Efficiency and Safety of CRAC Inhibitors in Human Rheumatoid Arthritis Xenograft Models

Shuang Liu1, Hitoshi Hasegawa2, Erika Takemasa3

  • 1Department of Pharmacology, Ehime University Graduate School of Medicine, Shitsugawa, Toon-shi, Ehime 791-0295, Japan; liussmzk@m.ehime-u.ac.jp.

Insights

Store-operated calcium release-activated calcium (CRAC) channel inhibitors show potential for rheumatoid arthritis (RA) treatment by suppressing immune cells. While one inhibitor (hCRACM1-IgG) appears safe, both caused hyperglycemia and YM-58483 showed toxicity in preclinical RA models.

Area of Science:

  • Immunology
  • Rheumatology
  • Pharmacology

Background:

  • Store-operated calcium release-activated calcium (CRAC) channels are implicated in rheumatoid arthritis (RA) pathogenesis.
  • CRAC channels represent a potential therapeutic target for RA management.

Purpose of the Study:

  • To evaluate the efficacy and safety of CRAC inhibitors, specifically a neutralizing antibody (hCRACM1-IgG) and YM-58483, for RA treatment.
  • To assess the anti-inflammatory and protective effects of CRAC inhibitors in a human-NOD/SCID xenograft RA model.

Main Methods:

  • Investigated the impact of hCRACM1-IgG and YM-58483 on patient-derived T cell and B cell activity.
  • Administered CRAC inhibitors systemically via subcutaneous infusion in a human-NOD/SCID xenograft RA model.
  • Monitored for anti-inflammatory activity, protection against cartilage and bone destruction, and potential toxicities (hepatic, renal, hyperglycemia).

Main Results:

  • Both hCRACM1-IgG and YM-58483 suppressed T cell and B cell activity.
  • Systemic CRAC inhibition demonstrated anti-inflammatory effects and protected against joint destruction in the RA xenograft model.
  • hCRACM1-IgG showed a favorable safety profile, while YM-58483 exhibited hepatic and renal toxicity. Both induced hyperglycemia.

Conclusions:

  • CRAC inhibitors, hCRACM1-IgG and YM-58483, show promise as anti-immunological agents for RA treatment.
  • Further research is needed to address safety concerns and optimize administration methods before clinical application.

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