Abstract

The objective of this study is to evaluate the efficacy and potential mechanism of action of type-II collagen bifunctional peptide inhibitor (CII-BPI) molecules in suppressing rheumatoid arthritis in the collagen-induced arthritis (CIA) mouse model. CII-BPI molecules (CII-BPI-1, CII-BPI-2, and CII-BPI-3) were formed through conjugation between an antigenic peptide derived from type-II collagen and a cell adhesion peptide LABL (CD11a237-246) from the I-domain of LFA-1 via a linker molecule. The hypothesis is that the CII-BPI molecules simultaneously bind to MHC-II and ICAM-1 on the surface of APC and block maturation of the immunological synapse. As a result, the differentiation of naïve T cells is altered from inflammatory to regulatory and/or suppressor T cells. The efficacies of CII-BPI molecules were evaluated upon intravenous injections in CIA mice. Results showed that CII-BPI-1 and CIIBPI-2 suppressed the joint inflammations in CIA mice in a dose-dependent manner and were more potent than the respective antigenic peptides alone. CII-BPI-3 was not as efficacious as CII-BPI-1 and CII-BPI-2. Significantly less joint damage was observed in CII-BPI-2 and CII-2 treated mice than in the control. The production of IL-6 was significantly lower at the peak of disease in mice treated with CII-BPI-2 compared to those treated with CII-2 and control. In conclusion, this is the first proof-of-concept study showing that BPI molecules can be used to suppress RA and may be a potential therapeutic strategy for the treatment of rheumatoid arthritis.

Highlights

  • Rheumatoid Arthritis (RA) is an autoimmune disease that causes pain, stiffness, chronic inflammation, and deformity due to cartilage, bone, and ligament destruction in the joints [1]

  • Changes in paw volume due to swelling were significantly lower in consists mainly of type II (CII)-Bifunctional Peptide Inhibitor (BPI)-1-treated mice than in those treated with PBS (Figure 1A; p

  • Auto-reactive T cells have been implicated in the onset and progression of autoimmune diseases, including multiple sclerosis (MS), type-1 diabetes (T1D), and rheumatoid arthritis (RA)

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Summary

Introduction

Rheumatoid Arthritis (RA) is an autoimmune disease that causes pain, stiffness, chronic inflammation, and deformity due to cartilage, bone, and ligament destruction in the joints [1]. Th17 cells, a subset of Th cells, have been implicated in autoimmune diseases, including rheumatoid arthritis [3,7]. Another possible cause is that the body fails to activate regulatory T cells (T-reg); enhancing the production of T-reg may be one therapeutic strategy to suppress RA and other autoimmune diseases [8,9,10,11,12]. Methotrexate is one of the most commonly used traditional DMARD It is effective, its use is sometimes discontinued due to toxicity. Safety of RA therapies is always a concern because most of these treatments are generally immunosuppressive causing a risk of opportunistic infection or increased serious adverse side effects

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