HIF-1α dependent RhoA as a novel therapeutic target to regulate rheumatoid arthritis fibroblast-like synoviocytes

Jianhai Chen1,2,3, Jingqin Chen3, Jianwei Tan3

  • 1Rehabilitation Department of The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen & Longgang District People's Hospital of Shenzhen, Shenzhen, Guangdong, 518172, China.

Abstract

Insights

This study reveals that RhoA, regulated by HIF-1α under hypoxia, drives rheumatoid arthritis fibroblast-like synoviocyte migration. Inhibiting RhoA effectively treats rheumatoid arthritis in vitro and in vivo.

Area of Science:

  • Rheumatology
  • Molecular Biology
  • Cell Biology

Background:

  • Rheumatoid arthritis (RA) pathogenesis involves fibroblast-like synoviocytes (RA-FLS).
  • The Rho family of GTPases, specifically RhoA, is implicated in cellular processes relevant to RA.
  • Understanding the role of RhoA in RA-FLS is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate the role of RhoA in the pathogenesis of RA-FLS.
  • To elucidate the mechanism by which RhoA mediates RA-FLS activity, particularly in relation to hypoxia and cytoskeleton remodeling.
  • To evaluate the therapeutic potential of inhibiting RhoA in RA models.

Main Methods:

  • Immunohistochemistry to detect RhoA expression in synovial tissues from RA patients and controls.
  • siRNA-mediated inhibition of RhoA and hypoxia-inducible factor-1α (HIF-1α) to assess their effects on RA-FLS migration and protein expression (HIF-1α, RhoA, FAK, MLC).
  • Collagen-induced arthritis (CIA) mouse model treated with liposomal RhoA siRNA (Lip-siRhoA) to evaluate therapeutic efficacy using micro-CT, histology, and immunohistochemistry.

Main Results:

  • RhoA expression was significantly elevated in RA synovial tissues compared to controls and was upregulated by hypoxia.
  • HIF-1α inhibition reduced RhoA expression, while both HIF-1α and RhoA siRNA suppressed RA-FLS migration, FAK, and MLC phosphorylation in vitro.
  • In CIA mice, Lip-siRhoA treatment ameliorated joint destruction and cartilage damage, reducing phosphorylated RhoA, FAK, and MLC levels in vivo.

Conclusions:

  • The HIF-1α-dependent RhoA pathway is critical for cytoskeleton remodeling and RA-FLS migration in hypoxic environments.
  • Down-regulating RhoA expression offers a promising therapeutic strategy for treating RA, both in vitro and in vivo.
  • This study highlights RhoA as a potential therapeutic target for RA treatment.

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