Circular RNA circNUP214 serves as a microRNA-31 sponge to promote the progression of myasthenia gravis through NFAT5 - Report - MDSpire

Circular RNA circNUP214 serves as a microRNA-31 sponge to promote the progression of myasthenia gravis through NFAT5

  • By

  • Fanfan Xu

  • Xiaotong Kong

  • Shanshan Peng

  • Lifang Li

  • Wenqi Tian

  • Hanlu Cai

  • Yichen Li

  • Ying Li

  • Jingyan Niu

  • Nan Zhang

  • Huixue Zhang

  • Lihua Wang

  • July 9, 2026

  • 0 min

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Clinical Report: The Role of Circular RNA circNUP214 in Myasthenia Gravis

Overview

This study investigates the role of circular RNA circNUP214 in myasthenia gravis (MG), highlighting its elevated expression in PBMCs and CD4+ T cells of MG patients. CircNUP214 promotes CD4+ T cell proliferation by sponging miR-31 and upregulating NFAT5.

Background

Myasthenia gravis (MG) is an autoimmune disorder characterized by muscle weakness due to autoantibodies targeting the neuromuscular junction. Dysregulated T-cell responses, particularly the over-activation of CD4+ T cells, play a crucial role in MG pathogenesis. Understanding the molecular mechanisms, such as the role of circular RNAs, is essential for developing targeted therapies.

Data Highlights

ParameterMG Patients (n=31)Healthy Controls (n=40)
circNUP214 Expression in PBMCsSignificantly ElevatedNormal
circNUP214 Expression in CD4+ T CellsElevatedNormal

Key Findings

  • CircNUP214 expression is significantly elevated in PBMCs of MG patients compared to healthy controls.
  • CircNUP214 is also elevated in CD4+ T cells from MG patients.
  • CircNUP214 promotes CD4+ T cell proliferation.
  • Knockdown of circNUP214 suppresses CD4+ T cell proliferation.
  • CircNUP214 directly binds miR-31 and upregulates NFAT5.
  • The circNUP214/miR-31/NFAT5 axis may contribute to CD4+ T cell dysfunction in MG.

Clinical Implications

The findings indicate the circNUP214/miR-31/NFAT5 axis's involvement in CD4+ T cell proliferation in MG.

Conclusion

CircNUP214 plays a significant role in the proliferation of CD4+ T cells in myasthenia gravis through its interaction with miR-31 and NFAT5.

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  4. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update - PMC
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  6. Association of British Neurologists (ABN) autoimmune myasthenia gravis management guidelines (2025 update)
  7. Overview | Efgartigimod for treating antibody-positive generalised myasthenia gravis | Guidance | NICE
  8. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update - PMC
  9. A Delphi consensus on integrating novel therapies into the management of generalized myasthenia gravis - John Vissing, Fritz Zimprich, Sari Atula, Andrew Chan, Henning Andersen, Raffi Topakian, Martijn R. Tannemaat, Konrad P. Weber, Hakan Cetin, Christoph Neuwirth, Hanna Kuusisto, Wolfgang N. Loescher, 2026
  10. Clinical investigation of medicinal products in the treatment of Myasthenia Gravis | European Medicines Agency (EMA)
  11. Efficacy and safety of FcRn inhibitors in patients with Myasthenia gravis: An updated systematic review and meta‑analysis - ScienceDirect
  12. The efficacy and safety of efgartigimod for refractory myasthenia gravis: a systematic review and meta-analysis | European Journal of Medical Research | Springer Nature Link
  13. C5-Complement Inhibitors Administration for Treatment of Generalized Myasthenia Gravis: A Systematic Review and Meta-analysis (P1-11.007) | Neurology
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  15. Frontiers | The intricate dance of non-coding RNAs in myasthenia gravis pathogenesis and treatment
  16. New and Emerging Biological Therapies for Myasthenia Gravis: A Focussed Review for Clinical Decision-Making | BioDrugs | Springer Nature Link

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