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The model of IRGM linking autophagy and autoimmunity. In the absence of IRGM, selective autophagy of nucleic acid sensors and mitophagy are diminished, resulting in an increased amount of nucleic acid sensor proteins and the accumulation of DAMPs leading to a vicious cycle of inflammation. The DAMPs are sensed by the nucleic acid-sensing pathways to activate the IFN response and production of ISGs, which in turn induce other invasive/aggressive immune reactions leading to cell death, tissue/organ damage, and more DAMPs, culminating in autoimmune-like conditions.

The model of IRGM linking autophagy and autoimmunity. In the absence of IRGM, selective autophagy of nucleic acid sensors and mitophagy are diminished, resulting in an increased amount of nucleic acid sensor proteins and the accumulation of DAMPs leading to a vicious cycle of inflammation. The DAMPs are sensed by the nucleic acid-sensing pathways to activate the IFN response and production of ISGs, which in turn induce other invasive/aggressive immune reactions leading to cell death, tissue/organ damage, and more DAMPs, culminating in autoimmune-like conditions.

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IRGM is a genetic risk factor for several autoimmune diseases. However, the mechanism of IRGM-mediated protection in autoimmunity remains undetermined. The abnormal activation of type I interferon (IFN) response is one of the significant factors in the pathogenesis of several autoimmune diseases. In our recent study, we showed that IRGM is a master...

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... our recent work [1], we found that IRGM is a master suppressor of type I IFN response by controlling the CGAS-STING1 and DDX58/RIG-I-MAVS signaling pathways ( Figure 1). The global transcriptome analysis of IRGMdepleted human and mice cells shows a robust induction of type I IFN response. ...
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... understand how IRGM suppresses the type I IFN response, we determined the levels of the proteins associated with these pathways. All of the three signaling axes, CGAS-STING1, DDX58/RIG-I-IFIH1/MDA5-MAVS, and TLR3-TICAM1/TRIF, and all of the nodal adaptors and kinases are increased or activated in IRGM-depleted cells (Figure 1) Next, we wanted to understand how IRGM controls these signaling pathways. We found that IRGM interacts with CGAS, DDX58/RIG-I and TLR3, and mediates their autophagic degradation to suppress ISGs production (Figure 1). ...
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... of the three signaling axes, CGAS-STING1, DDX58/RIG-I-IFIH1/MDA5-MAVS, and TLR3-TICAM1/TRIF, and all of the nodal adaptors and kinases are increased or activated in IRGM-depleted cells (Figure 1) Next, we wanted to understand how IRGM controls these signaling pathways. We found that IRGM interacts with CGAS, DDX58/RIG-I and TLR3, and mediates their autophagic degradation to suppress ISGs production (Figure 1). To determine how IRGM mediates degradation of these cargo proteins, we screened the interaction of autophagy receptor proteins with IRGM. ...
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... IRGM deficiency results in reduced mitophagy flux, accumulation of hyperpolarized defunct mitochondria, and increased mitochondrial ROS (reactive oxygen species) (Figure 1). Further, the cytosol of these cells is soiled with nuclear and mitochondrial DAMPs, including dsDNA and dsRNA. ...

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... Previous studies identified an association of IRGM/Irgm1 with autophagy. Jean et al. [29] and Nath et al. [30] claimed that IRGM/ Irgm1 interacted with nucleic acid sensor proteins, cGAS and RIG-I, to regulate P62-dependent autophagic degradation to suppress interferon signaling. Lin et al. [31] found that IRGM knockdown inhibited autophagic flux along with increased lipid droplet content in HepG2 and PLC/PRF/5 cells, which were corrected by the administration of rapamycin. ...
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... Previous studies identi ed an association of IRGM/Irgm1 with autophagy. Jean et al. 28 and Nath et al. 29 claimed that IRGM/Irgm1 interacted with nucleic acid sensor proteins, cGAS and RIG-I, to regulate P62dependent autophagic degradation to suppress interferon signaling. Lin et al. 30 found that IRGM knockdown inhibited autophagic ux along with increased lipid droplet content in HepG2 and PLC/PRF/5 cells, which were corrected by the administration of rapamycin. ...
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Immune-related GTPase M (IRGM) induces autophagy and suppresses inflammation, but its putative role and signaling mechanism remain undefined in the pathogenesis of liver failure. This study aimed to address how IRGM attenuates inflammatory injury by regulating autophagy in liver failure. In this study, a total of 10 patients with hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) and 10 healthy controls were prospectively enrolled. Intrahepatic expression of IRGM/Irgm1, NLRP3 inflammasome (NLRP3, ASC, and caspase-1), autophagy-related proteins (LC3II, P62), and inflammatory cytokines (IL-1β, TNF-α) were measured. Autophagy was activated by rapamycin (4 mg/kg) in an acute liver failure (ALF) mouse model, which was used to further study the expression of Irgm1, NLRP3 inflammasome, autophagy-related proteins, and inflammatory cytokines using both qRT-PCR and Western blot analyses. Irgm1 expression was knocked down using Irgm1 short hairpin RNA (shRNA) in lipopolysaccharide (LPS)-induced AML12 cells to investigate the effects of Irgm1 deletion on autophagy and inflammation. We found that expression of IRGM and autophagy-related proteins was significantly downregulated while the NLRP3 inflammasome was significantly upregulated in the livers of HBV-ACLF patients and the ALF mouse model (all P<0.05). Rapamycin-induced autophagy ameliorated intrahepatic NLRP3 inflammasome activation and decreased inflammation and necrosis in the ALF mice. Irgm1 knockdown decreased autophagy and significantly upregulated NLRP3 inflammasome activation in AML12 cells (all P<0.05). Rapamycin-induced autophagy also protected against hepatocyte injury following LPS stimulation in vitro by inhibiting NLRP3 inflammasome activation. Thus, IRGM/Irgm1 alleviates inflammation-mediated hepatocyte injury by regulating autophagy. This study provides new insight into potential molecular targets to treat liver failure.
... Also, IRGM has a crucial impact on mitophagy, a rather novel concept and a highly selective form of autophagy that degrades damaged mitochondria [13,14]. There is emerging evidence related to the importance of mitochondrial homeostasis in SLE [15,16] as it is linked to apoptosis, reactive oxygen species-derived neutrophil extracellular traps, and suppressing type I interferon levels [17]. IRGM gene has been shown to link autoimmunity to mitochondrial quality [13], and abnormalities of the gene lead to defective mitochondrial functions [18], and hence, disruption of the above-mentioned pathways. ...
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... Because prolonged inflammatory responses can be detrimental to the host, mechanisms exist to dampen such responses when pathogens are being cleared and autophagy contributes to this resolution. Autophagy can thus target components of TLR-associated signaling pathways for degradation [21][22][23][24] . For example, depending on the context, the TRIF adaptor can be targeted by the autophagy receptors NDP52, TAX1BP1, or p62/SQSTM1 for lysosomal degradation subsequently to TLR3 and/or TLR4 engagement ( Figure 2). ...
... A particularly important aspect of the involvement of Irgm1/IRGM in autophagy may be in their ability to promote autophagic clearance of mitochondria, a process known as mitophagy. When Irgm1 and/or IRGM is absent, mitochondrial homeostasis is perturbed as reflected in an accumulation of defective mitochondria, altered mitochondrial fission/fusion states, and increased presence of intracellular mitochondrial DNA in the cytoplasm- 24,25,[201][202][203][204] . These alterations in mitochondria result in changes in cellular metabolism that shape immune cell function and increase inflammation 25,205 . ...
... The mitochondrial DNA/RNA soiling of the cytoplasm has profound consequences, as it activates intracellular sensors such as cGAS/STING. RIG-I-MAVS, and TLR7 that trigger a cascade of cytokine production 24,25,204 . This notably drives a type I 'interferonopathy' that significantly modulates multiple immune responses and is a key driver of disease. ...
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... Meanwhile, it was also reported that IRGM inactivated caspase-11-dependent inflammatory response, whereas it activated autophagy via direct interaction with ATG8 (Eren et al, 2020;Finethy et al, 2020;Nath et al, 2021). ...
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... 57 IRGM encodes a member of the interferon-inducible GTPase family, which has important functions in the innate immune response by regulating autophagy formation in response to intracellular pathogens. 58 PKP3 encodes a member of the armadillo protein family with function in both signal transduction and cell adhesion, and its dysregulation has been implicated in transcriptional activation of proinflammatory cytokines. 59,60 Our finding suggested that DNA methylation of IRGM and PKP3 might contribute to ADL disability of older adults through inflammation response and autophagy induced by manganese. ...
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... Cooney et al. [33] showed that the NOD2 and ATG16L1 genes together induced the autophagy of dendritic cells in CD, and this process was involved in the NOD2-mediated antigen presentation and bacterial treatment. e protein encoded by the IRGM gene plays an important role in the immunity induced by intracellular pathogens and is involved in the induction of autophagy and the maturation of autophagosomes [34]. IRGM is a key player in mediating p62-dependent selective autophagy of NLRP3 [35]. ...
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... Recent research has focused on the emerging role of IRGM/Irgm1 in coordinating autophagy [47]. Oxidised low-density lipoprotein can induce autophagy to protect cells [8,[48][49][50][51], which is supported by our in vitro study results. ...
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