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Published on: May 16, 2020
Topoisomerase inhibitors as anti-arthritic agents
J K Jackson1, T Higo, W L Hunter
1Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, B.C., V6T 1Z3, Canada.
Introduction:
The pathophysiology of rheumatoid arthritis (RA) includes inflammation, synoviocyte proliferation, angiogenesis, and matrix metalloproteinase-driven degradation processes. The objective of this study was to investigate a variety of structurally unrelated anticancer topoisomerase inhibiting agents as inhibitors of aspects of these disease processes involved in RA.
Method:
The topoisomerase I inhibitors camptothecin and beta-laperchone and the topoisomerase II inhibitors, etoposide, doxorubicin, plumbagin and menadione were used in this study. Crystal induced neutrophil activation was measured by luminol dependent chemiluminescence. Synoviocyte proliferation was measured by an MTT assay using HIG 82 rabbit synoviocytes in cell culture. Angiogenesis was measured using the chorioallantoic membrane of the chick embryo. Chondrocyte (culture primary cells) expression of the matrix metalloproteinases collagenase and stromelysin was measured by Northern Blot analysis.
Results:
All agents inhibited synoviocyte proliferation to some degree. Camptothecin had no effect on neutrophil activation but inhibited all other processes at low (nanomolar) concentrations. Plumbagin and menadione inhibited neutrophil activation, collagenases expression and angiogenesis. The other agents had little effect on neutrophil activation (except beta-laperchone) but inhibited angiogenesis and collagenase expression to a lesser degree than camptothecin.
Conclusion:
These studies support the explorative use of topoisomerase I (particularly camptothecin) and II inhibitors as potential agents for use against RA.
Insights
Certain anticancer drugs, specifically topoisomerase inhibitors, show promise in treating rheumatoid arthritis (RA). These agents effectively target key RA disease processes like inflammation and cell proliferation, suggesting a new therapeutic avenue for RA patients.
Area of Science:
- Rheumatology
- Oncology
- Molecular Biology
Background:
- Rheumatoid arthritis (RA) involves inflammation, synoviocyte proliferation, angiogenesis, and matrix metalloproteinase degradation.
- Anticancer agents targeting topoisomerases are explored for their potential in managing RA pathophysiology.
Purpose of the Study:
- To investigate structurally diverse anticancer topoisomerase inhibitors.
- To assess their efficacy in inhibiting RA-associated disease processes.
Main Methods:
- Tested topoisomerase I (camptothecin, beta-laperchone) and II (etoposide, doxorubicin, plumbagin, menadione) inhibitors.
- Assessed neutrophil activation, synoviocyte proliferation, angiogenesis, and matrix metalloproteinase expression.
Main Results:
- All agents inhibited synoviocyte proliferation; camptothecin showed broad inhibition at nanomolar concentrations.
- Plumbagin and menadione inhibited neutrophil activation, angiogenesis, and collagenase expression.
- Other agents demonstrated varying degrees of inhibition on angiogenesis and collagenase expression.
Conclusions:
- Topoisomerase I and II inhibitors, particularly camptothecin, show potential as therapeutic agents for rheumatoid arthritis.
- These findings support further investigation of these agents in RA treatment.
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