Altered DNA methylation and gene expression predict disease severity in patients with Aicardi-Goutieres syndrome



Garau, Jessica, Charras, Amandine, Varesio, Costanza, Orcesi, Simona, Dragoni, Francesca, Galli, Jessica, Fazzi, Elisa, Gagliardi, Stella, Pansarasa, Orietta, Cereda, Cristina
et al (show 1 more authors) (2023) Altered DNA methylation and gene expression predict disease severity in patients with Aicardi-Goutieres syndrome. CLINICAL IMMUNOLOGY, 249. 109299-.

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Abstract

Aicardi-Goutières Syndrome (AGS) is a rare neuro-inflammatory disease characterized by increased expression of interferon-stimulated genes (ISGs). Disease-causing mutations are present in genes associated with innate antiviral responses. Disease presentation and severity vary, even between patients with identical mutations from the same family. This study investigated DNA methylation signatures in PBMCs to understand phenotypic heterogeneity in AGS patients with mutations in RNASEH2B. AGS patients presented hypomethylation of ISGs and differential methylation patterns (DMPs) in genes involved in "neutrophil and platelet activation". Patients with "mild" phenotypes exhibited DMPs in genes involved in "DNA damage and repair", whereas patients with "severe" phenotypes had DMPs in "cell fate commitment" and "organ development" associated genes. DMPs in two ISGs (IFI44L, RSAD2) associated with increased gene expression in patients with "severe" when compared to "mild" phenotypes. In conclusion, altered DNA methylation and ISG expression as biomarkers and potential future treatment targets in AGS.

Item Type: Article
Uncontrolled Keywords: Aicardi-Goutie `res syndrome, DNA methylation, RNASEH2B, Phenotype, Biomarker, Interferon, ISG
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 17 Apr 2023 07:46
Last Modified: 05 May 2023 14:01
DOI: 10.1016/j.clim.2023.109299
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3169585