Bone-Targeted Delivery of Novokinin as an Alternative Treatment Option for Rheumatoid Arthritis

Arina Ranjit1, Sana Khajeh Pour1, Ali Aghazadeh-Habashi1

  • 1College of Pharmacy, Idaho State University, Pocatello, ID 83209, USA.

Pharmaceutics
|August 26, 2022
PubMed

Insights

A novel bone-targeted novokinin conjugate (Novo Conj) effectively reduced inflammation in rheumatoid arthritis (RA) models. This targeted approach improved peptide stability and enhanced anti-inflammatory effects, offering a promising new therapy for RA.

Area of Science:

  • Immunology
  • Pharmacology
  • Biochemistry

Background:

  • Rheumatoid arthritis (RA) is a severe autoimmune disorder causing bone destruction, involving the Renin-Angiotensin System (RAS) and arachidonic acid (ArA) pathway.
  • Current RA treatments have limited efficacy and significant side effects, necessitating novel therapeutic strategies.
  • Novokinin, a synthetic peptide, shows potential anti-inflammatory effects via Angiotensin Type II receptor (AT2R) but lacks stability.

Purpose of the Study:

  • To investigate the anti-inflammatory potential of a novel bone-targeted novokinin conjugate (Novo Conj).
  • To evaluate the efficacy of Novo Conj in restoring balance within the RAS and ArA pathways in an inflammatory arthritis model.
  • To assess the benefits of bone-targeted delivery for improving peptide stability and pharmacological activity.

Main Methods:

  • Development of a bone-targeting novokinin conjugate (Novo Conj) for sustained release and protection.
  • Utilized an adjuvant-induced arthritis (AIA) rat model to assess anti-inflammatory effects.
  • Measured key components of the Renin-Angiotensin System (RAS) and arachidonic acid (ArA) pathway to evaluate treatment efficacy.

Main Results:

  • Inflammation in the AIA model significantly disrupted cardioprotective RAS components (ACE2, AT2R, Ang 1-7) and increased inflammatory ArA metabolites (HETEs).
  • Treatment with novokinin and Novo Conj restored balance in the RAS.
  • Novo Conj treatment promoted the production of anti-inflammatory epoxyeicosatrienoic acids (EETs) and demonstrated enhanced stability and efficacy compared to unconjugated novokinin.

Conclusions:

  • Bone-targeted delivery of novokinin (Novo Conj) significantly enhances its stability and anti-inflammatory efficacy in an experimental arthritis model.
  • Novo Conj effectively modulates the RAS and ArA pathways, counteracting inflammation and bone destruction associated with RA.
  • This study presents Novo Conj as a promising, stable, and efficacious alternative therapeutic approach for managing rheumatoid arthritis.