Key result
Upregulated HERV-E clone 4-1 mRNA in CD4+ T cells identifies SLE with an AUC of 0.76.
Why the study?
Increased HERV-E clone 4-1 mRNA expression is observed in SLE patients and associates with disease activity, but the mechanism of its upregulation and its roles in SLE progression required further investigation.
Case-Control (n=48)
No
Effect estimate: AUC 0.760 (95% CI 0.622-0.897)
BACKGROUND: Increased human endogenous retroviruses E clone 4-1 (HERV-E clone 4-1) mRNA expression is observed in systemic lupus erythematosus (SLE) patients and associates with the disease activity. In this study, we want to further investigate the mechanism of HERV-E clone 4-1 mRNA upregulation and its roles in SLE progression. METHODS: T cells were isolated from venous blood of SLE patients or healthy controls and qRT-PCR was used to detect HERV-E clone 4-1 mRNA expression. We then investigated the regulation of Nuclear factor of activated T cells 1 (NFAT1) and Estrogen receptor-α (ER-α) on HERV-E clone 4-1 transcription and the functions of HERV-E clone 4-1 3' long terminal repeat (LTR) on DNA hypomethylation and IL-17 release. RESULTS: /calcineurin (CaN)/NFAT1 and E2/ER-α signaling pathway and DNA hypomethylation of HERV-E clone 4-1 5'LTR. HERV-E clone 4-1 also takes part in disease pathogenesis of SLE through miR-302d/Methyl-CpG binding domain protein 2 (MBD2)/DNA hypomethylation and IL-17 signaling via its 3'LTR. CONCLUSIONS: HERV-E clone 4-1 mRNA upregulation is due to the abnormal inflammation/immune/methylation status of SLE and it could act as a potential biomarker for diagnosis of SLE. HERV-E clone 4-1 also takes part in disease pathogenesis of SLE via its 3'LTR and the signaling pathways it involved in may be potential therapeutic targets of SLE.
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Wang et al. (2019) conducted a case-control in Systemic lupus erythematosus (SLE) (n=48). HERV-E clone 4-1 mRNA expression vs. Healthy controls was evaluated on Diagnostic value for differentiating SLE from healthy controls (AUC 0.760, 95% CI 0.622-0.897). HERV-E clone 4-1 mRNA expression was significantly upregulated in CD4+ T cells from SLE patients and demonstrated diagnostic value for differentiating SLE from healthy controls with an AUC of 0.760.
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