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The Death Receptor 3-TNF-like protein 1A pathway drives adverse bone pathology in inflammatory arthritis
Melanie Jane Bull1, Anwen Siân Williams, Zarabeth Mecklenburgh
1Department of Medical Biochemistry and Immunology, School of Medicine, Heath Park, Cardiff CF14 4XN, Wales, UK.
Abstract:
Rheumatoid arthritis (RA) is a chronic inflammatory disease of synovial joints that is associated with cartilage and bone destruction. Death Receptor 3 (DR3), a tumor necrosis factor (TNF) receptor superfamily member, has recently been associated with the pathogenesis of RA. We demonstrate that absence of DR3 confers resistance to the development of adverse bone pathology in experimental antigen-induced arthritis (AIA). DR3(ko) mice exhibited a reduction in all histopathological hallmarks of AIA but, in particular, failed to develop subchondral bone erosions and were completely protected from this characteristic of AIA. In contrast, TNF-like protein 1A (TL1A), the ligand for DR3, exacerbated disease in a dose- and DR3-dependent fashion. Analysis of osteoclast number within AIA joint revealed a reduction in areas susceptible to bone erosion in DR3(ko) mice, whereas in vitro osteoclastogenesis assays showed that TL1A could directly promote osteoclastogenesis in mouse and man. Treatment with antagonistic anti-TL1A mAb protected animals in a systemic model of RA disease collagen-induced arthritis. We therefore conclude that the DR3-TL1A pathway regulates joint destruction in two murine models of arthritis and represents a potential novel target for therapeutic intervention in inflammatory joint disease.
Insights
The Death Receptor 3 (DR3) pathway exacerbates rheumatoid arthritis (RA) bone destruction. Blocking this pathway protected mice from joint damage, suggesting DR3-TL1A is a potential therapeutic target for RA.
Area of Science:
- Immunology
- Rheumatology
- Orthopedics
Background:
- Rheumatoid arthritis (RA) is a chronic inflammatory joint disease causing cartilage and bone destruction.
- Death Receptor 3 (DR3), a TNF receptor superfamily member, is implicated in RA pathogenesis.
Purpose of the Study:
- To investigate the role of the DR3-TL1A pathway in RA-associated bone pathology.
- To evaluate the therapeutic potential of targeting this pathway in murine arthritis models.
Main Methods:
- Utilized experimental antigen-induced arthritis (AIA) and collagen-induced arthritis (CIA) mouse models.
- Assessed histopathological changes, bone erosion, and osteoclastogenesis.
- Administered anti-TL1A monoclonal antibody (mAb) treatment.
Main Results:
- DR3 knockout mice showed reduced AIA pathology, particularly protection from subchondral bone erosions.
- TL1A exacerbated arthritis in a DR3-dependent manner and directly promoted osteoclastogenesis in vitro.
- Anti-TL1A mAb treatment protected CIA model mice from systemic RA disease.
Conclusions:
- The DR3-TL1A pathway is a key regulator of joint destruction in experimental arthritis.
- Targeting the DR3-TL1A pathway offers a promising therapeutic strategy for inflammatory joint diseases like RA.
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