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Published on: January 31, 2020
Relationship between angiogenesis and inflammation in experimental arthritis
Gaelle Clavel1, Chiara Valvason, Kunio Yamaoka
1INSERM, ERI-18, University of Paris 13 and Rheumatology Dpt, CHU Avicenne (AP-HP), 74 rue Marcel Cachin, 93017 Bobigny Cedex, France.
Angiogenesis, or new blood vessel formation, exacerbates rheumatoid arthritis (RA) by increasing joint inflammation and bone destruction. This study demonstrates that increased vascularization worsens collagen-induced arthritis (CIA) in a mouse model.
Area of Science:
- Immunology
- Vascular Biology
- Rheumatology
Background:
- Rheumatoid arthritis (RA) involves synovial inflammation and angiogenesis, creating a feedback loop that potentiates disease progression.
- Understanding the interplay between synovial inflammation and angiogenesis is crucial for developing effective RA treatments.
Purpose of the Study:
- To investigate the reciprocal relationship between synovial inflammation and angiogenesis in a collagen-induced arthritis (CIA) mouse model.
- To determine the impact of vascular endothelial growth factor (VEGF) on CIA progression.
Main Methods:
- Collagen-induced arthritis (CIA) was induced in DBA/1 mice.
- Angiogenesis was quantified using immunohistochemical staining for endothelial cells and vessels in knee joint sections.
- VEGF gene transfer was performed using adeno-associated virus (AAV-VEGF) via systemic, intramuscular, or intra-articular injection.
Main Results:
- Synovial angiogenesis increased significantly from day 6 to day 55 post-CIA induction.
- Joint vascularization strongly correlated with clinical scores (r = 0.61, p < 0.0001) and histological scores (r = 0.51, p = 0.0006).
- Systemic VEGF overexpression aggravated CIA, while intra-articular VEGF exacerbated histological inflammation and bone destruction.
Conclusions:
- Angiogenesis and joint inflammation progress in parallel during CIA.
- Exogenous VEGF administration worsens CIA, providing direct evidence that increased joint vascularization exacerbates arthritis.
- These findings highlight the critical role of angiogenesis in inflammatory arthritis and suggest its early involvement in joint inflammation.
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