Subantimicrobial Dose Doxycycline Worsens Chronic Arthritis-Induced Bone Microarchitectural Alterations in a Mouse

Ádám Horváth1,2, Bálint Botz2,3, Tamás Kiss1,2

  • 1Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, Hungary.

Insights

Subantimicrobial dose doxycycline (SDD) did not inhibit matrix metalloproteinases (MMPs) in a rheumatoid arthritis model. Instead, SDD worsened bone damage, suggesting effects beyond MMP inhibition in arthritis.

Area of Science:

  • Rheumatology
  • Pharmacology
  • Biochemistry

Background:

  • Rheumatoid arthritis (RA) is a chronic inflammatory joint disease causing irreversible cartilage and bone damage.
  • Matrix metalloproteinases (MMPs) are implicated in RA pathogenesis through connective tissue remodeling.
  • The precise roles of various MMPs in RA remain incompletely understood.

Purpose of the Study:

  • To investigate the role of MMPs in the K/BxN serum-transfer model of RA.
  • To evaluate the effects of the broad-spectrum MMP inhibitor, subantimicrobial dose doxycycline (SDD), on RA progression.
  • To elucidate the functional significance of MMPs in RA using in vivo and in vitro methodologies.

Main Methods:

  • Chronic arthritis was induced in C57BL/6J mice via K/BxN serum injections.
  • Subantimicrobial dose doxycycline (SDD) was administered daily.
  • Evaluated parameters included mechanonociceptive thresholds, joint function, neutrophil myeloperoxidase activity, vascular hyperpermeability, MMP activity (in vivo imaging and zymography), and bone structure (micro-CT).

Main Results:

  • K/BxN serum induced significant inflammatory signs, pain, joint dysfunction, and increased myeloperoxidase activity and vascular hyperpermeability.
  • MMP activity, including specific gelatinolytic isoforms, increased in arthritic joints.
  • SDD did not influence MMP activity or the observed functional parameters of arthritis.
  • Crucially, SDD exacerbated bone mineral density reduction and altered bone microarchitecture, indicated by an increased Euler number, independent of MMP inhibition.

Conclusions:

  • Increased MMP activity was confirmed in the joints during experimental RA using in vivo and ex vivo methods.
  • The broad-spectrum MMP inhibitor SDD did not ameliorate RA symptoms or MMP activity.
  • This study demonstrates for the first time that SDD worsens arthritis-induced bone microarchitectural damage, independent of MMP inhibition.

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