Accumulating evidence suggest that aberrant IFN induction and the resulting signaling of innate immune programs is associated with autoimmune disease (reviewed by (
Hall and Rosen 2010)). As receptors that regulate IFN induction, there is increasing interest in assessing potential links between RLR function and and/or polymorphisms that may lead to differences in susceptibility to infection and autoimmune diseases. Genetic screens have led to the identification of a number of polymorphisms in
IFIH1 (the MDA5 gene) that are associated with resistance to type 1 diabetes (T1D), including: T946A, E627*, I923V, R843H, IVS8+1, and IVS14+1 (
Smyth, Cooper et al. 2006;
Concannon, Onengut-Gumuscu et al. 2008;
Liu, Wang et al. 2009;
Nejentsev, Walker et al. 2009). The polymorphisms are associated with i) reduced
IFIH1 transcription (
Liu, Wang et al. 2009;
Downes, Pekalski et al. 2010), ii) disruption of conserved splice donor sites leading to the expression of non-functional MDA5 variants (
Nejentsev, Walker et al. 2009), and/or iii) expression of truncated or mutated variants of MDA5 that lead to defective RNA-binding and or IFN induction signaling (
Shigemoto, Kageyama et al. 2009). It is also noted that accumulating evidence reveals the presence of picornavirus RNA and viral antigens in the pancreas, pancreatic islets and PBMCs of T1D patients as compared to healthy controls or patients with type 2 diabetes (
Ylipaasto, Klingel et al. 2004;
Williams, Oikarinen et al. 2006;
Dotta, Censini et al. 2007;
Zanone, Favaro et al. 2007;
Richardson, Willcox et al. 2009). These studies suggest that aberrant MDA5-mediated IFN induction during picornavirus infection of pancreatic cells may underlie islet cell damage and the onset of T1D. Consistent with this idea, mice lacking one copy of MDA5 developed transient hyperglycemia after infection with beta cell-tropic encephalomyocarditis virus-D, a beta cell tropic virus (
McCartney, Vermi et al. 2011). Moreover, silencing of MDA5 expression in rat pancreatic beta cells by siRNA treatment reduced poly(I:C) induced expression of proinflammatory cytokine and IFN (
Colli, Moore et al. 2010), suggesting that aberrant interferon induction by MDA5 could be a factor in beta cell programming of T1D. In addition to its linkage with T1D, MDA5 was recently identified as the 140kDa autoantigen most frequently associated with clinically amyopathic dermatocyositis (
Betteridge, Gunawardena et al. 2009;
Sato, Hoshino et al. 2009;
Nakashima, Imura et al. 2010). Subjects that exhibit an accumulation of autoantibodies to MDA5 are often associated with a higher frequency of rapidly progressive interstitial lung disease (
Sato, Hirakata et al. 2005;
Gono, Kawaguchi et al. 2010;
Nakashima, Imura et al. 2010).
The evidence implicating RIG-I involvement in autoimmune disease is less clear. One report shows that subjects with Crohn's disease but not ulcerative colitis exhibit a selective suppression of RIG-I expression in the intestinal epithelial compartment (
Funke, Lasitschka et al. 2011). In another report, RIG-I-deficient mice generated by the deletion of exons 4-8 spontaneously develop a phenotype characteristic of autoimmune colitis. The phenotype included inflammation and damage of the colon mucosa, reduction in number and size of Peyer's patches, and suppression of Gαi2 expression (
Wang, Zhang et al. 2007). Together, these studies suggest a link between aberrant RIG-I expression and autoimmune diseases involving the gut.
Polymorphisms leading to the expression of alternate RIG-I variants have also been reported. One common, non-synonymous polymorphism leads to the expression of a functional RIG-I with an arginine to cysteine mutation at aa position 7 (
Shigemoto, Kageyama et al. 2009) that is associated with increased antiviral signaling (
Hu, Nistal-Villan et al. 2010). This same polymorphism was shown to be associated with a decrease in humoral immunity development in children who were given the rubella vaccine (
Ovsyannikova, Haralambieva et al. 2010). Peripheral blood mononuclear cells (PBMCs) from patients who exhibit a second polymorphism resulting in the expression of a non-functional variant of RIG-I encoding a serine to isoleucine mutation at aa position 183 were severely attenuated in antiviral signaling against influenza A virus and Sendai virus (
Pothlichet, Burtey et al. 2009). Furthermore, a loss-of-function polymorphism of IPS-1 that led to the expression of a non-functional IPS-1 variant expected to abrogate RLR signaling has been linked to a subtype of systemic lupus erythematosus (
Pothlichet, Niewold et al. 2011). Taken together, the studies suggest that dysregulation of RLR signaling programs may lead to the development of autoimmune diseases, and polymorphisms in the RLR genes and their signaling components may define susceptibility to virus infection.