Abstract

Rheumatoid arthritis is characterised by a chronic inflammatory response resulting in destruction of the joint and significant pain. Although a range of treatments are available to control disease activity in RA, bone destruction and joint pain exist despite suppression of inflammation. This study is aimed at assessing the effects of parthenolide (PAR) on paw inflammation, bone destruction, and pain-like behaviour in a mild collagen antibody-induced arthritis (CAIA) mouse model. CAIA was induced in BALB/c mice and treated daily with 1 mg/kg or 4 mg/kg PAR. Clinical paw inflammation was scored daily, and mechanical hypersensitivity was assessed on alternate days. At end point, bone volume and swelling in the paws were assessed using micro-CT. Paw tissue sections were assessed for inflammation and pre-/osteoclast-like cells. The lumbar spinal cord and the periaqueductal grey (PAG) and rostral ventromedulla (RVM) regions of the brain were stained for glial fibrillary acidic protein (GFAP) and ionised calcium-binding adaptor molecule 1 (IBA1) to assess for glial reactivity. Paw scores increased in CAIA mice from days 5-10 and were reduced with 1 mg/kg and 4 mg/kg PAR on days 8-10. Osteoclast-like cells on the bone surface of the radiocarpal joint and within the soft tissue of the hind paw were significantly lower following PAR treatment (p < 0.005). GFAP- and IBA1-positive cells in the PAG and RVM were significantly lower following treatment with 1 mg/kg (p < 0.0001 and p = 0.0004, respectively) and 4 mg/kg PAR (p < 0.0001 and p = 0.001, respectively). In the lumbar spinal cord, IBA1-positive cells were significantly lower in CAIA mice treated with 4 mg/kg PAR (p = 0.001). The findings indicate a suppressive effect of both low- and moderate-dose PAR on paw inflammation, osteoclast presence, and glial cell reactivity in a mild CAIA mouse model.

Highlights

  • Rheumatoid arthritis (RA) is a chronic systemic disorder characterised by joint inflammation, synovial hyperplasia, and associated destruction of the cartilage and bone

  • Thirty-two female BALB/c mice aged six to eight weeks were obtained from the University of Adelaide Laboratory Animal Services and randomly allocated to control, collagen antibody-induced arthritis (CAIA), CAIA+PAR 1 mg/kg, and CAIA+PAR 4 mg/kg

  • There was no significant difference in paw withdrawal thresholds between control and CAIA mice, as well as between CAIA mice and PAR 1 mg/kg and 4 mg/kg- treated mice (Figure 1(c))

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Summary

Introduction

Rheumatoid arthritis (RA) is a chronic systemic disorder characterised by joint inflammation, synovial hyperplasia, and associated destruction of the cartilage and bone. The pathogenesis of RA involves chronic infiltration of immune cells into the synovial joints and production of proinflammatory cytokines including tumour necrosis factor alpha (TNF-α), interleukin-1 beta (IL-1β), and interleukin-6 (IL-6) [3]. These cytokines prolong the inflammatory response within the synovial joints, but their overproduction promotes bone destruction [4, 5]. Glial cells have been identified as being key drivers behind central sensitisation and hypersensitivity in chronic inflammatory states [7].

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