Nature Communications (Jul 2023)

Age-related self-DNA accumulation may accelerate arthritis in rats and in human rheumatoid arthritis

  • Wei-Dan Luo,
  • Yu-Ping Wang,
  • Jun Lv,
  • Yong Liu,
  • Yuan-Qing Qu,
  • Xiong-Fei Xu,
  • Li-Jun Yang,
  • Zi-Cong Lin,
  • Lin-Na Wang,
  • Rui-Hong Chen,
  • Jiu-Jie Yang,
  • Ya-Ling Zeng,
  • Rui-Long Zhang,
  • Bai-Xiong Huang,
  • Xiao-Yun Yun,
  • Xuan-Ying Wang,
  • Lin-Lin Song,
  • Jian-Hui Wu,
  • Xing-Xia Wang,
  • Xi Chen,
  • Wei Zhang,
  • Hui-Miao Wang,
  • Li-Qun Qu,
  • Meng-Han Liu,
  • Liang Liu,
  • Betty Yuen Kwan Law,
  • Vincent Kam Wai Wong

DOI
https://doi.org/10.1038/s41467-023-40113-3
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 17

Abstract

Read online

Abstract The incidence of rheumatoid arthritis (RA) is increasing with age. DNA fragments is known to accumulate in certain autoimmune diseases, but the mechanistic relationship among ageing, DNA fragments and RA pathogenesis remain unexplored. Here we show that the accumulation of DNA fragments, increasing with age and regulated by the exonuclease TREX1, promotes abnormal activation of the immune system in an adjuvant‐induced arthritis (AIA) rat model. Local overexpression of TREX1 suppresses synovial inflammation in rats, while conditional genomic deletion of TREX1 in AIA rats result in higher levels of circulating free (cf) DNA and hence abnormal immune activation, leading to more severe symptoms. The dysregulation of the heterodimeric transcription factor AP-1, formed by c-Jun and c-Fos, appear to regulate both TREX1 expression and SASP induction. Thus, our results confirm that DNA fragments are inflammatory mediators, and TREX1, downstream of AP-1, may serve as regulator of cellular immunity in health and in RA.