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Loss ofH3K9 di-methylation perpetuates the typeI interferon signature in SLE and is pharmacologically reversible by ribavirin

Wang, Q.; Mitoma, H.; Oryoji, D.; Semba, Y.; Yamauchi, Y.; Yokoyama, K.; Kawano, S.; Ayano, M.; Kimoto, Y.; Ono, N.; Arinobu, Y.; Akashi, K.; Horiuchi, T.; Niiro, H.

2025-08-06 rheumatology
10.1101/2025.08.04.25332258 medRxiv
Show abstract

BackgroundSystemic lupus erythematosus (SLE) is characterised by a chronic type I interferon (IFN) signature whose epigenetic basis remains incompletely defined. Histone H3 lysine 9 dimethylation (H3K9me2) is a key repressive mark that can shape DNA-methylation landscapes and antiviral responses. MethodsNaive CD4 T cells were purified from 29 adults with SLE and 15 healthy donors. Genome-wide distributions of H3K9me2 and, for comparison, H3K27me3 were mapped by Cleavage Under Targets and Tagmentation (CUT&Tag). Targeted chromatin immunoprecipitation-qPCR and quantitative RT-PCR validated findings at canonical interferon-stimulated genes (ISGs). Pharmacological rescue was tested ex-vivo with ribavirin (RBV) {+/-} the G9a inhibitor BIX01294. Therapeutic relevance was assessed in NZB/W-F1 lupus-prone mice treated with RBV (50-250 mg kg-{superscript 1}, i.p., twice weekly for 20 weeks). ResultsCUT&Tag revealed a pronounced, genome-wide reduction of H3K9me2--but not H3K27me3--in SLE T cells, which segregated cases from controls by principal-component analysis. H3K9me2 loss was most evident across ISG loci and inversely correlated with ISG mRNA expression. In vitro, RBV restored H3K9me2 at ISG regions and repressed ISG transcripts; both effects were abrogated by G9a inhibition, implicating G9a-dependent dimethylation. In NZB/W-F1 mice, RBV dose-dependently reduced proteinuria, diminished renal immune-complex deposition, and normalised splenic CD4 T-cell ISG expression, mirroring ex-vivo epigenetic rescue. ConclusionsLoss of H3K9me2 is a selective epigenetic lesion that sustains the type I IFN signature in SLE. Pharmacological reinstatement of this mark with ribavirin reverses aberrant ISG activation and ameliorates lupus nephritis in vivo, highlighting H3K9me2 restoration as a tractable therapeutic strategy for IFN-high SLE.

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