Scientists find new cause of autoimmune diseases

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A recent study by scientists at the Garvan Institute of Medical Research has uncovered a surprising connection between certain gene variants associated with leukemia and the development of autoimmune diseases.

The research sheds light on how these gene variants can cause immune cells, specifically killer T cells, to go rogue, potentially leading to both cancer and autoimmune conditions.

Leukemia, a type of cancer that affects blood and bone marrow, has long been observed to have an unexpected link with autoimmune diseases such as rheumatoid arthritis and aplastic anemia.

These conditions occur when the immune system mistakenly attacks the body’s own cells, treating them as if they were harmful invaders.

The connection between leukemia and autoimmune diseases has intrigued scientists for years, and this new research offers crucial insights into the mechanisms behind this link.

The key players in this process are immune cells called killer T cells, which are responsible for detecting and destroying harmful cells and pathogens in the body. Under normal circumstances, these cells are crucial for defending against infections and cancers.

However, the study found that certain gene variations can cause these killer T cells to behave abnormally, turning them into rogue cells that no longer function properly.

The researchers identified that gene variations affecting a protein known as STAT3 are particularly influential in this process. STAT3 plays a critical role in controlling the growth and function of immune cells, including both B cells and T cells.

When the STAT3 protein is altered by these gene variants, it can cause killer T cells to grow uncontrollably. These rogue cells can then bypass the normal immune checkpoints that prevent them from attacking the body’s own tissues, leading to autoimmune diseases.

To explore this phenomenon, the researchers used advanced screening methods to analyze blood samples from children with rare inherited autoimmune diseases.

They employed the CRISPR/Cas9 gene-editing technology in mouse models to observe what happens when the STAT3 protein is genetically altered.

The results were striking: even a small percentage (just 1-2%) of T cells going rogue was enough to trigger an autoimmune response, highlighting how a minor genetic alteration can have significant health consequences.

This discovery has important implications for the treatment and management of autoimmune diseases. The research suggests that by identifying the presence of these specific gene variants, clinicians could potentially tailor treatments more effectively.

For example, medications like JAK inhibitors, which are already approved by the Therapeutic Goods Administration (TGA), could be better targeted to patients based on their genetic profile.

Additionally, the study uncovered two specific receptor systems that are linked to cellular stress responses.

These systems play a role in how cells communicate with one another, and their involvement in the development of autoimmune diseases could open new avenues for therapeutic intervention.

Looking ahead, the researchers hope that their findings will lead to the development of new screening technologies.

These technologies could allow doctors to sequence the complete genome of every cell in a blood sample, helping to identify which cells are at risk of turning rogue and potentially causing disease.

Such advancements could revolutionize the way autoimmune diseases are diagnosed and treated, offering more personalized and effective care for patients.

The study, led by Dr. Etienne Masle-Farquhar, was published in the journal Immunity.

It represents a significant step forward in understanding the complex relationship between genetic mutations, cancer, and autoimmune diseases, and it paves the way for future research and clinical applications that could improve outcomes for patients with these challenging conditions.

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