Mediation of Interleukin-23 and Tumor Necrosis Factor-Driven Reactive Arthritis by Chlamydia-Infected Macrophages in

Xavier Romand1, Xiao Liu2, M Arifur Rahman2

  • 1Université Grenoble Alpes, GREPI TIMC-IMAG, UMR 5525, Grenoble, France.

Abstract

Insights

Infection with Chlamydia muridarum causes reactive arthritis in SKG mice. Macrophages promote bacterial spread and TNF production, driving arthritis, while IL-23 from neutrophils initiates it.

Area of Science:

  • Immunology
  • Microbiology
  • Pathology

Background:

  • ZAP-70W163C BALB/c (SKG) mice are susceptible to reactive arthritis (ReA) after Chlamydia muridarum infection.
  • Intracellular pathogens exploit stressed host cells for replication, suggesting myeloid cell involvement in arthritis pathogenesis.

Purpose of the Study:

  • To investigate the role of myeloid cells, specifically macrophages, in driving Chlamydia muridarum-induced reactive arthritis in SKG mice.
  • To elucidate the contribution of cytokines like IL-23 and TNF in the development of arthritis.

Main Methods:

  • SKG and BALB/c mice were infected with Chlamydia muridarum.
  • Macrophage depletion was induced using clodronate liposomes.
  • In vivo imaging and DNA amplification assessed bacterial dissemination.
  • Gene expression of key cytokines (Il23a, Il17a, Tnf) was analyzed.
  • Inhibition of TNF and IL-23p19 was employed.

Main Results:

  • Chlamydia muridarum load was higher in SKG mice, with macrophages and neutrophils infiltrating the uterus and carrying bacterial DNA to the spleen.
  • Macrophage depletion reduced bacterial load and prevented arthritis development.
  • Increased Il23a and Il17a expression was observed in SKG mice neutrophils, while Tnf was overexpressed in joints.
  • Inhibition of IL-23p19 or TNF suppressed arthritis.

Conclusions:

  • Proinflammatory IL-23 from neutrophils initiates Chlamydia muridarum-mediated ReA.
  • Macrophages facilitate bacterial dissemination and drive TNF production, leading to persistent arthritis in SKG mice.
  • Targeting macrophage-mediated bacterial spread and TNF production offers potential therapeutic strategies for reactive arthritis.