Characterisation of Ku-positive myositis reveals a degree of heterogeneity

An international consortium, including clinicians from the Institute of Myology, pooled clinical and biological data from patients suffering from a rare form of inflammatory myopathy, Ku-positive myositis, and compared them with existing data for autoimmune necrotising myopathy (AINM):

  • 26 muscle biopsies (anti-Ku-positive) from a cohort of 50 Japanese patients and 10 German patients investigated for myositis were reanalysed a posteriori,
  • histological features common to AINM were found,
  • the researchers distinguished two distinct patterns in terms of necrosis and regeneration,
  • and revealed differences (not statistically significant) in the distribution of HLA alleles in these two sub-groups.

As a result of this work, anti-Ku positive myositis appears to be relatively heterogeneous.

 

Oyama M, Holzer MT, Ohnuki Y, Saito Y, Nishimori Y, Suzuki S, Shiina T, Leonard-Louis S, Benveniste O, Schneider U, Stenzel W, Nishino I, Suzuki S, Uruha A. Pathologic Features of Anti-Ku Myositis. Neurology. 2024 Apr 23;102(8):e209268. doi: 10.1212/WNL.0000000000209268. Epub 2024 Mar 28. PMID: 38547417.