Abstract

BackgroundAlthough a variety of drugs have been used to treat the symptoms of rheumatoid arthritis (RA), none of them are able to cure the disease. Interferon β (IFN-β) has pleiotropic effects on RA, but whether it can be used to treat RA remains globally controversial. Thus, in this study we tested the effects of IFN-β on RA patients and on collagen antibody-induced arthritis (CAIA) model mice.MethodsThe cytokine and auto-antibody expression profiles in the serum and synovial fluid (SF) from RA patients were assessed using enzyme-linked immunosorbent assay (ELISA) and compared with the results from osteoarthritis (OA) patients. Exogenous IFN-β was administered to RA patients and CAIA model mice, and the therapeutic effects were evaluated. Endogenous IFN-β expression in the joint bones of CAIA model mice was evaluated by quantitative real-time PCR (qRT-PCR). The effects of exogenous IFN-β on CAIA model mice were assessed using a clinical scoring system, hematoxylin eosin and safranin-O with fast green counterstain histology, molybdenum target X-ray, and tartrate-resistant acid phosphatase (TRAP) staining. The RANKL-RANK signaling pathway was analyzed using qRT-PCR. The RAW 264.7 cell line was differentiated into osteoclasts with RANKL stimulation and then treated with exogenous IFN-β.ResultsThe expression of inflammatory cytokines (IFN-γ, IL-17, MMP-3, and RANKL) and auto-antibodies (CII antibodies, RF-IgM, and anti-CCP/GPI) were significantly higher in RA compared with OA patients. After IFN-β intervention, some clinical symptoms in RA patients were partially alleviated, and the expression of IFN-γ, IL-17, MMP-3, and OPG) returned to normal levels. In the CAIA model, the expression of endogenous IFN-β in the joint bones was decreased. After IFN-β administration, the arthritis scores were decreased; synovial inflammation, cartilage, and bone destruction were clearly attenuated; and the expression of c-Fos and NFATc1 were reduced, while RANKL and TRAF6 expression was unchanged. In addition, exogenous IFN-β directly inhibited RANKL-induced osteoclastogenesis.ConclusionsExogenous IFN-β administration immunomodulates CAIA, may reduce joint inflammation and, perhaps more importantly, bone destruction by inhibiting the RANKL-c-Fos signaling pathway. Exogenous IFN-β intervention should be selectively used on RA patients because it may only be useful for RA patients with low endogenous IFN-β expression.

Highlights

  • A variety of drugs have been used to treat the symptoms of rheumatoid arthritis (RA), none of them are able to cure the disease

  • Exogenous Interferon β (IFN-β) intervention in RA patients Twenty RA patients were selected for an immune interference study with exogenous IFN-β (Rebif®, Merck Serono, Induction of collagen antibody-induced arthritis (CAIA) and establishment of the treatment protocol To induce the CAIA model, BALB/c mice were injected with 2 mg of collagen antibody cocktail (Chondrex, Redmond, WA, USA) intravenously on Day 1, and were treated with 25 μg of lipopolysaccharide (LPS) intraperitoneally on Day 4

  • Differences in the level of inflammatory factors and auto-antibodies between RA and OA patients The level of inflammatory factors assessed by enzyme-linked immunosorbent assay (ELISA) in RA serum and synovial fluid (SF) were compared with those in OA serum and SF

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Summary

Introduction

A variety of drugs have been used to treat the symptoms of rheumatoid arthritis (RA), none of them are able to cure the disease. Interferon β (IFN-β) has pleiotropic effects on RA, but whether it can be used to treat RA remains globally controversial. In this study we tested the effects of IFN-β on RA patients and on collagen antibody-induced arthritis (CAIA) model mice. A variety of drugs have been used to treat the symptoms, none of them are able to cure the disease. Disease-modifying anti-rheumatic drugs, such as methotrexate, are one of the most common types of treatments. Other efficient anti-rheumatic drugs have recently been developed, including biological response modifiers such as tumor necrosis factor (TNF)-α blockers [4,5]. Developing novel therapies is crucial for RA patients

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