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Published on: October 20, 2013
Semaphorin 3G exacerbates joint inflammation through the accumulation and proliferation of macrophages in the
Jumpei Shoda1,2, Shigeru Tanaka1, Keishi Etori1
1Department of Allergy and Clinical Immunology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Objectives:
Methotrexate (MTX) is an anchor drug for the treatment of rheumatoid arthritis (RA). However, the precise mechanisms by which MTX stalls RA progression and alleviates the ensuing disease effects remain unknown. The aim of the present study was to identify novel therapeutic target molecules, the expression patterns of which are affected by MTX in patients with RA.
Methods:
CD4+ T cells from 28 treatment-naïve patients with RA before and 3 months after the initiation of MTX treatment were subjected to DNA microarray analyses. The expression levels of semaphorin 3G, a differentially expressed gene, and its receptor, neuropilin-2, were evaluated in the RA synovium and collagen-induced arthritis synovium. Collagen-induced arthritis and collagen antibody-induced arthritis were induced in semaphorin3G-deficient mice and control mice, and the clinical score, histological score, and serum cytokines were assessed. The migration and proliferation of semaphorin 3G-stimulated bone marrow-derived macrophages were analyzed in vitro. The effect of local semaphorin 3G administration on the clinical score and number of infiltrating macrophages during collagen antibody-induced arthritis was evaluated.
Results:
Semaphorin 3G expression in CD4+ T cells was downregulated by MTX treatment in RA patients. It was determined that semaphorin 3G is expressed in RA but not in the osteoarthritis synovium; its receptor neuropilin-2 is primarily expressed on activated macrophages. Semaphorin3G deficiency ameliorated collagen-induced arthritis and collagen antibody-induced arthritis. Semaphorin 3G stimulation enhanced the migration and proliferation of bone marrow-derived macrophages. Local administration of semaphorin 3G deteriorated collagen antibody-induced arthritis and increased the number of infiltrating macrophages.
Conclusions:
Upregulation of semaphorin 3G in the RA synovium is a novel mechanism that exacerbates joint inflammation, leading to further deterioration, through macrophage accumulation.
Insights
Methotrexate (MTX) treatment downregulates semaphorin 3G in rheumatoid arthritis (RA) patients. This protein exacerbates joint inflammation by increasing macrophage accumulation, suggesting a new therapeutic target for RA.
Area of Science:
- Immunology
- Rheumatology
- Molecular Biology
Background:
- Methotrexate (MTX) is a primary treatment for rheumatoid arthritis (RA), but its exact mechanisms of action are not fully understood.
- Identifying novel therapeutic targets is crucial for improving RA treatment outcomes.
Purpose of the Study:
- To identify novel therapeutic target molecules affected by MTX in RA patients.
- To investigate the role of semaphorin 3G and its receptor neuropilin-2 in RA pathogenesis.
Main Methods:
- DNA microarray analysis of CD4+ T cells from RA patients before and after MTX treatment.
- Evaluation of semaphorin 3G and neuropilin-2 expression in RA and osteoarthritis synovium.
- Studies in semaphorin3G-deficient mice and in vitro analysis of macrophage behavior.
Main Results:
- MTX treatment downregulated semaphorin 3G expression in RA patient CD4+ T cells.
- Semaphorin 3G was upregulated in RA synovium, with its receptor neuropilin-2 on activated macrophages.
- Semaphorin3G deficiency ameliorated arthritis models, while semaphorin 3G enhanced macrophage migration and proliferation.
Conclusions:
- Upregulation of semaphorin 3G in the RA synovium is a novel mechanism contributing to joint inflammation.
- Semaphorin 3G exacerbates RA by promoting macrophage accumulation, indicating its potential as a therapeutic target.
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