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Updated: May 22, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
The impact of endogenous annexin A1 on glucocorticoid control of inflammatory arthritis
Hetal B Patel1, Kristin N Kornerup, Andre' L F Sampaio
1William Harvey Research Institute, Barts and The London School of Medicine, London UK.
Objectives:
To establish the role and effect of glucocorticoids and the endogenous annexin A1 (AnxA1) pathway in inflammatory arthritis.
Methods:
Ankle joint mRNA and protein expression of AnxA1 and its receptors were analysed in naive and arthritic mice by real-time PCR and immunohistochemistry. Inflammatory arthritis was induced with the K/BxN arthritogenic serum in AnxA1(+/+) and AnxA1(-/-) mice; in some experiments, animals were treated with dexamethasone (Dex) or with human recombinant AnxA1 or a protease-resistant mutant (termed SuperAnxA1). Readouts were arthritic score, disease incidence, paw oedema and histopathology, together with pro-inflammatory gene expression.
Results:
All elements of the AnxA1 pathway could be detected in naive joints, with augmentation during ongoing disease, due to the infiltration of immune cells. No difference in arthritis intensity of profile could be observed between AnxA1(+/+) and AnxA1(-/-) mice. Treatment of mice with Dex (10 µg intraperitoneally daily from day 2) afforded potent antiarthritic effects highly attenuated in the knockouts: macroscopic changes were mirrored by histopathological findings and pro-inflammatory gene (eg, Nos2) expression. Presence of proteinase 3 mRNA in the arthritic joints led the authors to test AnxA1 and the mutant SuperAnxA1 (1 µg intraperitoneally daily in both cases from day 2), with the latter one being able to accelerate the resolving phase of the disease.
Conclusion:
AnxA1 is an endogenous determinant for the therapeutic efficacy of Dex in inflammatory arthritis. Such an effect can be partially mimicked by application of SuperAnxA1 which may represent the starting point for novel antiarthritic therapeutic strategies.
Insights
The annexin A1 (AnxA1) pathway is crucial for glucocorticoid effectiveness in inflammatory arthritis. A modified AnxA1, SuperAnxA1, shows potential for new anti-inflammatory arthritis treatments.
Area of Science:
- Immunology
- Pharmacology
- Molecular Biology
Background:
- Glucocorticoids are widely used to treat inflammatory arthritis.
- The endogenous annexin A1 (AnxA1) pathway's role in glucocorticoid efficacy is not fully understood.
Purpose of the Study:
- To investigate the role of the AnxA1 pathway in inflammatory arthritis.
- To determine the effect of glucocorticoids and AnxA1 on arthritis.
- To explore potential therapeutic applications of AnxA1.
Main Methods:
- Analysis of AnxA1 pathway components in mouse ankle joints using real-time PCR and immunohistochemistry.
- Induction of inflammatory arthritis in wild-type and AnxA1 knockout mice.
- Treatment with dexamethasone (Dex), recombinant AnxA1, or SuperAnxA1.
Main Results:
- AnxA1 pathway components were detected in joints and increased during arthritis.
- AnxA1 knockout mice showed attenuated dexamethasone antiarthritic effects.
- SuperAnxA1 accelerated the resolution of arthritis in treated mice.
Conclusions:
- AnxA1 is essential for dexamethasone's therapeutic efficacy in inflammatory arthritis.
- SuperAnxA1 can partially mimic AnxA1's effects and may be a basis for new arthritis therapies.
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