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Pumilio2 deficiency promotes iron-dependent macrophage inflammation via TfR1 upregulation in lupus
Xuefei Wang1, Xiaoxiao Han2, Ruizhi Feng1
1Department of Rheumatology and Immunology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Abstract:
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by persistent pathogenic IgG deposition, inflammation, and progressive organ damage. Despite its clinical importance, the mechanisms underlying sustained IgG-induced inflammation remain poorly understood, posing a major challenge for effective therapeutic intervention. Here, we identify Pumilio2 (Pum2), a post-transcriptional RNA-binding protein, as a crucial negative regulator of IgG-induced inflammation in lupus. Pum2 is consistently downregulated in SLE patient tissues and lupus-prone MRL/lpr mice. Using Pum2-deficient mice and MRL/lpr mice carrying Pum2 mutations generated via backcrossing, we demonstrate that Pum2 deficiency amplifies IgG-triggered immune activation, leading to aggravated tissue injury and accelerated disease progression. Mechanistically, loss of Pum2 in macrophages upregulates transferrin receptor 1 (TfR1), resulting in intracellular iron overload and enhanced proinflammatory responses upon IgG stimulation. Pharmacological inhibition of iron uptake or chelation effectively suppresses this inflammatory phenotype, revealing a functional Pum2-TfR1-iron axis linking RNA-level regulation to immune activation. Our findings establish Pum2 as a previously unrecognized checkpoint connecting post-transcriptional regulation, iron metabolism, and innate immunity in SLE. Targeting this pathway may offer a novel therapeutic strategy for mitigating persistent IgG-driven inflammation in lupus and related autoimmune diseases.
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