ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy

ABSTRACT Sensing of viral double-stranded RNA (dsRNA) by MDA5 triggers abundant but transient interferon-stimulated gene (ISGs) expression. If dsRNA synthesis is made persistent by transgenically expressing a picornaviral RNA-dependent RNA polymerase (RdRp) in mice, lifelong MDA5-MAVS pathway activa...

Full description

Saved in:
Bibliographic Details
Main Authors: Caitlin M. Miller, James H. Morrison, Laura Bankers, Rachael Dran, Julia M. Kendrick, Emma Briggs, Virginia L. Ferguson, Eric M. Poeschla
Format: Article
Language:English
Published: American Society for Microbiology 2025-08-01
Series:mBio
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mbio.01492-25
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849407752577744896
author Caitlin M. Miller
James H. Morrison
Laura Bankers
Rachael Dran
Julia M. Kendrick
Emma Briggs
Virginia L. Ferguson
Eric M. Poeschla
author_facet Caitlin M. Miller
James H. Morrison
Laura Bankers
Rachael Dran
Julia M. Kendrick
Emma Briggs
Virginia L. Ferguson
Eric M. Poeschla
author_sort Caitlin M. Miller
collection DOAJ
description ABSTRACT Sensing of viral double-stranded RNA (dsRNA) by MDA5 triggers abundant but transient interferon-stimulated gene (ISGs) expression. If dsRNA synthesis is made persistent by transgenically expressing a picornaviral RNA-dependent RNA polymerase (RdRp) in mice, lifelong MDA5-MAVS pathway activation and marked, global ISG upregulation result. This confers robust protection from viral diseases, but in contrast to numerous other chronic MDA5 hyperactivation states, the mice suffer no autoimmune or other health consequences. Here, we find that they further confound expectations by being resistant to a strong autoimmunity (lupus) provocation. However, knockout of one allele of Adar breaks the autoinflammation-protected state of RdRptg mice and results in a severe disease that resembles interferonopathies caused by MDA5 gain-of-function protein mutations. Adar+/– mice are healthy, but Adar+/– RdRptg mice have shortened lifespan, stunted growth, premature fur graying, poorly developed teeth, skeletal abnormalities, and extreme ISG elevations. A-to-I edits are both abnormally distributed and increased (numbers of genes and sites). These results, with a nucleic acid-triggered and MDA5-wild-type model, illuminate the ADAR1-MDA5 axis in the regulation of innate immunity and establish that viral polymerase-sourced dsRNA can drive autoinflammatory disease pathogenesis.IMPORTANCERNA virus double-stranded RNAs (dsRNAs) are important pathogen-associated molecular patterns that are sensed by the RIG-I-like receptor MDA5, which triggers an acute innate immune response involving many interferon-stimulated genes (ISGs). One key to a healthy innate immune system is that MDA5 does not sense endogenous dsRNA. This is normally ensured by dsRNA duplex-disrupting ADAR1 editing of host dsRNAs. Picornavirus RdRptg mice have an unusual constitutive MDA5 activation state, with very high lifelong MDA5-mediated ISG expression that confers robust protection from diverse lethal viruses. Importantly, and in contrast to numerous other chronic MDA5 hyperactivation states, the mice develop no autoinflammatory consequences. If we delete one ADAR1 allele, however, which by itself is well tolerated, the mice develop a multisystem disease that resembles the human interferonopathy Singleton-Merten syndrome. In contrast to other MDA5/ADAR1 disease models, the MDA5 and ADAR1 proteins are both wild type in this dsRNA-driven model.
format Article
id doaj-art-ba6c9586185344f3ada2d8b3ea49da07
institution Kabale University
issn 2150-7511
language English
publishDate 2025-08-01
publisher American Society for Microbiology
record_format Article
series mBio
spelling doaj-art-ba6c9586185344f3ada2d8b3ea49da072025-08-20T03:35:57ZengAmerican Society for MicrobiologymBio2150-75112025-08-0116810.1128/mbio.01492-25ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathyCaitlin M. Miller0James H. Morrison1Laura Bankers2Rachael Dran3Julia M. Kendrick4Emma Briggs5Virginia L. Ferguson6Eric M. Poeschla7Division of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado, USADivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado, USADivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado, USADivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado, USADivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado, USADepartment of Mechanical Engineering and BioFrontiers Institute, University of Colorado at Boulder, Boulder, Colorado, USADepartment of Mechanical Engineering and BioFrontiers Institute, University of Colorado at Boulder, Boulder, Colorado, USADivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado, USAABSTRACT Sensing of viral double-stranded RNA (dsRNA) by MDA5 triggers abundant but transient interferon-stimulated gene (ISGs) expression. If dsRNA synthesis is made persistent by transgenically expressing a picornaviral RNA-dependent RNA polymerase (RdRp) in mice, lifelong MDA5-MAVS pathway activation and marked, global ISG upregulation result. This confers robust protection from viral diseases, but in contrast to numerous other chronic MDA5 hyperactivation states, the mice suffer no autoimmune or other health consequences. Here, we find that they further confound expectations by being resistant to a strong autoimmunity (lupus) provocation. However, knockout of one allele of Adar breaks the autoinflammation-protected state of RdRptg mice and results in a severe disease that resembles interferonopathies caused by MDA5 gain-of-function protein mutations. Adar+/– mice are healthy, but Adar+/– RdRptg mice have shortened lifespan, stunted growth, premature fur graying, poorly developed teeth, skeletal abnormalities, and extreme ISG elevations. A-to-I edits are both abnormally distributed and increased (numbers of genes and sites). These results, with a nucleic acid-triggered and MDA5-wild-type model, illuminate the ADAR1-MDA5 axis in the regulation of innate immunity and establish that viral polymerase-sourced dsRNA can drive autoinflammatory disease pathogenesis.IMPORTANCERNA virus double-stranded RNAs (dsRNAs) are important pathogen-associated molecular patterns that are sensed by the RIG-I-like receptor MDA5, which triggers an acute innate immune response involving many interferon-stimulated genes (ISGs). One key to a healthy innate immune system is that MDA5 does not sense endogenous dsRNA. This is normally ensured by dsRNA duplex-disrupting ADAR1 editing of host dsRNAs. Picornavirus RdRptg mice have an unusual constitutive MDA5 activation state, with very high lifelong MDA5-mediated ISG expression that confers robust protection from diverse lethal viruses. Importantly, and in contrast to numerous other chronic MDA5 hyperactivation states, the mice develop no autoinflammatory consequences. If we delete one ADAR1 allele, however, which by itself is well tolerated, the mice develop a multisystem disease that resembles the human interferonopathy Singleton-Merten syndrome. In contrast to other MDA5/ADAR1 disease models, the MDA5 and ADAR1 proteins are both wild type in this dsRNA-driven model.https://journals.asm.org/doi/10.1128/mbio.01492-25ADAR1MDA5innate antiviral immunitypicornavirusRdRpautoimmunity
spellingShingle Caitlin M. Miller
James H. Morrison
Laura Bankers
Rachael Dran
Julia M. Kendrick
Emma Briggs
Virginia L. Ferguson
Eric M. Poeschla
ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy
mBio
ADAR1
MDA5
innate antiviral immunity
picornavirus
RdRp
autoimmunity
title ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy
title_full ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy
title_fullStr ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy
title_full_unstemmed ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy
title_short ADAR1 haploinsufficiency and sustained picornaviral RdRp dsRNA synthesis synergize to dysregulate RNA editing and cause multi-system interferonopathy
title_sort adar1 haploinsufficiency and sustained picornaviral rdrp dsrna synthesis synergize to dysregulate rna editing and cause multi system interferonopathy
topic ADAR1
MDA5
innate antiviral immunity
picornavirus
RdRp
autoimmunity
url https://journals.asm.org/doi/10.1128/mbio.01492-25
work_keys_str_mv AT caitlinmmiller adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT jameshmorrison adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT laurabankers adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT rachaeldran adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT juliamkendrick adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT emmabriggs adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT virginialferguson adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy
AT ericmpoeschla adar1haploinsufficiencyandsustainedpicornaviralrdrpdsrnasynthesissynergizetodysregulaternaeditingandcausemultisysteminterferonopathy