1. Targeting necroptosis in muscle fibers ameliorates inflammatory myopathies
- Author
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Kamiya, M, Mizoguchi, F, Kawahata, K, Wang, D, Nishibori, M, Day, J, Louis, C, Wicks, IP, Kohsaka, H, Yasuda, S, Kamiya, M, Mizoguchi, F, Kawahata, K, Wang, D, Nishibori, M, Day, J, Louis, C, Wicks, IP, Kohsaka, H, and Yasuda, S
- Abstract
Muscle cell death in polymyositis is induced by CD8+ cytotoxic T lymphocytes. We hypothesized that the injured muscle fibers release pro-inflammatory molecules, which would further accelerate CD8+ cytotoxic T lymphocytes-induced muscle injury, and inhibition of the cell death of muscle fibers could be a novel therapeutic strategy to suppress both muscle injury and inflammation in polymyositis. Here, we show that the pattern of cell death of muscle fibers in polymyositis is FAS ligand-dependent necroptosis, while that of satellite cells and myoblasts is perforin 1/granzyme B-dependent apoptosis, using human muscle biopsy specimens of polymyositis patients and models of polymyositis in vitro and in vivo. Inhibition of necroptosis suppresses not only CD8+ cytotoxic T lymphocytes-induced cell death of myotubes but also the release of inflammatory molecules including HMGB1. Treatment with a necroptosis inhibitor or anti-HMGB1 antibodies ameliorates myositis-induced muscle weakness as well as muscle cell death and inflammation in the muscles. Thus, targeting necroptosis in muscle cells is a promising strategy for treating polymyositis providing an alternative to current therapies directed at leukocytes.
- Published
- 2022