Effects of an interleukin-15 antagonist on systemic and skeletal alterations in mice with DSS-induced colitis

Bénédicte Brounais-Le Royer1, Dominique D Pierroz, Dominique Velin

  • 1Service of Bone Diseases, Department of Medical Specialties, Geneva University Hospital and Faculty of Medicine, Geneva, Switzerland.

Insights

Interleukin-15 (IL-15) drives weight and bone loss in inflammatory bowel diseases. An IL-15 antagonist, CRB-15, improved survival and bone density in colitis models, suggesting therapeutic potential.

Area of Science:

  • Immunology
  • Gastroenterology
  • Bone Biology

Background:

  • Inflammatory bowel diseases (IBD) are associated with significant weight loss and bone density reduction.
  • The pro-inflammatory cytokine Interleukin-15 (IL-15) is implicated in colitis and bone resorption.
  • IL-15's role in systemic and skeletal complications of IBD requires further elucidation.

Purpose of the Study:

  • To investigate the role of IL-15 in the systemic and skeletal complications of chronic colitis.
  • To evaluate the therapeutic efficacy of an IL-15 antagonist (CRB-15) in a murine model of colitis.

Main Methods:

  • Chronic colitis was induced in mice using dextran sulfate sodium (DSS).
  • Mice were treated with either CRB-15 or a control antibody during the colitis induction.
  • Evaluated outcomes included survival, weight, clinical disease scores, intestinal inflammation, and bone parameters (bone mineral density, microarchitecture, bone formation, and resorption markers).

Main Results:

  • CRB-15 treatment improved survival, mitigated early weight loss, and reduced clinical colitis scores.
  • While CRB-15 did not fully prevent colon damage, it delayed bone loss, preserving femur bone mineral density and trabecular microarchitecture.
  • CRB-15 prevented the suppression of bone formation markers and reduced osteoclast progenitors early on, later decreasing pro-inflammatory cytokines and osteoclast numbers in bone.

Conclusions:

  • IL-15 plays a critical role in the systemic and skeletal manifestations of chronic colitis.
  • CRB-15 demonstrates potential as a therapeutic agent for managing IBD-associated weight and bone loss.
  • These findings provide a proof-of-concept for targeting IL-15 in IBD treatment strategies.

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