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Updated: May 20, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
Glycoprotein 96 perpetuates the persistent inflammation of rheumatoid arthritis
Qi-Quan Huang1, Renee E Koessler, Robert Birkett
1Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Objective:
The mechanisms that contribute to the persistent activation of macrophages in rheumatoid arthritis (RA) are incompletely understood. The aim of this study was to determine the contribution of endogenous gp96 in Toll-like receptor (TLR)-mediated macrophage activation in RA.
Methods:
RA synovial fluid was used to activate macrophages and HEK-TLR-2 and HEK-TLR-4 cells. Neutralizing antibodies to TLR-2, TLR-4, and gp96 were used to inhibit activation. RA synovial fluid macrophages were isolated by CD14 negative selection. Cell activation was measured by the expression of tumor necrosis factor α (TNFα) or interleukin-8 messenger RNA. Arthritis was induced in mice by K/BxN serum transfer. The expression of gp96 was determined by immunoblot analysis, enzyme-linked immunosorbent assay, and immunohistochemistry. Arthritis was treated with neutralizing anti-gp96 antiserum or control serum.
Results:
RA synovial fluid induced the activation of macrophages and HEK-TLR-2 and HEK-TLR-4 cells. RA synovial fluid-induced macrophage and HEK-TLR-2 activation was suppressed by neutralizing anti-gp96 antibodies only in the presence of high (>800 ng/ml) rather than low (<400 ng/ml) concentrations of gp96. Neutralization of RA synovial fluid macrophage cell surface gp96 inhibited the constitutive expression of TNFα. Supporting the role of gp96 in RA, joint tissue gp96 expression was induced in mice with the K/BxN serum-induced arthritis, and neutralizing antibodies to gp96 ameliorated joint inflammation, as determined by clinical and histologic examination.
Conclusion:
These observations support the notion that gp96 plays a role as an endogenous TLR-2 ligand in RA and identify the TLR-2 pathway as a therapeutic target.
Insights
Endogenous gp96 acts as a Toll-like receptor-2 ligand in rheumatoid arthritis (RA), driving macrophage activation. Neutralizing gp96 ameliorated joint inflammation in a mouse model, suggesting a therapeutic target.
Area of Science:
- Immunology
- Rheumatology
- Molecular Biology
Background:
- Persistent macrophage activation is a hallmark of rheumatoid arthritis (RA), but the underlying mechanisms remain unclear.
- Heat shock protein gp96 is implicated in immune responses, but its specific role in RA pathogenesis is not fully understood.
Purpose of the Study:
- To investigate the contribution of endogenous gp96 to Toll-like receptor (TLR)-mediated macrophage activation in RA.
- To explore gp96 as a potential therapeutic target for RA.
Main Methods:
- Activation of macrophages and HEK-TLR-2/4 cells using RA synovial fluid.
- Inhibition of activation using neutralizing antibodies against TLR-2, TLR-4, and gp96.
- Assessment of gp96 expression and its role in a K/BxN serum transfer-induced mouse arthritis model.
Main Results:
- RA synovial fluid activated macrophages and HEK-TLR-2/4 cells.
- Neutralizing anti-gp96 antibodies suppressed RA synovial fluid-induced macrophage and TLR-2 activation, particularly at high gp96 concentrations.
- Neutralization of cell surface gp96 inhibited TNFα expression, and anti-gp96 treatment reduced joint inflammation in mice.
Conclusions:
- Endogenous gp96 functions as a TLR-2 ligand in RA, contributing to macrophage activation.
- The TLR-2 pathway, modulated by gp96, represents a promising therapeutic target for rheumatoid arthritis.
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