Abstract

We investigated the effect on rheumatoid arthritis (RA) of an anti-gp130 monoclonal antibody (mAb) and its mechanism using RA fibroblast-like synoviocytes (FLS) and a collagen antibody–induced arthritis (CAIA) mouse model. We determined the interleukin 6 (IL-6), IL-6 receptor α (IL-6Rα), gp130, receptor activator of nuclear factor κB ligand (RANKL), matrix metalloproteinase 3 (MMP3), TIMP metallopeptidase inhibitor 1 (TIMP1), and Bcl-2 levels in RA and osteoarthritis (OA) serum and synovial fluid. RA FLS were cultured with or without IL-6/IL-6Rα; WNT5A and RANKL levels were detected. We generated an anti-gp130 mAb (M10) with higher affinity and specificity, blocked IL-6 signaling with it, and assessed its effects on the CAIA model, WNT5A and RANKL expression, and signal transducer and activator of transcription 3 (STAT3) phosphorylation. The IL-6 signaling system in patients with RA was increased; RANKL, MMP3, TIMP1, and Bcl-2 in RA bone were elevated. IL-6/IL-6Rα increased RA FLS WNT5A and RANKL expression. M10 ameliorated arthritis in the CAIA model, and inhibited RANKL, WNT5A, and Bcl-2 expression in RA FLS by blocking IL-6 signaling, likely via Janus kinase–STAT3 pathway downregulation. The IL-6–soluble IL-6Rα–gp130 complex is hyperactive in RA and OA. M10 may be the basis for a novel RA treatment drug.

Highlights

  • Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease which is characterized by the invasion and proliferation of synoviocytes and resulting in bone and cartilage destruction [1]

  • We investigated the effect on rheumatoid arthritis (RA) of an anti-gp130 monoclonal antibody and its mechanism using RA fibroblast-like synoviocytes (FLS) and a collagen antibody–induced arthritis (CAIA) mouse model

  • These findings indicate that the interleukin 6 (IL-6) signaling system is increased in patients with RA, as sgp130 is a natural antagonist of the gp130 signaling system in RA

Read more

Summary

Introduction

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease which is characterized by the invasion and proliferation of synoviocytes and resulting in bone and cartilage destruction [1]. Inflammatory stimuli, especially IL-6, TNFα and IL-1, are potent FLS activators and can induce FLS to produce other cytokines, which in turn promotes autoimmunity, maintains chronic inflammatory synovitis, and drives bone and joint destruction [1]. RANKL mediated effects through binding to RANK on osteoclasts and their precursors surface [5, 6] Factors such as IL-6, TNFα, IL1, and IL-17 regulate RANKL expression and synthesis. Hashizume et al demonstrated that IL-6 can stimulate RANKL expression in FLS associated with soluble IL6R (sIL-6R) [7]. This suggests that IL-6 trans-signaling pathway might enhance osteoclastogenesis through elevated RANKL expression in the FLS of RA patients

Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call