LncRNA MEG3 as a biomarker and therapeutic target in rheumatoid arthritis: Insights from gene polymorphisms,

Sha-Sha Tao1, Hai-Fen Wei2, Shu-Zhen Xu2

  • 1Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, People's Republic of China; Experimental Teaching Center for Preventive Medicine, School of Public Health, Anhui Medical University, Hefei, Anhui, China.

Insights

Maternally expressed gene 3 (MEG3) is not linked to rheumatoid arthritis (RA) susceptibility. However, MEG3 dysregulation in RA affects fibroblast-like synoviocytes, suggesting its potential as a biomarker and therapeutic target.

Area of Science:

  • Immunology
  • Genetics
  • Molecular Biology

Background:

  • Maternally expressed gene 3 (MEG3) is linked to autoimmune diseases, but its specific role in rheumatoid arthritis (RA) remains largely unknown.
  • Understanding the genetic and functional aspects of MEG3 in RA is crucial for identifying new therapeutic strategies.

Purpose of the Study:

  • To investigate the association of MEG3 gene polymorphisms with RA susceptibility.
  • To analyze MEG3 expression patterns in RA patients and their correlation with clinical features.
  • To elucidate the functional role of MEG3 in the pathogenesis of RA, particularly in fibroblast-like synoviocytes (FLS).

Main Methods:

  • Genotyping of MEG3 single nucleotide polymorphisms (SNPs) in 551 RA patients and 595 healthy controls.
  • Quantitative analysis of MEG3 expression in peripheral blood mononuclear cells (PBMCs) and FLS from RA patients.
  • In vitro experiments involving MEG3 overexpression and knockdown in FLS to assess its impact on cell proliferation, invasion, and cytokine production (IL-1β, IL-6, TNF-α).

Main Results:

  • No significant association was found between MEG3 SNPs and RA susceptibility.
  • MEG3 expression was significantly downregulated in PBMCs of RA patients, especially in anti-citrullinated protein antibody (ACPA)-positive cases, and this downregulation was partially reversed by NSAID use.
  • MEG3 downregulation in FLS correlated with increased FLS proliferation and invasion, accompanied by altered secretion of pro-inflammatory cytokines (IL-1β, TNF-α).
  • Overexpression of MEG3 suppressed FLS proliferation and invasion while reducing IL-1β and IL-6 levels.

Conclusions:

  • MEG3 gene polymorphisms do not contribute to RA susceptibility.
  • MEG3 dysregulation is a feature of RA pathogenesis and is associated with disease activity and FLS behavior.
  • MEG3 holds potential as a biomarker for RA and a therapeutic target for managing RA-related inflammation and joint destruction.