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Targeting senescence and inflammation in chronic destructive TNF-driven joint pathology.
Nikolaos I Vlachogiannis1, Konstantinos Evangelou2, Lydia Ntari3
1First Department of Propaedeutic Internal Medicine and Joint Academic Rheumatology Program, National and Kapodistrian University of Athens Medical School, 11527 Athens, Greece; Department of Physiology, National and Kapodistrian University of Athens Medical School, 11527 Athens, Greece.
Combining senolytic Dasatinib with a low dose of Infliximab significantly reduces senescent chondrocytes in arthritis models. This combination therapy offers a promising approach for treating chronic destructive arthritis.
Area of Science:
- Immunology
- Gerontology
- Rheumatology
Background:
- Chronic destructive arthritis is characterized by joint inflammation and cellular senescence.
- Senescent chondrocytes contribute to the pathogenesis of arthritis.
- Targeting cellular senescence is a potential therapeutic strategy for arthritis.
Purpose of the Study:
- To investigate the efficacy of combining senolytic Dasatinib with sub-therapeutic Infliximab in a mouse model of chronic destructive arthritis.
- To evaluate the impact of this combination therapy on senescent chondrocytes and the senescence-associated secretory phenotype (SASP).
Main Methods:
- Utilized the human TNF transgenic mouse model of chronic destructive arthritis.
- Assessed senescent chondrocytes (GL13+/Ki67-) using guideline algorithmic approaches.
- Quantified the expression of SASP factors in arthritic joints.
Main Results:
- Neither Dasatinib nor sub-therapeutic Infliximab monotherapy affected the number of senescent chondrocytes.
- The combination of Dasatinib and sub-therapeutic Infliximab reduced senescent chondrocytes by 50%, comparable to therapeutic Infliximab monotherapy.
- Combination therapy decreased the expression of multiple SASP factors in arthritic joints.
Conclusions:
- Combination therapy with Dasatinib and sub-therapeutic Infliximab effectively reduces senescent chondrocytes and SASP in arthritis.
- This approach may offer a more targeted and effective treatment strategy for chronic destructive arthritis.
- Further research into the inflammation-senescence interplay could optimize treatments for age-related joint pathologies.
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