06:35am Tuesday 25 February 2020

Discovering a “THRIL” that correlates with severity of Kawasaki disease

The study, published online in Proceedings of the National Academy of Sciences, measured large intergenic noncoding RNA (lincRNA) produced when the immune system is activated. One lincRNA was found to bind heterogenous nuclear ribonucleoprotein L (hnRNPL), creating a new molecule that regulates genetic control of TNF-alpha—a potent cytokine that promotes inflammation. The authors named the molecule THRIL, after TNF-alpha and hnRNPL-related immunoregulatory lincRNA.

 Noncoding RNAs as key regulators of immune response

 Large noncoding RNA corresponds to the parts of the genome that do not code for protein.

“For some time we have known that noncoding regions of RNA play important roles in regulating the immune response to microbial pathogens,” said Tariq Rana, Ph.D., senior author of the study and professor in the Sanford Children’s Health Research Center and director of the RNA Biology Program at Sanford-Burnham. “When we realized that THRIL functioned to control the TNF-alpha gene, we wanted to see if it mirrors the progression in inflammatory diseases.”

Collaborating with Jane Burns, M.D., professor of pediatrics at Rady Children’s Hospital and UC San Diego, Rana’s team measured THRIL levels in Kawasaki disease samples at different stages of the disease, and found that levels were at their lowest during the acute stage of the disease—when TNF-alpha levels are at their highest.

The findings suggest that THRIL could be a novel biomarker for immune activation and a potential target for inflammatory diseases.

About TNF-alpha

TNF-alpha is a signaling protein produced mainly by macrophages in the body’s response to infection. TNF-alpha is known to drive inflammation and tissue destruction in immune mediated diseases. Anti-TNF drugs are used to control inflammatory diseases such rheumatoid arthritis and psoriasis.

About Macrophages

Macrophages are the first line of defense for the immune system, and are considered to be the “bottom feeders” of white blood cells. They work by ingesting many cells and depending on the type of cell ingested they send signals—such as TNF-alpha—to alert the rest of the immune system that it’s time to defend the body.

About Kawasaki Disease

Kawasaki disease is a rare childhood disease that involves inflammation of the blood vessels. In some cases, the disease affects the coronary arteries, leading to serious heart problems. Kawasaki disease affects children of all races, genders, and ages. It occurs most often in children of Asian and Pacific Island descent. Symptoms include red eyes, red lips, and redness on the palm of their hands and soles of their feet—all signs of inflamed blood vessels.

The cause of the disease is unknown, and it can’t be prevented. Although the disease has a good prognosis with treatment, it can lead to death from coronary artery aneurysm in a small percentage of patients.

The full text paper can be found at: http://www.pnas.org/content/early/2013/12/26/1313768111.full.pdf+html

Sanford-Burnham Medical Research Institute

 Sanford-Burnham Medical Research Institute

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