An intra-articular salmon calcitonin-based nanocomplex reduces experimental inflammatory arthritis

Sinéad M Ryan1, Jason McMorrow, Anita Umerska

  • 1Environmental Health Research Institute, School of Food Science and Environmental Health, Dublin Institute of Technology, Dublin 1, Cathal Brugha St., Ireland.

Insights

Salmon calcitonin (sCT) and hyaluronic acid (HA) reduce inflammation in arthritis models. Formulated in nanocomplexes (NPs), they target NR4A2, preserving joint structure and reducing inflammatory markers.

Area of Science:

  • Biochemistry
  • Immunology
  • Pharmacology

Background:

  • Rheumatoid arthritis (RA) and osteoarthritis (OA) pathogenesis involve prolonged inflammatory responses.
  • The orphan nuclear receptor NR4A2 is a key regulator and potential biomarker for inflammation, representing a therapeutic target.
  • Current treatments for inflammatory joint diseases have limitations, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To investigate the anti-inflammatory effects of salmon calcitonin (sCT) and hyaluronic acid (HA) on NR4A2 expression in vitro and in vivo.
  • To evaluate the efficacy of sCT and HA formulated in chitosan-based nanocomplexes (NPs) for treating inflammatory arthritis.
  • To assess the therapeutic potential of targeting NR4A2 in the context of joint inflammation.

Main Methods:

  • Human chondrocyte (SW1353) and monocyte (U937, THP-1) cell lines were treated with sCT and HA to assess NR4A2 mRNA expression.
  • sCT and HA were formulated into chitosan-based NPs, and sCT release and biological activity were confirmed.
  • The K/BxN serum transfer-induced inflammatory arthritis model in mice was used to evaluate the in vivo efficacy of NP treatment via intra-articular (I.A.) injection.

Main Results:

  • Both sCT and HA individually attenuated the mRNA expression of NR4A1, NR4A2, NR4A3, and matrix metalloproteinases (MMPs) in human cell lines.
  • Combined sCT and HA in NPs demonstrated synergistic down-regulation of NR4A2 expression compared to individual agents.
  • Intra-articular administration of sCT/HA NPs in arthritic mice significantly reduced joint inflammation, NR4A2 expression, and preserved local bone architecture.

Conclusions:

  • sCT and HA exhibit significant anti-inflammatory effects by reducing NR4A2 mRNA expression in vitro.
  • Formulation of sCT and HA into NPs enhances their anti-inflammatory potential and therapeutic efficacy in an in vivo model of inflammatory arthritis.
  • Targeting NR4A2 with sCT and HA delivered via NPs represents a promising therapeutic strategy for inflammatory joint diseases like RA and OA.

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