Rheumatology (Oxford). 2025 Apr 23. pii: keaf193. [Epub ahead of print]
OBJECTIVES: This study investigates the molecular and functional implications of reduced Suv3-like RNA helicase (SUV3) expression in the interferon (IFN)-enriched subset of monocytes from childhood Sjögren's disease (cSjD). SUV3 is known to unwind double-stranded RNAs (dsRNAs) for homeostatic RNA decay within mitochondria.
METHODS: Using single-cell RNA sequencing, we analysed highly inflammatory IFN-enriched CD14+ monocytes from cSjD patients. To model SUV3 deficiency, we performed SUV3 knockdown in monocytic cells and studied the origin, localization, and accumulation of dsRNAs in the cytosol. Formaldehyde-crosslinking-immunoprecipitation (fCLIP)-qPCR identified an intracellular sensor of dsRNAs. We further examined patient monocytes using J2 anti-dsRNA antibodies and transmission-electron-microscopy (TEM) for subcellular localization. In vitro assays assessed the impact of SUV3 knockdown on oxidative stress, ATP production, migration, and phagocytosis.
RESULTS: SUV3 knockdown led to the accumulation of mitochondrial-dsRNAs (mt-dsRNAs) outside of the mitochondria, where they interacted with protein kinase R (PKR). This activated PKR, triggering a type I IFN signature and upregulating proinflammatory cytokines linked to fatigue. TEM revealed mt-dsRNAs in mitochondrial-derived vesicles and muti-vesicular bodies. Notably, cSjD monocytes had a significantly higher frequency of dsRNA-positive cells compared with controls (39% vs 0.08%, p< 0.002). SUV3 depletion also increased superoxide and ROS production, while impairing ATP synthesis, migration, and phagocytosis, which are key innate immune functions. These defects were partially or fully reversed by co-knockdown of PKR.
CONCLUSION: SUV3 is the key driver for defective innate immune functions through mt-dsRNA-mediated PKR activation, which enhances cellular stress, mitochondrial dysfunction, and inflammatory signatures, uncovering a novel mechanism in cSjD pathogenesis.
Keywords: SUV3; childhood Sjögren’s disease; mitochondrial double-stranded RNAs; monocytes; protein kinase R