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Th1/17 polarization and potential treatment by an anti-interferon-γ DNA aptamer in Hunner-type interstitial cystitis
Journal article   Open access   Peer reviewed

Th1/17 polarization and potential treatment by an anti-interferon-γ DNA aptamer in Hunner-type interstitial cystitis

Yoshiyuki Akiyama, Kaori Harada, Jimpei Miyakawa, Karl J. Kreder, Michael A. O’Donnell, Maeda Daichi, Hiroto Katoh, Miyuki Hori, Kensuke Owari, Kazunobu Futami, …
iScience, Vol.26(11), 108262
11/2023
DOI: 10.1016/j.isci.2023.108262
PMCID: PMC10663743
PMID: 38026177
url
https://doi.org/10.1016/j.isci.2023.108262View
Published (Version of record) Open Access

Abstract

Hunner-type interstitial cystitis (HIC) is a rare, enigmatic inflammatory disease of the urinary bladder with no curative treatments. In this study, we aimed to characterize the unique cellular and immunological factors specifically involved in HIC by comparing with cystitis induced by Mycobacterium bovis bacillus Calmette–Guérin, which presents similar clinicopathological features to HIC. Here, we show that T helper 1/17 polarized immune responses accompanied by prominent overexpression of interferon (IFN)-γ, enhanced cGAS-STING cytosolic DNA sensing pathway, and increased plasma cell infiltration are the characteristic inflammatory features in HIC bladder. Further, we developed a mouse anti-IFN-γ DNA aptamer and observed that intravesical instillation of the aptamer significantly ameliorated bladder inflammation, pelvic pain and voiding dysfunction in a recently developed murine HIC model with little migration into the blood. Our study provides the plausible basis for clinical translation of the anti-IFN-γ DNA aptamer in the treatment of human HIC. [Display omitted] •T helper 1/17 polarized immune responses characterize HIC inflammation•Enhanced cGAS-STING cytosolic DNA sensing pathway features HIC inflammation•Plasma cells are the key inflammatory infiltrates of the HIC bladder•Anti-IFN-γ DNA aptamer shows the therapeutic efficacy in a murine model of HIC By conducting a comparative genome-pathological study, Akiyama and Luo et al. identified that T helper 1/17 polarization, enhanced cGAS-STING pathway and increased plasma cell infiltration are the characteristic inflammatory features of HIC and that targeting IFN-γ by a DNA aptamer holds great potential for the treatment of HIC.
DNA aptamer bladder pain syndrome cGAS Hunner IC/BPS IFN-γ IL-17 interstitial cystitis RNA-seq STING Th1 Th17

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