Plasma DNA Profile Associated with DNASE1L3 Gene Mutations: Clinical Observations, Relationships to Nuclease Substrate Preference, and In Vivo Correction

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Chan, Rebecca, W y | Serpas, Lee | Ni, Meng | Volpi, Stefano | Hiraki, Linda, T | Tam, Lai-Shan | Rashidfarrokhi, Ali | Wong, Priscilla, C H | Tam, Lydia, H P | Wang, Yueyang | Jiang, Peiyong | Cheng, Alice, S H | Peng, Wenlei | Han, Diana, S C | Tse, Patty, P P | Lau, Pik, Ki | Lee, Wing-Shan | Magnasco, Alberto | Buti, Elisa | Sisirak, Vanja | Almutairi, Nora | Chan, K, C Allen | Chiu, Rossa W K | Reizis, Boris | Lo, Y, M Dennis

Edité par CCSD ; Elsevier (Cell Press) -

International audience. Plasma DNA fragmentomics is an emerging area in cell-free DNA diagnostics and research. In murine models, it has been shown that the extracellular DNase, DNASE1L3, plays a role in the fragmentation of plasma DNA. In humans, DNASE1L3 deficiency causes familial monogenic systemic lupus erythematosus with childhood onset and anti-dsDNA reactivity. In this study, we found that human patients with DNASE1L3 disease-associated gene variations showed aberrations in size and a reduction of a ''CC'' end motif of plasma DNA. Furthermore, we demonstrated that DNA from DNASE1L3-digested cell nuclei showed a median length of 153 bp with CC motif frequencies resembling plasma DNA from healthy individuals. Adeno-associated virus-based transduction of Dnase1l3 into Dnase1l3-deficient mice restored the end motif profiles to those seen in the plasma DNA of wild-type mice. Our findings demonstrate that DNASE1L3 is an important player in the fragmentation of plasma DNA, which appears to act in a cell-extrinsic manner to regulate plasma DNA size and motif frequency.

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