Defective removal of ribonucleotides from DNA promotes systemic autoimmunity
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Defective removal of ribonucleotides from DNA promotes systemic autoimmunity. / Günther, Claudia; Kind, Barbara; Reijns, Martin A M; Berndt, Nicole; Martinez-Bueno, Manuel; Wolf, Christine; Tüngler, Victoria; Chara, Osvaldo; Lee, Young Ae; Hübner, Norbert; Bicknell, Louise; Blum, Sophia; Krug, Claudia; Schmidt, Franziska; Kretschmer, Stefanie; Koss, Sarah; Astell, Katy R; Ramantani, Georgia; Bauerfeind, Anja; Morris, David L; Cunninghame Graham, Deborah S; Bubeck, Doryen; Leitch, Andrea; Ralston, Stuart H; Blackburn, Elizabeth A; Gahr, Manfred; Witte, Torsten; Vyse, Timothy J; Melchers, Inga; Mangold, Elisabeth; Nöthen, Markus M; Aringer, Martin; Kuhn, Annegret; Lüthke, Kirsten; Unger, Leonore; Bley, Annette; Lorenzi, Alice; Isaacs, John D; Alexopoulou, Dimitra; Conrad, Karsten; Dahl, Andreas; Roers, Axel; Alarcon-Riquelme, Marta E; Jackson, Andrew P; Lee-Kirsch, Min Ae.
in: J CLIN INVEST, Jahrgang 125, Nr. 1, 01.2015, S. 413-424.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Defective removal of ribonucleotides from DNA promotes systemic autoimmunity
AU - Günther, Claudia
AU - Kind, Barbara
AU - Reijns, Martin A M
AU - Berndt, Nicole
AU - Martinez-Bueno, Manuel
AU - Wolf, Christine
AU - Tüngler, Victoria
AU - Chara, Osvaldo
AU - Lee, Young Ae
AU - Hübner, Norbert
AU - Bicknell, Louise
AU - Blum, Sophia
AU - Krug, Claudia
AU - Schmidt, Franziska
AU - Kretschmer, Stefanie
AU - Koss, Sarah
AU - Astell, Katy R
AU - Ramantani, Georgia
AU - Bauerfeind, Anja
AU - Morris, David L
AU - Cunninghame Graham, Deborah S
AU - Bubeck, Doryen
AU - Leitch, Andrea
AU - Ralston, Stuart H
AU - Blackburn, Elizabeth A
AU - Gahr, Manfred
AU - Witte, Torsten
AU - Vyse, Timothy J
AU - Melchers, Inga
AU - Mangold, Elisabeth
AU - Nöthen, Markus M
AU - Aringer, Martin
AU - Kuhn, Annegret
AU - Lüthke, Kirsten
AU - Unger, Leonore
AU - Bley, Annette
AU - Lorenzi, Alice
AU - Isaacs, John D
AU - Alexopoulou, Dimitra
AU - Conrad, Karsten
AU - Dahl, Andreas
AU - Roers, Axel
AU - Alarcon-Riquelme, Marta E
AU - Jackson, Andrew P
AU - Lee-Kirsch, Min Ae
PY - 2015/1
Y1 - 2015/1
N2 - Genome integrity is continuously challenged by the DNA damage that arises during normal cell metabolism. Biallelic mutations in the genes encoding the genome surveillance enzyme ribonuclease H2 (RNase H2) cause Aicardi-Goutières syndrome (AGS), a pediatric disorder that shares features with the autoimmune disease systemic lupus erythematosus (SLE). Here we determined that heterozygous parents of AGS patients exhibit an intermediate autoimmune phenotype and demonstrated a genetic association between rare RNASEH2 sequence variants and SLE. Evaluation of patient cells revealed that SLE- and AGS-associated mutations impair RNase H2 function and result in accumulation of ribonucleotides in genomic DNA. The ensuing chronic low level of DNA damage triggered a DNA damage response characterized by constitutive p53 phosphorylation and senescence. Patient fibroblasts exhibited constitutive upregulation of IFN-stimulated genes and an enhanced type I IFN response to the immunostimulatory nucleic acid polyinosinic:polycytidylic acid and UV light irradiation, linking RNase H2 deficiency to potentiation of innate immune signaling. Moreover, UV-induced cyclobutane pyrimidine dimer formation was markedly enhanced in ribonucleotide-containing DNA, providing a mechanism for photosensitivity in RNase H2-associated SLE. Collectively, our findings implicate RNase H2 in the pathogenesis of SLE and suggest a role of DNA damage-associated pathways in the initiation of autoimmunity.
AB - Genome integrity is continuously challenged by the DNA damage that arises during normal cell metabolism. Biallelic mutations in the genes encoding the genome surveillance enzyme ribonuclease H2 (RNase H2) cause Aicardi-Goutières syndrome (AGS), a pediatric disorder that shares features with the autoimmune disease systemic lupus erythematosus (SLE). Here we determined that heterozygous parents of AGS patients exhibit an intermediate autoimmune phenotype and demonstrated a genetic association between rare RNASEH2 sequence variants and SLE. Evaluation of patient cells revealed that SLE- and AGS-associated mutations impair RNase H2 function and result in accumulation of ribonucleotides in genomic DNA. The ensuing chronic low level of DNA damage triggered a DNA damage response characterized by constitutive p53 phosphorylation and senescence. Patient fibroblasts exhibited constitutive upregulation of IFN-stimulated genes and an enhanced type I IFN response to the immunostimulatory nucleic acid polyinosinic:polycytidylic acid and UV light irradiation, linking RNase H2 deficiency to potentiation of innate immune signaling. Moreover, UV-induced cyclobutane pyrimidine dimer formation was markedly enhanced in ribonucleotide-containing DNA, providing a mechanism for photosensitivity in RNase H2-associated SLE. Collectively, our findings implicate RNase H2 in the pathogenesis of SLE and suggest a role of DNA damage-associated pathways in the initiation of autoimmunity.
KW - Autoimmunity
KW - Cell Proliferation
KW - Cells, Cultured
KW - DNA Mutational Analysis
KW - DNA Repair
KW - Gene Expression
KW - Heterozygote
KW - Humans
KW - Interferon Type I
KW - Lupus Erythematosus, Systemic
KW - Pyrimidine Dimers
KW - Ribonuclease H
U2 - 10.1172/JCI78001
DO - 10.1172/JCI78001
M3 - SCORING: Journal article
C2 - 25500883
VL - 125
SP - 413
EP - 424
JO - J CLIN INVEST
JF - J CLIN INVEST
SN - 0021-9738
IS - 1
ER -