Targeting phosphatase-dependent proteoglycan switch for rheumatoid arthritis therapy
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Updated: Apr 12, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
Karen M Doody1, Stephanie M Stanford1, Cristiano Sacchetti1
1Division of Cellular Biology, La Jolla Institute for Allergy and Immunology, La Jolla, CA 92037, USA.
Abstract:
Despite the availability of several therapies for rheumatoid arthritis (RA) that target the immune system, a large number of RA patients fail to achieve remission. Joint-lining cells, called fibroblast-like synoviocytes (FLS), become activated during RA and mediate joint inflammation and destruction of cartilage and bone. We identify RPTPσ, a transmembrane tyrosine phosphatase, as a therapeutic target for FLS-directed therapy. RPTPσ is reciprocally regulated by interactions with chondroitin sulfate or heparan sulfate containing extracellular proteoglycans in a mechanism called the proteoglycan switch. We show that the proteoglycan switch regulates FLS function. Incubation of FLS with a proteoglycan-binding RPTPσ decoy protein inhibited cell invasiveness and attachment to cartilage by disrupting a constitutive interaction between RPTPσ and the heparan sulfate proteoglycan syndecan-4. RPTPσ mediated the effect of proteoglycans on FLS signaling by regulating the phosphorylation and cytoskeletal localization of ezrin. Furthermore, administration of the RPTPσ decoy protein ameliorated in vivo human FLS invasiveness and arthritis severity in the K/BxN serum transfer model of RA. Our data demonstrate that FLS are regulated by an RPTPσ-dependent proteoglycan switch in vivo, which can be targeted for RA therapy. We envision that therapies targeting the proteoglycan switch or its intracellular pathway in FLS could be effective as a monotherapy or in combination with currently available immune-targeted agents to improve control of disease activity in RA patients.
Insights
Rheumatoid arthritis (RA) fibroblast-like synoviocytes (FLS) are regulated by a proteoglycan switch involving RPTPσ. Targeting this pathway with RPTPσ decoy proteins reduced FLS invasiveness and arthritis severity in RA models.
Area of Science:
- Biochemistry
- Cell Biology
- Immunology
Background:
- Rheumatoid arthritis (RA) treatments often fail to induce remission in many patients.
- Fibroblast-like synoviocytes (FLS) drive joint inflammation and destruction in RA.
- Novel therapeutic targets for FLS are needed to improve RA treatment outcomes.
Purpose of the Study:
- To identify and validate RPTPσ as a therapeutic target for FLS-directed RA therapy.
- To investigate the role of the proteoglycan switch in regulating FLS function.
- To evaluate the efficacy of targeting the RPTPσ pathway in preclinical RA models.
Main Methods:
- Investigated the interaction between RPTPσ and proteoglycans (chondroitin sulfate, heparan sulfate).
- Utilized a proteoglycan-binding RPTPσ decoy protein to inhibit FLS invasiveness and attachment.
- Assessed the impact of RPTPσ on FLS signaling pathways, including ezrin phosphorylation.
- Evaluated the therapeutic potential of the RPTPσ decoy protein in a K/BxN serum transfer model of RA.
Main Results:
- RPTPσ function in FLS is regulated by a proteoglycan switch mechanism.
- Disruption of RPTPσ-syndecan-4 interaction using a decoy protein inhibited FLS invasiveness and cartilage attachment.
- RPTPσ mediates proteoglycan effects on FLS signaling via ezrin regulation.
- In vivo administration of the RPTPσ decoy protein reduced FLS invasiveness and RA severity.
Conclusions:
- FLS function in RA is controlled by an RPTPσ-dependent proteoglycan switch.
- Targeting the proteoglycan switch or its downstream signaling offers a potential therapeutic strategy for RA.
- RPTPσ-targeted therapies could be used as monotherapy or in combination with existing RA treatments to enhance disease control.
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