Targeting of Liver Mannan-Binding Lectin-Associated Serine Protease-3 with RNA Interference Ameliorates Disease in a

Nirmal K Banda1, Dhruv Desai2, Robert I Scheinman3

  • 1Division of Rheumatology, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045.

Immunohorizons
|November 13, 2018
PubMed

Insights

Targeted liver silencing of Mannan-binding lectin-associated serine protease 3 (MASP-3) reduced rheumatoid arthritis symptoms in mice. This approach, using GalNAc-MASP-3-siRNAs, offers a potential new therapy for rheumatoid arthritis.

Area of Science:

  • Immunology
  • Complement System Biology
  • RNA Interference Therapeutics

Background:

  • Mannan-binding lectin-associated serine protease 3 (MASP-3) is crucial for the alternative complement pathway and primarily synthesized in the liver.
  • The specific role of liver-derived MASP-3 in rheumatoid arthritis (RA) pathogenesis remains largely unexplored.
  • This study investigates the hypothesis that liver MASP-3 drives joint damage in RA and that its inhibition could be therapeutic.

Purpose of the Study:

  • To investigate the role of liver-derived MASP-3 in rheumatoid arthritis pathogenesis.
  • To evaluate the efficacy of targeted liver inhibition of MASP-3 as a potential therapeutic strategy for RA.
  • To demonstrate isoform-specific gene silencing of MASP-3 in vivo and in human cell lines.

Main Methods:

  • Development and application of N-acetylgalactosamine (GalNAc)-conjugated MASP-3-specific small interfering RNAs (siRNAs) for targeted liver delivery.
  • Assessment of MASP-3 mRNA and protein levels in liver and circulation following siRNA treatment in healthy and collagen antibody-induced arthritis (CAIA) mouse models.
  • Evaluation of clinical disease activity, joint histopathology, and MASP-3 deposition in arthritic mice treated with GalNAc-MASP-3-siRNAs.
  • Validation of MASP-3 gene silencing in human cell lines (HepG2, T98G) using lentiviral short hairpin RNA (shRNA) expression.

Main Results:

  • GalNAc-MASP-3-siRNA conjugates effectively and specifically silenced liver MASP-3 mRNA and circulating MASP-3 protein in mice.
  • Treatment with GalNAc-MASP-3-siRNAs significantly reduced clinical disease activity (by 50%) and joint pathology in a mouse model of RA.
  • MASP-3 deposition in affected joints was also decreased following siRNA treatment.
  • Short hairpin RNA targeting human MASP-3 confirmed effective gene silencing in human liver and neuronal cell lines, both short-term and long-term.

Conclusions:

  • Isoform-specific in vivo silencing of MASP-3 can modulate disease activity in a murine model of rheumatoid arthritis.
  • Targeted, liver-directed MASP-3 gene silencing presents a promising therapeutic avenue for managing human rheumatoid arthritis.
  • The study validates the potential of RNA interference strategies for treating complement-mediated inflammatory diseases.

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