Abstract
In spite of popularity of TNF-α antagonist in the treatment of rheumatoid arthritis (RA), their modes of action are not fully understood. In the present study, we further explore the effects of gene transfer route of a TNF-α antagonist on arthritis. Recombinant adeno-associated virus 2 (rAAV2) encoding rat TNF receptor-immunoglobulin Fc (ratTNFR:Fc) fusion gene was injected intraarticularly in rats with collagen-induced arthritis (CIA). As revealed by examination of the clinical, radiographical, and histological aspects, local gene transfer of rAAV2/ratTNFR:Fc ameliorated the arthritis symptoms and inhibited the development of CIA. Compared with the vector control group, expressions of TNF-α, IL-1, and IFN-γ were down-regulated, and IL-10 release was up-regulated in the rAAV2/ratTNFR:Fc-treated group. Furthermore, administration of rAAV2/ratTNFR:Fc ameliorated the enlargement of spleen and significantly reduced spleen cell proliferation. Low level of nitric oxide (NO) in spleen was observed in CIA rats following the delivery of rAAV2/ratTNFR:Fc when compared to the vector control group. This study provides the evidence that intraarticular delivery of rAAV2/ratTNFR:Fc suppress the progression of arthritis by restoring the balance between pro-inflammatory and anti-inflammatory cytokines and inhibiting spleen cell proliferation. Our findings also implicate that the down-regulation of NO release on arthritis is involved in the anti-inflammatory mechanisms of TNF-α antagonist.
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References
Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81:646–656
Zeng Qy, Chen R, Darmawan J, Xiao ZX, Chen SB, Wigley R (2008) Rheumatic diseases in china. Chin J Rheum 12:568–569
Feldmann M, Maini SR (2008) Role of cytokines in rheumatoid arthritis. Immunol Rev 223:17–19
Carteron NL (2000) Cytokines in rheumatoid arthritis: trials and tribulations. Mol Med Today 6:315–323
Bathon JM, Martin RW, Fleischmann RM, Tesser JR, Schiff MH, Keystone EC, Genovese MC, Wasko MC, Moreland LW, Weaver AL, Markenson J, Finck BK (2000) A comparison of etanercept and methotrexate in patients with early rheumatoid arthritis. N Engl J Med 343:1586–1593
Lipsky PE, van der Heijde DM, St Clair EW, Furst DE, Breedveld FC, Kalden JR, Smolen JS, Weisman M, Emery P, Feldmann M, Harriman GR, Maini RN, Anti-Tumor Necrosis Factor Trial in Rheumatoid Arthritis with Concomitant Therapy Study Group (2000) Infliximab and methotrexate in the treatment of rheumatoid arthritis. Anti-Tumor Necrosis Factor Trial in Rheumatoid Arthritis with Concomitant Therapy Study Group. N Engl J Med 343:1594–1602
Lorenz HM, Kalden JR (2002) Perspectives for TNF-alpha-targeting therapies. Arthritis Res 4(Suppl 3):S17–S24
Gomez-Reino JJ, Carmona L, Valverde VR, Mola EM, Montero MD (2003) Treatment of rheumatoid arthritis with tumor necrosis factor inhibitors may predispose to significant increase in tuberculosis risk: a multicenter active-surveillance report. Arthritis Rheum 48:2122–2127
Magnano MD, Robinson WH, Genovese MC (2004) Demyelination and inhibition of tumor necrosis factor (TNF). Clin Exp Rheumatol 5(Suppl 35):S134–S140
Adriaansen J, Khoury M, de Cortie CJ, Fallaux FJ, Bigey P, Scherman D, Gould DJ, Chernajovsky Y, Apparailly F, Jorgensen C, Vervoordeldonk MJ, Tak PP (2007) Reduction of arthritis following intra-articular administration of an adeno-associated virus serotype 5 expressing a disease-inducible TNF-blocking agent. Ann Rheum Dis 66:1143–1150
Chan JM, Villarreal G, Jin WW, Stepan T, Burstein H, Wahl SM (2002) Intraarticular gene transfer of TNFR:Fc suppresses experimental arthritis with reduced systemic distribution of the gene product. Mol Ther 6:727–736
Sandalon Z, Bruckheimer EM, Lustig KH, Burstein H (2007) Long-term suppression of experimental arthritis following intramuscular administration of a pseudotyped AAV2/1-TNFR:Fc Vector. Mol Ther 15:264–269
Taylor PC (2001) Anti-tumor necrosis factor therapies. Curr Opin Rheumatol 13:164–169
Seto F (1988) Dissociation of the RES and immune components in the transient splenic response of embryos and neonatal chicks to immunization. Dev Comp Immunol 12(4):843–854
Manohar V, Brown EM, Leiserson WM, Edison LJ, Chused TM (1984) Ly-2+ T cell enlargement and null cell proliferation occur at the onset of splenomegaly and autoantibody production in New Zealand Black mice. J Immunol 133(6):3020–3025
Nair J, Gal A, Tamir S, Tannenbaum SR, Wogan GN, Bartsch H (1998) Etheno adducts in spleen DNA of SJL mice stimulated to overproduce nitric oxide. Carcinogenesis 19(12):2081–2084
Weinberg JB, Lang T, Wilkinson WE, Pisetsky DS, St Clair EW (2006) Serum, urinary, and salivary nitric oxide in rheumatoid arthritis: complexities of interpreting nitric oxide measures. Arthritis Res Ther 8(5):R140
Sakurai H, Kohsaka H, Liu MF, Higashiyama H, Hirata Y, Kanno K, Saito I, Miyasaka N (1995) Nitric oxide production and inducible nitric oxide synthase expression in inflammatory arthritides. J Clin Invest 96:2357–2363
St Clair EW, Wilkinson WE, Lang T, Sanders L, Misukonis MA, Gilkeson GS, Pisetsky DS, Granger DI, Weinberg JB (1996) Increased expression of blood mononuclear cell nitric oxidc synthase type 2 in rheumatoid arthritis patients. J Exp Med 184:1173–1178
Taurog JD, Kerwar SS, McReynolds RA, Sandberg GP, Leary SL, Mahowald ML (1985) Synergy between adjuvant arthritis and collagen induced arthritis in rats. J Exp Med 162:962–978
Joosten LA, Helsen MM, Saxne T, van De Loo FA, Heinegard D, van Den Berg WB (1999) IL1 alpha beta blockade prevents cartilage and bone destruction in murine type II collagen-induced arthritis, whereas TNF-alpha blockade only ameliorates joint inflammation. J Immunol 163:5049–5055
Gao K, Zhao AZ, Wu XB, Yao LB, Zhang TQ, Wang JZ (2005) Construction and biological activity research of recombinant adeno-associated virus type-2 vector encoding human tumor necrosis factor receptor:Fc fusion gene (rAAV2/hTNFR:Fc). Chin J Virol 21:204–209
XB WU, Dong XY, Wu ZJ, Cao H, Niu DB, Qu JG, Wang H, Hou YD (2001) A novel method for purification of recombinant adeno-associated virus vectors on a large scale. Chin Sci Bull 46:485–489
Seckinger P, Isaaz S, Dayer JM (1989) Purification and biologic characterization of a specific tumor necrosis factor alpha inhibitor. J Biol Chem 264:11966–11973
Hashiramoto A, Sano H, Maekawa T, Kawahito Y, Kimura S, Kusaka Y, Wilder RL, Kato H, Kondo M, Nakajima H (1999) C-myc antisense oligodeoxynucleotides can induce apoptosis and down regulate Fas expression in rheumatoid synoviocytes. Arthritis Rheum 42:954–962
Watanabe S, Kim KN, Imagawa T, Thornton S, Grom A, Hirsch R (2000) On the mechanism of protection of distal joints after local gene transfer in collagen-induced arthritis. Hum Gene Ther 11:751–758
Whalen JD, Lechman EL, Carlos CA, Weiss K, Kovesdi I, Glorioso JC, Robbins PD, Evans CH (1999) Adenoviral transfer of the viral IL-10 gene periarticularly to mouse paws suppresses development of collagen-induced arthritis in both injected and uninjected paws. J Immunol 162:3625–3632
Katsikis PD, Chu CQ, Brennan FM, Maini RN, Feldmann M (1994) Immunoregulatory role of interleukin 10 in rheumatoid arthritis. J Exp Med 179:1517–1527
Finnegan A, Doodes PD (2008) Pathways for interleukin-1-driven arthritis. Arthritis Rheum 58:3283–3285
Rhodes SG, Palmer N, Graham SP, Bianco AE, Hewinson RG, Vordermeier HM (2000) Distinct response kinetics of gamma interferon and interleukin-4 in bovine tuberculosis. Infect Immun 68:5393–5400
van Roon JA, van Roy JL, Gmelig-Meyling FH, Lafeber FP, Bijlsma JW (1996) Prevention and reversal of cartilage degradation in rheumatoid arthritis by interleukin-10 and interleukin-4. Arthritis Rheum 39:829–835
Paradowska-Gorycka A, Grzybowska-Kowalczyk A, Wojtecka-Lukasik E, Maslinski S (2010) IL-23 in the pathogenesis of rheumatoid arthritis. Scand J Immunol 71(3):134–145
Yue C, You X, Zhao L, Wang H, Tang F, Zhang F, Zhang X, He W (2010) The effects of adalimumab and methotrexate treatment on peripheral Th17 cells and IL-17/IL-6 secretion in rheumatoid arthritis patients. Rheumatol Int 30(12):1553–1557
Kim HY, Kim WU, Cho ML, Lee SK, Youn J, Kim SI, Yoo WH, Park JH, Min JK, Lee SH, Park SH, Cho CS (1999) Enhanced T cell proliferative response to type II collagen and synthetic peptide CII (255–274) in patients with rheumatoid arthritis. Arthritis Rheum 42:2085–2093
Cope AP (2002) Studies of T-cell activation in chronic inflammation. Arthritis Res 4(Suppl 3):S197–S211
Jakobs DM, Schade FU (1994) Regulation of endotoxin mitogenicity in murine spleen cells by tumor necrosis factor. J Endo Res 3:175–179
Kim KR, Jeong CK, Park KK, Choi JH, Park JH, Lim SS, Chung WY (2010) Anti-inflammatory effects of licorice and roasted licorice extracts on TPA-induced acute inflammation and collagen-induced arthritis in mice. J Biomed Biotechnol 709378. Epub 2010 Mar 17
Yi YS, Ayala-López W, Kularatne SA, Low PS (2009) Folate-targeted hapten immunotherapy of adjuvant-induced arthritis: comparison of hapten potencies. Mol Pharm 6:1228–1236
Nathan C, Shiloh MU (2000) Reactive oxygen and nitrogen intermediates in the relationship between mammalian hosts and microbial pathogens. Proc Natl Acad Sci USA 97:8841–8848
Clancy RM, Amin AR, Abramson SB (1998) The role of nitric oxide in inflammation and immunity. Arthritis Rheum 41:1141–1151
McCartney-Francis NL, Song X, Mizel DE, Wahl SM (2001) Selective inhibition of inducible nitric oxide synthase exacerbates erosive joint disease. J Immunol 166(4):2734–2740
Attur MG, Patel IR, Patel RN, Abramson SB, Amin AR (1998) Autocrine production of IL-1 beta by human osteoarthritis-affected cartilage and differential regulation of endogenous nitric oxide, IL-6, prostaglandin E2, and IL-8. Proc Assoc Am Physicians 110(1):65–72
Patel RN, Attur MG, Dave MN, Patel IV, Stuchin SA, Abramson SB, Amin AR (1999) A novel mechanism of action of chemically modified tetracyclines: inhibition of COX-2-mediated prostaglandin E2 production. J Immunol 163(6):3459–3467
Acknowledgments
We would like to thank Hua Jiang, Peng Qian, Shuhui Lang, and Yanwei Yang for excellent technical assistant in animal assays and histological studies. This work was supported by the National Science & Technology Pillar Program (No: 2002AA2Z3421) and Scientific and Technological Major Special Project for. ‘‘Significant Creation of New Drugs’’ (No. 2008ZX09305-002) from the Ministry of Science and Technology, People’s Republic of China.
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The authors X. Zhou and K. Gao are contributed equally to this work.
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Supplementary Fig 1
Expression and bioactivity of ratTNFR:Fc. (a). The supernatants of ratTNFR:Fc-transduced cells were collected, and TNF-α inhibition bioassay were performed to analyze the bioactivity of expressed fusion protein. (b). TNFR Level in the joint homogenates of rats (nonarthritic) injected intraarticularly with rAAV2/ratTNFR:Fc at different times. The rats of control group were injected with only PBS (n = 3 rats in each time point; ** p<0.01 versus the control group). (PPT 51 kb)
Supplementary Fig 2
Immunohistochemical analysis of joint tissue of rats with collagen-induced arthritis (CIA) after rAAV2/ratTNFR:Fc gene transfer. At the termination of the experiments (days 35), ankle joints of rats were collected and embedded in paraffin wax. The section samples were immunostained using specific antibodies against rat IgG Fc and counterstained with Mayer’s hemalum. (a). Representative untreated joint showing normal architecture of joint. (b). Representative vector-treated joint section (c). rAAV2/ratTNFR:Fc-treated joint sections.
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Zhou, X., Gao, K., Shen, L. et al. Modulation of immune and inflammatory responses on experimental arthritis following intraarticular gene transfer of tumor necrosis factor receptor-immunoglobulin Fc. Rheumatol Int 32, 2605–2614 (2012). https://doi.org/10.1007/s00296-011-1974-z
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DOI: https://doi.org/10.1007/s00296-011-1974-z