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Updated: May 8, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
Toll-like receptor-mediated IRE1α activation as a therapeutic target for inflammatory arthritis
Quan Qiu1, Ze Zheng, Lin Chang
1Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Abstract:
In rheumatoid arthritis (RA), macrophage is one of the major sources of inflammatory mediators. Macrophages produce inflammatory cytokines through toll-like receptor (TLR)-mediated signalling during RA. Herein, we studied macrophages from the synovial fluid of RA patients and observed a significant increase in activation of inositol-requiring enzyme 1α (IRE1α), a primary unfolded protein response (UPR) transducer. Myeloid-specific deletion of the IRE1α gene protected mice from inflammatory arthritis, and treatment with the IRE1α-specific inhibitor 4U8C attenuated joint inflammation in mice. IRE1α was required for optimal production of pro-inflammatory cytokines as evidenced by impaired TLR-induced cytokine production in IRE1α-null macrophages and neutrophils. Further analyses demonstrated that tumour necrosis factor (TNF) receptor-associated factor 6 (TRAF6) plays a key role in TLR-mediated IRE1α activation by catalysing IRE1α ubiquitination and blocking the recruitment of protein phosphatase 2A (PP2A), a phosphatase that inhibits IRE1α phosphorylation. In summary, we discovered a novel regulatory axis through TRAF6-mediated IRE1α ubiquitination in regulating TLR-induced IRE1α activation in pro-inflammatory cytokine production, and demonstrated that IRE1α is a potential therapeutic target for inflammatory arthritis.
Insights
In rheumatoid arthritis, inositol-requiring enzyme 1α (IRE1α) drives inflammation by promoting cytokine production. Inhibiting IRE1α reduced joint inflammation in mouse models, highlighting its potential as a therapeutic target.
Area of Science:
- Immunology
- Molecular Biology
- Rheumatology
Background:
- Rheumatoid arthritis (RA) involves macrophages releasing inflammatory mediators.
- Toll-like receptor (TLR)-mediated signaling in macrophages drives cytokine production in RA.
- The unfolded protein response (UPR) transducer, inositol-requiring enzyme 1α (IRE1α), is implicated in inflammatory processes.
Purpose of the Study:
- To investigate the role of IRE1α in macrophage activation and inflammatory cytokine production in rheumatoid arthritis.
- To explore the regulatory mechanisms of IRE1α activation in response to TLR signaling.
- To evaluate IRE1α as a potential therapeutic target for inflammatory arthritis.
Main Methods:
- Analysis of IRE1α activation in macrophages from RA patients' synovial fluid.
- Utilizing myeloid-specific IRE1α knockout mice to assess its role in inflammatory arthritis.
- Employing an IRE1α-specific inhibitor (4U8C) in mouse models of joint inflammation.
- Investigating the interaction between TRAF6, PP2A, and IRE1α in TLR-mediated signaling.
Main Results:
- Macrophages from RA patients showed increased IRE1α activation.
- Myeloid-specific deletion of IRE1α protected mice from inflammatory arthritis.
- Treatment with the IRE1α inhibitor 4U8C reduced joint inflammation in mice.
- IRE1α deficiency impaired TLR-induced pro-inflammatory cytokine production in macrophages and neutrophils.
- TRAF6-mediated ubiquitination of IRE1α was identified as a key mechanism for its activation, preventing inhibition by PP2A.
Conclusions:
- IRE1α plays a critical role in regulating TLR-induced pro-inflammatory cytokine production.
- The TRAF6-IRE1α axis is a novel regulatory pathway in inflammatory responses.
- IRE1α represents a promising therapeutic target for managing inflammatory arthritis.
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