Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes

Abstract Turner syndrome (TS) presents with multiple karyotypes, including 45,X monosomy and variants such as isochromosomes and mosaicism, and is characterized by several co-morbidities, including metabolic conditions and autoimmunity. Here, we investigated the genomic landscapes across a range of...

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Main Authors: Jesper Just, Lukas Ochsner Reynaud Ridder, Emma Bruun Johannsen, Jens Magnus Bernth Jensen, Mikkel Steen Petersen, Helene Viborg Christensen, Kenneth Kjærgaard, Jacob Redder, Simon Chang, Kirstine Stochholm, Anne Skakkebæk, Claus Højbjerg Gravholt
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:npj Genomic Medicine
Online Access:https://doi.org/10.1038/s41525-025-00467-7
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author Jesper Just
Lukas Ochsner Reynaud Ridder
Emma Bruun Johannsen
Jens Magnus Bernth Jensen
Mikkel Steen Petersen
Helene Viborg Christensen
Kenneth Kjærgaard
Jacob Redder
Simon Chang
Kirstine Stochholm
Anne Skakkebæk
Claus Højbjerg Gravholt
author_facet Jesper Just
Lukas Ochsner Reynaud Ridder
Emma Bruun Johannsen
Jens Magnus Bernth Jensen
Mikkel Steen Petersen
Helene Viborg Christensen
Kenneth Kjærgaard
Jacob Redder
Simon Chang
Kirstine Stochholm
Anne Skakkebæk
Claus Højbjerg Gravholt
author_sort Jesper Just
collection DOAJ
description Abstract Turner syndrome (TS) presents with multiple karyotypes, including 45,X monosomy and variants such as isochromosomes and mosaicism, and is characterized by several co-morbidities, including metabolic conditions and autoimmunity. Here, we investigated the genomic landscapes across a range of karyotypes. We show that TS have a common autosomal methylome and transcriptome, despite distinct karyotypic variations. All TS individuals lacked the X chromosome p-arm, and XIST expression from the q-arm did not affect the autosomal transcriptome or methylome, highlighting the critical role of the missing p-arm with its pseudoautosomal region 1. Furthermore, we show increased levels of neutrophils and increased neutrophil activation. The increase in neutrophils was linked to TS clinical traits and to increased expression of the X-Y homologous gene TBL1X, suggesting a genetic basis, which may lead to neutrophil-driven inflammatory stress in TS. Identifying TS individuals with increased neutrophil activation could potentially mitigate the progression towards more severe metabolic issues.
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issn 2056-7944
language English
publishDate 2025-02-01
publisher Nature Portfolio
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series npj Genomic Medicine
spelling doaj-art-631bfbb30b38443397cab4c6fc4410b22025-02-09T12:48:25ZengNature Portfolionpj Genomic Medicine2056-79442025-02-0110111410.1038/s41525-025-00467-7Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypesJesper Just0Lukas Ochsner Reynaud Ridder1Emma Bruun Johannsen2Jens Magnus Bernth Jensen3Mikkel Steen Petersen4Helene Viborg Christensen5Kenneth Kjærgaard6Jacob Redder7Simon Chang8Kirstine Stochholm9Anne Skakkebæk10Claus Højbjerg Gravholt11Department of Molecular Medicine, Aarhus University HospitalDepartment of Molecular Medicine, Aarhus University HospitalDepartment of Molecular Medicine, Aarhus University HospitalDepartment of Molecular Medicine, Aarhus University HospitalDepartment of Clinical Immunology, Aarhus University HospitalDepartment of Endocrinology, Aarhus University HospitalDepartment of Data and Data UtilizationDepartment of Data and Data UtilizationDepartment of Molecular Medicine, Aarhus University HospitalDepartment of Clinical Medicine, Aarhus UniversityDepartment of Molecular Medicine, Aarhus University HospitalDepartment of Molecular Medicine, Aarhus University HospitalAbstract Turner syndrome (TS) presents with multiple karyotypes, including 45,X monosomy and variants such as isochromosomes and mosaicism, and is characterized by several co-morbidities, including metabolic conditions and autoimmunity. Here, we investigated the genomic landscapes across a range of karyotypes. We show that TS have a common autosomal methylome and transcriptome, despite distinct karyotypic variations. All TS individuals lacked the X chromosome p-arm, and XIST expression from the q-arm did not affect the autosomal transcriptome or methylome, highlighting the critical role of the missing p-arm with its pseudoautosomal region 1. Furthermore, we show increased levels of neutrophils and increased neutrophil activation. The increase in neutrophils was linked to TS clinical traits and to increased expression of the X-Y homologous gene TBL1X, suggesting a genetic basis, which may lead to neutrophil-driven inflammatory stress in TS. Identifying TS individuals with increased neutrophil activation could potentially mitigate the progression towards more severe metabolic issues.https://doi.org/10.1038/s41525-025-00467-7
spellingShingle Jesper Just
Lukas Ochsner Reynaud Ridder
Emma Bruun Johannsen
Jens Magnus Bernth Jensen
Mikkel Steen Petersen
Helene Viborg Christensen
Kenneth Kjærgaard
Jacob Redder
Simon Chang
Kirstine Stochholm
Anne Skakkebæk
Claus Højbjerg Gravholt
Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes
npj Genomic Medicine
title Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes
title_full Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes
title_fullStr Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes
title_full_unstemmed Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes
title_short Elevated levels of neutrophils with a pro-inflammatory profile in Turner syndrome across karyotypes
title_sort elevated levels of neutrophils with a pro inflammatory profile in turner syndrome across karyotypes
url https://doi.org/10.1038/s41525-025-00467-7
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