Specific HDAC6 inhibition by ACY-738 reduces SLE pathogenesis in NZB/W mice

Nicole L Regna1, Miranda D Vieson1, Xin M Luo1

  • 1Department of Biomedical Sciences & Pathobiology, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, United States.

Insights

A selective HDAC6 inhibitor, ACY-738, reduced lupus disease in mice by improving immune function and altering T and B cell development. This suggests HDAC6 inhibition as a potential therapeutic strategy for systemic lupus erythematosus (SLE).

Area of Science:

  • Immunology
  • Rheumatology
  • Pharmacology

Background:

  • Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by immune dysregulation.
  • Current treatments for SLE have limitations and significant side effects.
  • Histone deacetylase 6 (HDAC6) is implicated in immune cell function and inflammation.

Purpose of the Study:

  • To investigate the therapeutic potential of a selective HDAC6 inhibitor, ACY-738, in a murine model of SLE.
  • To determine the effects of ACY-738 on disease progression, immune complex formation, and lymphocyte differentiation in NZB/W mice.

Main Methods:

  • NZB/W mice were treated with ACY-738 (5 or 20 mg/kg) or vehicle control from 22 to 38 weeks of age.
  • Disease parameters including body weight, proteinuria, autoantibodies (anti-dsDNA), Ig isotypes, and cytokine levels were monitored.
  • Kidney pathology, immune complex deposition, and lymphocyte populations (Treg cells, B cell differentiation) were analyzed using flow cytometry and histological examination.

Main Results:

  • HDAC6 inhibition with ACY-738 significantly decreased SLE disease markers, including immune complex-mediated glomerulonephritis and anti-dsDNA antibody levels.
  • Treatment reduced pro-inflammatory cytokine production and increased the percentage of splenic regulatory T (Treg) cells.
  • ACY-738 treatment promoted early-stage B cell development, increasing pro- and pre-B cell populations.

Conclusions:

  • Selective HDAC6 inhibition with ACY-738 effectively ameliorates SLE disease in NZB/W mice.
  • HDAC6 inhibition impacts key autoimmune pathways, including immune complex deposition and aberrant T and B cell differentiation.
  • Targeting HDAC6 represents a promising therapeutic strategy for managing systemic lupus erythematosus.

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