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PI3 kinase δ is a key regulator of synoviocyte function in rheumatoid arthritis
Beatrix Bartok1, David L Boyle, Yi Liu
1Division of Rheumatology, Allergy, and Immunology, University of California San Diego School of Medicine, La Jolla, California 92093, USA.
Abstract:
Class I phosphoinositide 3 kinase (PI3K) δ is a promising therapeutic target for rheumatoid arthritis (RA) because of its contribution to leukocyte biology. However, its contribution in fibroblasts has not been studied as a mechanism that contributes to efficacy. We investigated the expression and function of PI3Kδ in synovium and cultured fibroblast-like synoviocytes (FLS). Immunohistochemistry demonstrated that PI3Kδ is highly expressed in RA synovium, especially in the synovial lining. Using quantitative PCR and Western blot analysis, we found that PI3Kδ mRNA and protein expression is higher in RA than in osteoarthritis (OA) synovium. PI3Kδ was also expressed in cultured FLS, along with PI3Kα and PI3Kβ, whereas PI3Kγ was not detectable. PI3Kδ mRNA expression was selectively induced by inflammatory cytokines tumor necrosis factor (TNF) and interleukin-1 (IL-1) but not by growth factors platelet-derived growth factor (PDGF) and transforming growth factor β (TGFβ). The use of inhibitors that block individual PI3K isoforms, including the novel selective PI3Kδ inhibitor INK007, showed that PI3Kδ is required for PDGF- and TNF-induced Akt activation. PI3Kδ inhibition also diminished PDGF-mediated synoviocyte growth and sensitized cells to H(2)O(2)-induced apoptosis. These data are the first documentation of increased PI3Kδ expression in both RA synovium and cultured synoviocytes. Furthermore, these are the first data demonstrating that PI3Kδ is a major regulator of PDGF-mediated fibroblast growth and survival via Akt. Thus, targeting PI3Kδ in RA could modulate synoviocyte function via anti-inflammatory and disease-altering mechanisms.
Insights
Class I phosphoinositide 3 kinase delta (PI3Kδ) is elevated in rheumatoid arthritis (RA) synovium and fibroblast-like synoviocytes. Targeting PI3Kδ may offer new RA therapies by modulating fibroblast function.
Area of Science:
- Immunology
- Molecular Biology
- Rheumatology
Background:
- Class I phosphoinositide 3 kinase delta (PI3Kδ) is a key regulator of leukocyte function and a potential therapeutic target for rheumatoid arthritis (RA).
- The role of PI3Kδ in fibroblast-like synoviocytes (FLS) within the RA synovium remains uncharacterized, representing a gap in understanding RA pathogenesis and PI3Kδ's therapeutic potential.
Purpose of the Study:
- To investigate the expression and functional significance of PI3Kδ in the RA synovium and cultured FLS.
- To determine if PI3Kδ plays a role in fibroblast proliferation and survival.
Main Methods:
- Immunohistochemistry was used to assess PI3Kδ expression in RA and osteoarthritis (OA) synovium.
- Quantitative PCR and Western blot analysis were employed to measure PI3Kδ mRNA and protein levels in synovial tissues and cultured FLS.
- Pharmacological inhibitors, including a selective PI3Kδ inhibitor (INK007), were used to probe the function of PI3Kδ in FLS stimulated with cytokines and growth factors.
Main Results:
- PI3Kδ was highly expressed in RA synovium, particularly in the synovial lining, and showed increased mRNA and protein levels compared to OA synovium.
- Cultured FLS expressed PI3Kδ, PI3Kα, and PI3Kβ, with PI3Kδ expression selectively upregulated by tumor necrosis factor (TNF) and interleukin-1 (IL-1).
- PI3Kδ inhibition blocked PDGF- and TNF-induced Akt activation, reduced PDGF-mediated FLS proliferation, and increased apoptosis induced by hydrogen peroxide (H₂O₂).
Conclusions:
- This study provides the first evidence of increased PI3Kδ expression in both RA synovium and cultured synoviocytes.
- PI3Kδ is a critical regulator of PDGF-mediated fibroblast growth and survival through the Akt pathway.
- Targeting PI3Kδ presents a potential anti-inflammatory and disease-modifying therapeutic strategy for RA by impacting synoviocyte function.
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