【大师讲坛】第208期:Disrupting healthcare using deep data and remote monitoring.&Oxidized Mitochondrial DNA- a unique DAMP whose sensing by plasmacytoid dendritic cells evokes antibody-mediated autoimmunity

2024-03-13 13:30:00-16:00:00
医学院懿德楼二楼报告厅(重庆南路227号)


(一)Michael P. Snyder
Our present healthcare system focuses on treating people when they are ill rather than keeping them healthy. We have been using big data and remote monitoring approaches to monitor people while they are healthy to keep them that way and detect disease at its earliest moment presymptomatically. We use advanced multiomics technologies (genomics, immunomics, transcriptomics, proteomics, metabolomics, microbiomics) as well as wearables and microsampling for actively monitoring health. Following a group of 109 individuals for over 13 years revealed numerous major health discoveries covering cardiovascular disease, oncology, metabolic health and infectious disease. We have also found that individuals have distinct aging patterns that can be measured in an actionable period of time. Finally, we have used wearable devices for early detection of infectious disease, including COVID-19 as well as microsampling for monitoring and improving lifestyle. We believe that advanced technologies have the potential to transform healthcare and keep people healthy.
(二)Michael Karin
Damage associated molecular patterns (DAMP) elicit inflammation and provide co-stimulatory signals to adaptive immune cells1, but whether recurring innate stimulation circumvents self-tolerance2,3 to establish maldaptive and long-lasting autoimmunity is unknown. We adressed this question using the NLRP3 inflammasome activator alum4, which induces the circulatory release of oxidized mitochondrial DNA (Ox-mtDNA)5, a DAMP associated with diverse metabolic6 and autoimmune disorders, including systemic lupus erythematosus (SLE) where it correlates with dysregulated type I interferon (IFN-I) production7-10. Yet, whether Ox-mtDNA is the cause of autoimmunity remained unknown. We show that by inducing Ox-mtDNA release repetitive alum injections triggered germinal center reactions, autoantibody production and renal pathology. The same reactions were induced by in-vitro prepared Ox-mtDNA, while non-oxidized mtDNA was non-pathogenic. Both mtDNA forms were preferentially taken up by plasmacytoid dendritic cells (pDC) and induced IFN-I but only Ox-mtDNA triggered NLRP3-dependent IL-1β production, resulting in autocrine induction of IL-21 that together with IL-1β, but independently of IFN-I, enabled pDC to convert naïve CD4+ T cells into follicular helper cells that support autoantibody production. Highlighting Ox-mtDNA as a uniquely immunogenic DAMP and IL-1β as key orchestrator of autoantibody induction, these findings may pertain to the origins of SLE, the autoimmune/inflammatory syndrome induced by adjuvants (ASIA)11 and related diseases, while providing new preventive and therapeutic targets.

嘉宾介绍

Michael P. Snyder

Stanford W. Ascherman Professor, Chair, Department of Genetics and Director, Center for Genomics and Personalized Medicine
演讲主题:Disrupting healthcare using deep data and remote monitoring.
As a pioneer of Precision Medicine, Dr Michael Snyder has invented many technologies enabling the 21st century of healthcare including systems biology, RNA sequencing, and protein chip. Dr Snyder has initiated the Big Data approach to healthcare through his work using omics to detect early stage disease, including wearables to detect infectious diseases like COVID-19, and at-home microsampling to measure hundreds of molecules from a single drop of blood. He is the first researcher to gather petabytes of data on individuals, which is 1 Million - 1 trillion times more data than the average clinician collects. He as published over 800 papers and is one of the most cited scientists. In terms of commercial success, Mike has co-founded 17 companies (including 2 unicorns) with combined enterprise value of over $6 billion.

Michael Karin

Distinguished Professor of Pharmacology and Pathology Ben and Wanda Hildyard Chair for Mitochondrial and Metabolic Diseases
演讲主题:Oxidized Mitochondrial DNA- a unique DAMP whose sensing by plasmacytoid dendritic cells evokes antibody-mediated autoimmunity
Professor Michael Karin, member of US National Academy of Sciences and Institute of Medicine, is currently Distinguished Professor in the Departments of Pharmacology and Pathology at the University of California, San Diego.
Professor Michael Karin is highly regarded in the signal transduction community, he pioneered the JNK signaling pathway research, and the first cloning of the IKK gene. Professor Karin’s research interests focus on basic biochemical and cell biological processes that control innate immunity and inflammation and their contribution to cancer and metabolic disease. His group also investigates the interaction between chronic inflammation and immunity during tumor development and therapy.
Professor Karin has served on the editorial board of several international academic journals, including Molecular Cell, Immunity, Cell Metabolism, and Cell Death & Differentiation. He has published more than 490 papers in Nature, Cell, Nature Medicine, Immunity and many other prestigious journals, and the number of paper citations ranks top in the world in the field of molecular biology and genetic research. He has won numerous honors including Harvey Prize, The Brupbacher Prize for Cancer Research, The William B. Coley Award for Distinguished Research in Basic and Tumor Immunology, The Anthony Dipple Carcinogenesis Award, AAACR GHA Clowes Award for Outstanding Basic Cancer Research, Fellow of the AACR Academy and has been an Einstein Professorship, Chinese Academy of Sciences in 2009.