者中,甲状腺抗体(TAb)阳性的占55.6% (TPOAb + TgAb-: 18.8%; TgAb+ TPOAb-: 9.7%; TPOAb + TgAb+: 27.1%)。中位发病年龄61岁,67.5%为女性。TPOAb + TgAb- MG主要表现为MGFA I(70.4%),初始发病(63.0%),低胸腺瘤(3.7%),无TitinAb/RyRAb。TPOAb + TgAb + MG表现出严重的表型:MGFA III升高(30.8%),复发(71.8% vs 50.0% TPOAb-TgAb-, P = 0.030),胸腺瘤(43.6%)和TitinAb/RyRAb阳性(43.6% / 25.6%)。复发MG患者TgAb滴度显著升高(P = 0.001)。与TPOAb-TgAb-相比,TPOAb + TgAb+和TPOAb-TgAb- MG对吡地斯的明90mg /d的疗效更好,TPOAb + TgAb+ MG对高剂量糖皮质激素(40 ~ 60mg /d)的疗效更好(P = 0.006)。然而,多变量分析显示TPOAb + TgAb +状态本身并不是独立的预测因子(OR = 0.077, 95% CI: 0.000-23.487; P = 0.380)。结论TPOAb/TgAb在MG患者中的临床意义。TPOAb + TgAb +状态确定具有“三高”特征的临床亚组。TgAb可能显示出作为疾病活动性生物标志物的潜力。这些发现为精确治疗策略提供了依据,有待大型前瞻性研究的验证。
{"title":"The clinical characteristics and treatment response of myasthenia gravis with positive thyroid peroxidase antibody or thyroid globulin antibody","authors":"Hanyu Xin,&nbsp;Mingou Lu","doi":"10.1016/j.jtauto.2025.100328","DOIUrl":"10.1016/j.jtauto.2025.100328","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Myasthenia gravis (MG) frequently associates with thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TgAb), indicating shared autoimmunity. This study investigated the impact of TPOAb/TgAb on MG severity and pathogenesis, to inform improved management.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 144 MG patients (Jan 2022–Dec 2024), stratified into four groups by TPOAb/TgAb status. We compared demographic and clinical profiles, analyzed the effects of disease duration, stage, and onset age on TPOAb/TgAb titers, and evaluated treatment responses across groups.</div></div><div><h3>Results</h3><div>Among 144 included patients, 55.6 % were thyroid antibody (TAb) - positive (TPOAb + TgAb-: 18.8 %; TgAb + TPOAb-: 9.7 %; TPOAb + TgAb+: 27.1 %). Median onset age was 61 years, 67.5 % were female. TPOAb + TgAb- MG primarily presented as MGFA I (70.4 %), initial onset (63.0 %), with low thymoma (3.7 %) and no TitinAb/RyRAb. TPOAb + TgAb + MG exhibited a severe phenotype: higher MGFA III (30.8 %), relapsed (71.8 % vs 50.0 % in TPOAb-TgAb-, P = 0.030), thymoma (43.6 %), and TitinAb/RyRAb positivity (43.6 %/25.6 %). TgAb titers were significantly higher in relapsed MG (P = 0.001). Both TPOAb + TgAb+ and TPOAb-TgAb- MG responded better to pyridostigmine 90 mg/day, TPOAb + TgAb + MG showed superior response to high-dose glucocorticoids (40–60 mg/day) compared to TPOAb-TgAb- (P = 0.006). However, multivariate analysis indicated TPOAb + TgAb + status itself was not an independent predictor (OR = 0.077, 95 % CI: 0.000–23.487; P = 0.380).</div></div><div><h3>Conclusions</h3><div>This study demonstrates the clinical significance of TPOAb/TgAb in MG. TPOAb + TgAb + status identifies a clinical subgroup with a \"triple-high\" profile. TgAb may show potential as a disease activity biomarker. These findings inform precision treatment strategies, pending validation in large prospective studies.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"11 ","pages":"Article 100328"},"PeriodicalIF":3.6,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Divergent trajectories of inflammatory bowel disease in East, South, South-East and Central Asia: A comprehensive GBD 2021 analysis 东亚、南亚、东南亚和中亚地区炎性肠病的不同发展轨迹:一项全面的GBD 2021分析
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-25 DOI: 10.1016/j.jtauto.2025.100325
Kui Wang , Yunqing Zeng , Shanshan Zhang , Yanqing Li

Background

Inflammatory bowel disease (IBD) is no longer confined to Western populations; its burden is rising across Asia, a region with marked demographic, economic, and health-system heterogeneity. Quantifying contemporary trends and their drivers is essential for region-tailored policy. We aimed to provide the first continent-wide, methodologically harmonized assessment of temporal trends, demographic–epidemiologic determinants, and projections of IBD burden in Asia.

Methods

We extracted country-specific incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) for 1990–2021 from the Global Burden of Disease 2021 for 43 Asian countries/territories. Age-standardized rates (ASRs) were summarized using estimated annual percentage change (EAPC). An additive Das-Gupta decomposition apportioned absolute changes in cases and DALYs to population growth, population ageing, and epidemiologic change. Bayesian age–period–cohort models projected burden to 2040.

Results

From 1990 to 2021, prevalent IBD cases more than doubled (0.54 million→1.34 million) and incident cases nearly tripled. Age-standardized prevalence (ASPR) and incidence (ASIR) rose by 25 % (EAPC 0.98 %) and 34 % (EAPC 1.17 %), respectively. In contrast, the age-standardized death rate declined from 0.50 to 0.30 per 100 000 (EAPC –1.97 %), and the DALY rate fell by 32 % (16.1 → 11.0 per 100 000; EAPC –1.30 %). Decomposition attributed 56 % of additional prevalent cases to population growth, 20 % to ageing, and 24 % to rising age-specific rates. East Asia showed the fastest proportional rise in ASIR yet the steepest DALY decline; Central Asia maintained the highest per-capita disability load; and Southeast Asia remained a low-burden plateau. Projections indicate continued prevalence growth in South and Central Asia, epidemiologic stabilization in East Asia, and sustained low burden in Southeast Asia by 2040.

Conclusions

Asia is experiencing a dual dynamic of expanding IBD caseload alongside improving survival and disability outcomes, with pronounced sub-regional heterogeneity. Demography remains the principal driver of case growth, but genuine increases in age-specific incidence signal ongoing propagation of risk. Strengthening surveillance, expanding equitable access to advanced therapies, and implementing region-specific, longitudinal care pathways are imperative to avert disproportionate future disability and economic loss.
背景:炎症性肠病(IBD)不再局限于西方人群;在人口、经济和卫生系统具有明显异质性的亚洲,其负担正在上升。量化当前趋势及其驱动因素对于制定适合区域的政策至关重要。我们的目标是提供第一个全大陆范围的、方法上统一的评估,评估亚洲IBD的时间趋势、人口流行病学决定因素和预测。方法:我们从《2021年全球疾病负担》中提取了43个亚洲国家/地区1990-2021年的国别发病率、患病率、死亡率和残疾调整生命年(DALYs)。使用估计年百分比变化(EAPC)总结年龄标准化率(ASRs)。累加式Das-Gupta分解将病例和伤残调整生命年的绝对变化与人口增长、人口老龄化和流行病学变化进行了分配。贝叶斯年龄-时期-队列模型预测到2040年。结果从1990年到2021年,IBD流行病例增加了一倍多(54万→134万),发病病例增加了近两倍。年龄标准化患病率(ASPR)和发病率(ASIR)分别上升25% (EAPC 0.98%)和34% (EAPC 1.17%)。相比之下,年龄标准化死亡率从0.50 / 10万下降到0.30 / 10万(EAPC - 1.97%), DALY率下降32%(16.1→11.0 / 10万;EAPC - 1.30%)。分解将新增流行病例的56%归因于人口增长,20%归因于老龄化,24%归因于特定年龄段发病率的上升。东亚地区ASIR比例上升最快,但DALY降幅最大;中亚保持着最高的人均残疾负担;东南亚仍然是低负荷高原。预测表明,到2040年,南亚和中亚的流行率将继续增长,东亚的流行病学将趋于稳定,东南亚的负担将保持在较低水平。结论:亚洲正在经历IBD病例量扩大、生存和残疾结果改善的双重动态,具有明显的次区域异质性。人口统计仍然是病例增长的主要驱动因素,但特定年龄发病率的真正增加表明风险正在持续传播。加强监测,扩大公平获得先进疗法的机会,实施针对特定区域的纵向护理途径,对于避免未来不成比例的残疾和经济损失至关重要。
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引用次数: 0
Identification of key oxidative phosphorylation-related genes in systemic lupus erythematosus based on transcriptomics and bioinformatics analysis 基于转录组学和生物信息学分析的系统性红斑狼疮关键氧化磷酸化相关基因鉴定
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-19 DOI: 10.1016/j.jtauto.2025.100327
Shasha Wang, Hongmin Hu, Jingru Chen, Chengyin Li

Objective

Oxidative phosphorylation (OXPHOS) dysfunction is increasingly recognized as a key factor in systemic lupus erythematosus (SLE) pathogenesis. This study aimed to identify OXPHOS-related core genes as potential SLE biomarkers and therapeutic targets.

Methods

mRNA sequencing and GSEA were performed on MRL/lpr mouse kidneys. Cross-species differentially expressed genes (DEGs) were identified by integrating mouse data with human SLE kidney datasets from the Gene Expression Omnibus (GEO). Overlapping DEGs with OXPHOS-related genes from GeneCards, a protein–protein interaction (PPI) network was constructed to screen core genes, followed by GO and KEGG enrichment analyses. Gene expression was validated in SLE whole blood, skin lesions, and immune cell subsets using independent GEO datasets. Diagnostic value was assessed by receiver operating characteristic (ROC) analysis; correlation with disease activity was evaluated using the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). Drug-target interactions were analyzed via DrugBank and STRING. Key genes were validated by qPCR in MRL/lpr kidneys.

Results

The OXPHOS pathway was significantly downregulated in MRL/lpr kidneys. Ten consistently upregulated core genes—CCNA2, KIF11, CDC20, TOP2A, TPX2, AURKB, DLGAP5, FOXM1, MKI67, and CEP55—were identified and enriched in cell cycle regulation and cellular senescence. All ten were upregulated in SLE blood; seven in skin lesions. They were broadly overexpressed in immune cells, especially plasmablasts and CD4+ T cells. CDC20, DLGAP5, and CEP55 showed high diagnostic accuracy (AUC >0.8). CCNA2 (r = 0.50) and CDC20 (r = 0.56) correlated significantly with SLEDAI. Six genes interacted with known SLE drug targets. Integrating expression and interaction profiles, CCNA2, AURKB, FOXM1, and MKI67 were prioritized as top therapeutic candidates. Quantitative real-time polymerase chain reaction (qPCR) confirmed CCNA2 and FOXM1 upregulation in MRL/lpr kidneys.

Conclusion

This study identifies a systemic OXPHOS-related gene signature in SLE, highlighting promising candidates for diagnosis and targeted therapy.
目的氧化磷酸化(OXPHOS)功能障碍越来越被认为是系统性红斑狼疮(SLE)发病的关键因素。本研究旨在确定oxphos相关核心基因作为潜在的SLE生物标志物和治疗靶点。方法对MRL/lpr小鼠肾脏进行smrna测序和GSEA检测。通过整合来自基因表达综合(GEO)的小鼠数据和人类SLE肾脏数据集,鉴定了跨物种差异表达基因(DEGs)。将DEGs与来自GeneCards的oxphos相关基因重叠,构建蛋白蛋白相互作用(PPI)网络筛选核心基因,然后进行GO和KEGG富集分析。使用独立的GEO数据集验证了SLE全血、皮肤病变和免疫细胞亚群中的基因表达。采用受试者工作特征(ROC)分析评估诊断价值;使用系统性红斑狼疮疾病活动性指数(SLEDAI)评估与疾病活动性的相关性。通过DrugBank和STRING分析药物-靶标相互作用。通过qPCR验证MRL/lpr肾的关键基因。结果MRL/lpr肾中OXPHOS通路明显下调。十个持续上调的核心基因——ccna2、KIF11、CDC20、TOP2A、TPX2、AURKB、DLGAP5、FOXM1、MKI67和cep55——被鉴定出来,并在细胞周期调控和细胞衰老中富集。这10种蛋白在SLE血液中均上调;7例皮肤损伤。它们在免疫细胞,尤其是浆母细胞和CD4+ T细胞中广泛过表达。CDC20、DLGAP5、CEP55的诊断准确率较高(AUC >0.8)。CCNA2 (r = 0.50)和CDC20 (r = 0.56)与SLEDAI显著相关。六个基因与已知的SLE药物靶点相互作用。整合表达和相互作用谱,CCNA2、AURKB、FOXM1和MKI67被优先考虑为最佳治疗候选。定量实时聚合酶链反应(qPCR)证实MRL/lpr肾脏中CCNA2和FOXM1上调。结论:本研究在SLE中发现了一个系统性的oxphos相关基因标记,突出了有希望的诊断和靶向治疗候选基因。
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引用次数: 0
The significance of m6A-circFOXK2 in CD4+T cells from patients with rheumatoid arthritis and circFOXK2 correlates with Th17 % and autophagy m6A-circFOXK2在类风湿关节炎患者CD4+T细胞中的意义与th17%和自噬相关
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-15 DOI: 10.1016/j.jtauto.2025.100326
Qing Luo , Zhiwei Wu , Qiuyun Xiao , Mengfan Lan , Shiqian Wang , Peng Fu , Biqi Fu , Zikun Huang , Junming Li

Objective

CD4+T cells are significant compositions of immune cells in rheumatoid arthritis (RA) and the aberrant function of CD4+T cells have been demonstrated to promote RA's progression. N6-methyladenosine (m6A) is a highly enriched modification found in CircRNAs. However, the role of m6A-methylated circRNA in regulation of CD4+T cells function in RA and its association with RA disease activity are presently unclear.

Methods

We used m6A-circRNA epitranscriptomic microarray analysis and m6A RNA immunocoprecipitation-quantitative polymerase chain reaction (MeRIP-qPCR) to screen and verify the differentially expressed m6A-methylated circRNAs in CD4+T cells from RA and HC.

Results

Many m6A-methylated circRNAs were differentially expressed in patients with new-onset RA. M6A-methylated circFOXK2 in the CD4+T cells of patients with new-onset RA was significantly decreased, the expression level of circFOXK2 in the CD4+T cells of patients with new-onset RA was significantly increased and correlated with treatment, Th17 %, autophagy. CircFOXK2 could function as competing endogenous RNAs to regulate miR-486-3p expression. In many m6A regulators, only a-ketoglutarate-dependent dioxygenase alkB homolog 5 (ALKBH5) was significantly increased in the CD4+T cells of patients with new-onset RA, and its level positively correlated with rheumatoid factor, the expression of circFOXK2. Moreover, the change of ALKBH5 could affect the level of m6A and circFOXK2 in Jurkat cell line.

Conclusion

We indicated a notable decrease in the m6A-methylated level of circFOXK2 in CD4+T cells from human RA, indicating a potential role of hypomethylated circFOXK2 in CD4+T cells function and RA pathogenesis. This may show valuable insight into the ALKBH5/m6A-circFOXK2/miRNA interaction network and the mechanism of RA.
目的CD4+T细胞是类风湿关节炎(RA)免疫细胞的重要组成部分,CD4+T细胞的异常功能促进了RA的进展。n6 -甲基腺苷(m6A)是CircRNAs中发现的一种高度富集的修饰。然而,m6a甲基化circRNA在RA中调节CD4+T细胞功能的作用及其与RA疾病活动性的关系目前尚不清楚。方法采用m6A- circrna表转录组微阵列分析和m6A RNA免疫共沉淀-定量聚合酶链反应(MeRIP-qPCR)技术筛选和验证RA和HC患者CD4+T细胞中m6A-甲基化circrna的差异表达。结果许多m6a甲基化环状rna在新发RA患者中存在差异表达。m6a甲基化circFOXK2在新发RA患者CD4+T细胞中的表达水平显著降低,circFOXK2在新发RA患者CD4+T细胞中的表达水平显著升高,并与治疗、th17%、自噬相关。CircFOXK2可以作为竞争性内源性rna调节miR-486-3p的表达。在许多m6A调节因子中,只有a-酮戊二酸依赖性双加氧酶alkB同源物5 (ALKBH5)在新发RA患者的CD4+T细胞中显著升高,且其水平与类风湿因子、circFOXK2的表达呈正相关。此外,ALKBH5的变化可以影响Jurkat细胞株m6A和circFOXK2的水平。结论在RA患者的CD4+T细胞中,circFOXK2的m6a甲基化水平显著降低,提示circFOXK2低甲基化在CD4+T细胞功能和RA发病机制中可能发挥作用。这可能对ALKBH5/m6A-circFOXK2/miRNA相互作用网络和RA的机制提供有价值的见解。
{"title":"The significance of m6A-circFOXK2 in CD4+T cells from patients with rheumatoid arthritis and circFOXK2 correlates with Th17 % and autophagy","authors":"Qing Luo ,&nbsp;Zhiwei Wu ,&nbsp;Qiuyun Xiao ,&nbsp;Mengfan Lan ,&nbsp;Shiqian Wang ,&nbsp;Peng Fu ,&nbsp;Biqi Fu ,&nbsp;Zikun Huang ,&nbsp;Junming Li","doi":"10.1016/j.jtauto.2025.100326","DOIUrl":"10.1016/j.jtauto.2025.100326","url":null,"abstract":"<div><h3>Objective</h3><div>CD4<sup>+</sup>T cells are significant compositions of immune cells in rheumatoid arthritis (RA) and the aberrant function of CD4<sup>+</sup>T cells have been demonstrated to promote RA's progression. N6-methyladenosine (m6A) is a highly enriched modification found in CircRNAs. However, the role of m6A-methylated circRNA in regulation of CD4<sup>+</sup>T cells function in RA and its association with RA disease activity are presently unclear.</div></div><div><h3>Methods</h3><div>We used m6A-circRNA epitranscriptomic microarray analysis and m6A RNA immunocoprecipitation-quantitative polymerase chain reaction (MeRIP-qPCR) to screen and verify the differentially expressed m6A-methylated circRNAs in CD4<sup>+</sup>T cells from RA and HC.</div></div><div><h3>Results</h3><div>Many m6A-methylated circRNAs were differentially expressed in patients with new-onset RA. M6A-methylated circFOXK2 in the CD4<sup>+</sup>T cells of patients with new-onset RA was significantly decreased, the expression level of circFOXK2 in the CD4<sup>+</sup>T cells of patients with new-onset RA was significantly increased and correlated with treatment, Th17 %, autophagy. CircFOXK2 could function as competing endogenous RNAs to regulate miR-486-3p expression. In many m6A regulators, only a-ketoglutarate-dependent dioxygenase alkB homolog 5 (ALKBH5) was significantly increased in the CD4<sup>+</sup>T cells of patients with new-onset RA, and its level positively correlated with rheumatoid factor, the expression of circFOXK2. Moreover, the change of ALKBH5 could affect the level of m6A and circFOXK2 in Jurkat cell line.</div></div><div><h3>Conclusion</h3><div>We indicated a notable decrease in the m6A-methylated level of circFOXK2 in CD4<sup>+</sup>T cells from human RA, indicating a potential role of hypomethylated circFOXK2 in CD4<sup>+</sup>T cells function and RA pathogenesis. This may show valuable insight into the ALKBH5/m6A-circFOXK2/miRNA interaction network and the mechanism of RA.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"11 ","pages":"Article 100326"},"PeriodicalIF":3.6,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel variants in ARID1B, SPSB1, and RAET1-AS shape genetic susceptibility and protection in systemic lupus erythematosus and lupus nephritis ARID1B、SPSB1和RAET1-AS的新变异在系统性红斑狼疮和狼疮性肾炎中形成遗传易感性和保护作用
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-10 DOI: 10.1016/j.jtauto.2025.100322
Hung-Yi Chen , Feng-Cheng Liu , Hsian-Cheng Chen , Tan-Mei Liu , Fu-Chiang Yeh , Yu-Tien Chang

Background

Systemic lupus erythematosus (SLE) is an autoimmune disorder characterized by immune dysregulation affecting multiple organs, most notably lupus nephritis (LN). Genetic susceptibility significantly contributes to disease severity and prognosis. However, genomic studies specific to Taiwanese SLE patients, particularly those focusing on LN, remain limited. This study aimed to identify genetic variants associated with SLE and LN in a Taiwanese cohort.

Methods

Genome-wide association studies (GWAS) were performed on 276 Taiwanese SLE patients compared with 3393 patients with other rheumatic diseases. Single-nucleotide polymorphism (SNP) genotyping was conducted using the Taiwan Precision Medicine Array, with analyses adjusted for age, sex, and population structure. Functional annotations and biomarkers of renal function were assessed for identified SNPs.

Results

Compared with patients with other rheumatic diseases, a novel protective variant, rs9480438 (ARID1B), was identified in the SLE group, suggesting an association with dysregulation of cell cycle checkpoints. In the LN group, a protective variant, rs1294028 (SPSB1), and a risk variant, rs17079029 (RAET1-G/RAET1-AS), were linked to altered serum biomarkers and potential pathogenesis influenced by TGFβ and NK cells.

Conclusions

Novel genetic variants related to immune regulation and autoimmunity in Taiwanese SLE and LN patients were identified. These variants provide insight into disease mechanisms and may guide early detection and personalized therapeutic approaches.
系统性红斑狼疮(SLE)是一种以影响多器官的免疫失调为特征的自身免疫性疾病,最显著的是狼疮肾炎(LN)。遗传易感性对疾病严重程度和预后有显著影响。然而,针对台湾SLE患者的基因组研究,特别是针对LN的研究,仍然有限。本研究旨在找出台湾人群中与SLE和LN相关的遗传变异。方法对276例台湾SLE患者与3393例其他风湿病患者进行全基因组关联研究(GWAS)。采用台湾精密医学阵列进行单核苷酸多态性(SNP)基因分型,并根据年龄、性别和人口结构进行调整。对鉴定出的snp进行肾功能功能注释和生物标志物的评估。结果与其他风湿病患者相比,在SLE组中发现了一种新的保护性变异rs9480438 (ARID1B),提示与细胞周期检查点失调有关。在LN组中,一种保护性变异rs1294028 (SPSB1)和一种风险变异rs17079029 (RAET1-G/RAET1-AS)与血清生物标志物的改变和TGFβ和NK细胞影响的潜在发病机制有关。结论台湾SLE和LN患者存在与免疫调节和自身免疫相关的新基因变异。这些变异提供了对疾病机制的深入了解,并可能指导早期发现和个性化治疗方法。
{"title":"Novel variants in ARID1B, SPSB1, and RAET1-AS shape genetic susceptibility and protection in systemic lupus erythematosus and lupus nephritis","authors":"Hung-Yi Chen ,&nbsp;Feng-Cheng Liu ,&nbsp;Hsian-Cheng Chen ,&nbsp;Tan-Mei Liu ,&nbsp;Fu-Chiang Yeh ,&nbsp;Yu-Tien Chang","doi":"10.1016/j.jtauto.2025.100322","DOIUrl":"10.1016/j.jtauto.2025.100322","url":null,"abstract":"<div><h3>Background</h3><div>Systemic lupus erythematosus (SLE) is an autoimmune disorder characterized by immune dysregulation affecting multiple organs, most notably lupus nephritis (LN). Genetic susceptibility significantly contributes to disease severity and prognosis. However, genomic studies specific to Taiwanese SLE patients, particularly those focusing on LN, remain limited. This study aimed to identify genetic variants associated with SLE and LN in a Taiwanese cohort.</div></div><div><h3>Methods</h3><div>Genome-wide association studies (GWAS) were performed on 276 Taiwanese SLE patients compared with 3393 patients with other rheumatic diseases. Single-nucleotide polymorphism (SNP) genotyping was conducted using the Taiwan Precision Medicine Array, with analyses adjusted for age, sex, and population structure. Functional annotations and biomarkers of renal function were assessed for identified SNPs.</div></div><div><h3>Results</h3><div>Compared with patients with other rheumatic diseases, a novel protective variant, rs9480438 (ARID1B), was identified in the SLE group, suggesting an association with dysregulation of cell cycle checkpoints. In the LN group, a protective variant, rs1294028 (SPSB1), and a risk variant, rs17079029 (RAET1-G/RAET1-AS), were linked to altered serum biomarkers and potential pathogenesis influenced by TGFβ and NK cells.</div></div><div><h3>Conclusions</h3><div>Novel genetic variants related to immune regulation and autoimmunity in Taiwanese SLE and LN patients were identified. These variants provide insight into disease mechanisms and may guide early detection and personalized therapeutic approaches.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"11 ","pages":"Article 100322"},"PeriodicalIF":3.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TGF-β1 promotes collagen synthesis in systemic sclerosis via upregulating P4HA3 TGF-β1通过上调P4HA3促进系统性硬化症的胶原合成
IF 3.6 Q2 IMMUNOLOGY Pub Date : 2025-10-06 DOI: 10.1016/j.jtauto.2025.100323
Zhaopeng Chen , Yinru Lin , Yayi Huang , Zhixian Chen , Yao Gong , Zhiduo Hou , Ling Lin

Objective

Systemic sclerosis (SSc) is a complex autoimmune disease resulting in fibrosis of skin and internal organs. Despite progress in treatment, SSc carries high mortality due to organ fibrosis. This study aimed to identify a potential antifibrotic therapeutic for the treatment of SSc.

Methods

SSc bioinformatics data (GSE181549 and GSE138669) were obtained from the public Gene Expression Omnibus (GEO) database. Subsequently, we conducted differential analysis, Protein–protein interaction (PPI) network construction, gene enrichment analysis to identify a key fibrotic gene, followed by verification.

Results

A total of 107 differentially expressed genes were identified through analysis between SSc patients and healthy controls. P4HA3 (α subunit of Collagen prolyl 4-hydroxylases, C-P4Hs) was identified by PPI network analysis. P4HA3 was the sole upregulated gene and positively correlated with the modified Rodnan skin score. PI3K/AKT signaling pathway was enriched by GSEA for single-gene to obtain P4HA3-related pathways. Single-cell analysis detected predominant TGF-β1 upregulation in immune cells, particularly in CD14+CD16 monocytes, and P4HA3 showed elevated expression in SFRP2high fibroblasts. Immunohistochemistry indicated that P4HA3- and TGF-β1-positive cell numbers were elevated in the dermal layers of SSc patients. P4HA3 was also elevated in bleomycin-treated mice and TGF-β1-induced human fibroblasts. Inhibition of C-P4Hs ameliorated experimental fibrosis in bleomycin-treated mice and TGF-β1-induced human fibroblasts. Hydroxyproline levels were reduced following P4HA3 knockdown in human fibroblasts.

Conclusion

Our results suggest that P4HA3 is upregulated by TGF-β1 secreted from immune cells to promote collagen synthesis in SSc. Inhibition of C-P4Hs is a potential therapeutic approach for SSc fibrosis.
目的系统性硬化症(SSc)是一种复杂的自身免疫性疾病,导致皮肤和内脏器官纤维化。尽管治疗取得了进展,但由于器官纤维化,SSc的死亡率很高。本研究旨在确定一种治疗SSc的潜在抗纤维化疗法。方法sssc生物信息学数据(GSE181549和GSE138669)从公共基因表达Omnibus (GEO)数据库中获取。随后,我们进行了差异分析、蛋白-蛋白相互作用(Protein-protein interaction, PPI)网络构建、基因富集分析,鉴定出一个关键的纤维化基因,并进行验证。结果通过分析SSc患者与健康对照共鉴定出107个差异表达基因。P4HA3(胶原脯氨酸4-羟化酶的α亚基,C-P4Hs)通过PPI网络分析得到。P4HA3是唯一上调的基因,与改良罗德曼皮肤评分呈正相关。通过GSEA对PI3K/AKT信号通路进行单基因富集,获得p4ha3相关通路。单细胞分析检测到免疫细胞中TGF-β1的显著上调,特别是在CD14+CD16−单核细胞中,P4HA3在sfrp2高的成纤维细胞中表达升高。免疫组化结果显示,SSc患者真皮中P4HA3-和TGF-β1阳性细胞数量升高。P4HA3在博莱霉素处理小鼠和TGF-β1诱导的人成纤维细胞中也升高。抑制C-P4Hs可改善博莱霉素处理小鼠和TGF-β1诱导的人成纤维细胞的实验性纤维化。在人成纤维细胞中,P4HA3敲除后羟脯氨酸水平降低。结论免疫细胞分泌的TGF-β1上调P4HA3,促进SSc胶原合成。抑制C-P4Hs是SSc纤维化的一种潜在治疗方法。
{"title":"TGF-β1 promotes collagen synthesis in systemic sclerosis via upregulating P4HA3","authors":"Zhaopeng Chen ,&nbsp;Yinru Lin ,&nbsp;Yayi Huang ,&nbsp;Zhixian Chen ,&nbsp;Yao Gong ,&nbsp;Zhiduo Hou ,&nbsp;Ling Lin","doi":"10.1016/j.jtauto.2025.100323","DOIUrl":"10.1016/j.jtauto.2025.100323","url":null,"abstract":"<div><h3>Objective</h3><div>Systemic sclerosis (SSc) is a complex autoimmune disease resulting in fibrosis of skin and internal organs. Despite progress in treatment, SSc carries high mortality due to organ fibrosis. This study aimed to identify a potential antifibrotic therapeutic for the treatment of SSc.</div></div><div><h3>Methods</h3><div>SSc bioinformatics data (GSE181549 and GSE138669) were obtained from the public Gene Expression Omnibus (GEO) database. Subsequently, we conducted differential analysis, Protein–protein interaction (PPI) network construction, gene enrichment analysis to identify a key fibrotic gene, followed by verification.</div></div><div><h3>Results</h3><div>A total of 107 differentially expressed genes were identified through analysis between SSc patients and healthy controls. P4HA3 (α subunit of Collagen prolyl 4-hydroxylases, C-P4Hs) was identified by PPI network analysis. P4HA3 was the sole upregulated gene and positively correlated with the modified Rodnan skin score. PI3K/AKT signaling pathway was enriched by GSEA for single-gene to obtain P4HA3-related pathways. Single-cell analysis detected predominant TGF-β1 upregulation in immune cells, particularly in <em>CD14</em><sup>+</sup><em>CD16</em><sup>−</sup> monocytes, and P4HA3 showed elevated expression in <em>SFRP2</em><sup>high</sup> fibroblasts. Immunohistochemistry indicated that P4HA3- and TGF-β1-positive cell numbers were elevated in the dermal layers of SSc patients. P4HA3 was also elevated in bleomycin-treated mice and TGF-β1-induced human fibroblasts. Inhibition of C-P4Hs ameliorated experimental fibrosis in bleomycin-treated mice and TGF-β1-induced human fibroblasts. Hydroxyproline levels were reduced following P4HA3 knockdown in human fibroblasts.</div></div><div><h3>Conclusion</h3><div>Our results suggest that P4HA3 is upregulated by TGF-β1 secreted from immune cells to promote collagen synthesis in SSc. Inhibition of C-P4Hs is a potential therapeutic approach for SSc fibrosis.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"11 ","pages":"Article 100323"},"PeriodicalIF":3.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Translational Autoimmunity
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