4 out of 5 autoimmune disease patients are women. New study offers clue as to why

Link: https://www.cnn.com/2024/02/09/health/why-autoimmune-disease-affects-more-women-study-scn/index.html

Excerpt:

Why women are at greater risk of autoimmune disease such as multiple sclerosis, lupus and rheumatoid arthritis is a long-standing medical mystery, and a team of researchers at Stanford University may now be a step closer to unraveling it.

How the female body handles its extra X chromosome (the male body has just one plus a Y chromosome) might be a factor that helps explain why women are more susceptible to these types of disorders, a new study has suggested. The predominantly chronic conditions involve an off-kilter immune system attacking its own cells and tissues.

While the research involving experiments on mice is preliminary, the observation, after further study, may help inform new treatments and ways to diagnose the diseases, said Dr. Howard Chang, senior author of the paper published in the journal Cell on February 1.

….

Other researchers had focused on the disorders’ “female bias” by analyzing sex hormones or chromosome counts. Chang instead zoned in on the role played by a molecule called Xist (pronounced exist) that is not present in male cells.

The Xist molecule’s main job is to deactivate the second female X chromosome in embryos, ensuring that the body’s cells don’t get a potentially toxic double whammy of the chromosome’s protein-coding genes.

“Xist is a very long RNA, 17,000 nucleotides long, or letters, and it associates with approximately almost 100 proteins,” Chang said. Xist molecules work with those proteins to shut down gene expression in the second X chromosome.

Author(s): Katie Hunt

Publication Date: 9 Feb 2024

Publication Site: CNN Health

Could covid lead to a lifetime of autoimmune disease?

Link: https://www.technologyreview.com/2021/04/23/1023438/long-term-covid-antibodies-autoantibodies-immunity-cytokines-lupus/

Excerpt:

Ring’s autoantibody tests showed that in some patients—even some with mild cases of covid—the rogue immune proteins were marking blood cells for attack. Others were on the hunt for proteins associated with the heart and liver. Some patients appeared to have autoantibodies primed to attack the central nervous system and the brain. This was far more ominous than anything identified by the Rockefeller scientists. Ring’s findings seemed to suggest a potentially systemic problem; these patients seemed to be cranking out multiple varieties of new autoantibodies in response to covid, until the body appeared to be at war with itself.

What scared Ring the most was that autoantibodies have the potential to last a lifetime. This raised a series of chilling questions: What are the long-term consequences for these patients if these powerful assassins outlive the infection? How much destruction could they cause? And for how long?

Author(s): Adam Piore

Publication Date: 23 April 2021

Publication Site: MIT Tech Review