Significance of IL-34 and SDC-1 in the pathogenesis of RA cells and preclinical models

Osama Alzoubi1, Anja Meyer2, Tanya Pulido Gonzalez1

  • 1Department of Medicine, Division of Rheumatology, the University of Illinois at Chicago, IL, USA.

Insights

Interleukin-34 (IL-34) drives rheumatoid arthritis (RA) by reprogramming macrophages via syndecan-1 (SDC-1). Targeting IL-34/SDC-1 signaling may offer a novel therapeutic strategy for RA by disrupting immune cell crosstalk.

Area of Science:

  • Immunology
  • Rheumatology
  • Cell Biology

Background:

  • Interleukin-34 (IL-34) interacts with M-CSF receptor and other receptors like protein-tyrosine phosphatase zeta (PTPζ) and syndecan-1 (SDC-1).
  • IL-34 is crucial for Langerhans and microglial cell development physiologically, but implicated in rheumatoid arthritis (RA) pathogenesis via SDC-1.
  • Elevated IL-34 correlates with RA disease markers like rheumatoid factor (RF), DAS28, ESR, and CRP, and radiographic progression.

Purpose of the Study:

  • To investigate the role of IL-34 and its receptor SDC-1 in RA pathogenesis.
  • To explore the therapeutic potential of targeting IL-34/SDC-1 signaling in preclinical RA models.

Main Methods:

  • Analysis of IL-34 levels and correlation with RA disease markers.
  • Investigating IL-34-induced macrophage reprogramming in RA using antibody therapies targeting M-CSFR or SDC-1.
  • Utilizing IL-34 knockout (KO) and SDC-1 KO mice in collagen-induced arthritis (CIA) models.
  • Assessing the impact of glucose uptake inhibition and genetic deficiencies on arthritis severity and immune cell function.

Main Results:

  • IL-34 promotes RA by inducing glycolytic reprogramming of macrophages (CD14+CD86+GLUT1+).
  • Therapies targeting M-CSFR or SDC-1, glucose uptake inhibition, or RAG deficiency mitigated inflammatory and erosive changes in arthritic mice.
  • IL-34-/- and SDC-1-/- mice exhibited reduced CIA joint inflammation, osteoclast formation, and neovascularization, with suppressed monocyte infiltration and immune cell activation.

Conclusions:

  • Targeting the IL-34/SDC-1 pathway disrupts the metabolic rewiring of myeloid and lymphoid cells in RA.
  • Interfering with IL-34/SDC-1 signaling or related metabolites offers a unique strategy to intercept immune cell crosstalk in RA.
  • This approach holds promise for novel therapeutic interventions in rheumatoid arthritis.