X CHROMOSOMAL CONTRIBUTIONS TO FEMALE SEX BIAS IN SYSTEMIC LUPUS ERYTHMATOSUS
Degree type
Graduate group
Discipline
Immunology and Infectious Disease
Genetics and Genomics
Subject
Funder
Grant number
License
Copyright date
Distributor
Related resources
Author
Contributor
Abstract
90% of patients with the autoimmune disease systemic lupus erythematosus (SLE) are female, but mechanisms that underly this sex bias are not understood. Klinefelter’s males (XXY) and polysomy X females (XXX) are overrepresented in cohorts of patients with SLE, suggesting that increasing X chromosomal dosage heightens the risk of developing SLE. The X chromosome encodes numerous immune regulatory genes, but X-linked gene expression is balanced between female and male mammals via X Chromosome Inactivation (XCI). XCI is regulated by association of the long non-coding RNA XIST/Xist and other repressive epigenetic modifications with one inactive X chromosome (Xi) in every female cell. The Xi is mostly transcriptionally silent, although some genes can “escape” silencing and are biallelically expressed from both X chromosomes. In B cells from female patients and mice with SLE, XIST/Xist RNA localization on the Xi is disrupted and some X-linked genes are aberrantly expressed, suggesting that XCI is perturbed, which may contribute to the female sex bias in SLE. Here, I experimentally disrupt XCI by deleting Xist in the B cell compartment of female mice (“Xist cKO”). I find that some Xist cKO mice spontaneously develop SLE-like disease, and Xist cKO mice develop more severe features of induced SLE. B cells from Xist cKO mice with SLE phenotypes have increased expression of X-linked genes, including an immune regulatory gene with defined roles in human and mouse SLE. Finally, I quantify escape from the Xi in B cells from mice with induced SLE-like disease. This body of work defines epigenetic and transcriptional mechanisms at play on the X chromosome in autoimmunity and demonstrates that disrupted XCI causes SLE-like disease, highlighting a likely mechanism contributing to the female sex bias in patients with SLE.