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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.

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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