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PIM Kinases as Potential Biomarkers and Therapeutic Targets in Inflammatory Arthritides
Elisa Assirelli1, Jacopo Ciaffi1, Valentina Scorcu1
1Medicine and Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Abstract:
The Proviral Integration site for the Moloney murine leukemia virus (PIM)-1 kinase and its family members (PIM-2 and PIM-3) regulate several cellular functions including survival, proliferation, and apoptosis. Recent studies showed their involvement in the pathogenesis of rheumatoid arthritis RA, while no studies are available on psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA). The main objective of this study is to assess the expression of PIM kinases in inflammatory arthritides, their correlation with proinflammatory cytokines, and their variation after treatment with biologic disease-modifying anti-rheumatic drugs or JAK inhibitors. We evaluated PIM-1, -2, and -3 expression at the gene and protein level, respectively, in the peripheral blood mononuclear cells and serum of patients with RA, PsA, axSpA, and healthy individuals (CTR). All the samples showed expression of PIM-1, -2, and -3 kinases both at the gene and protein level. PIM-1 was the most expressed protein, PIM-3 the least. PIM kinase levels differed between controls and disease groups, with reduced PIM-1 protein and increased PIM-3 protein in all disease samples compared to controls. No difference was found in the expression of these molecules between the three different pathologies. PIM levels were not modified after 6 months of therapy. In conclusion, our preliminary data suggest a deregulation of the PIM pathway in inflammatory arthritides. In-depth studies on the role of PIM kinases in this field are warranted.
Insights
PIM kinases are deregulated in inflammatory arthritis, with altered PIM-1 and PIM-3 protein levels observed in patients with rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis compared to healthy individuals. Treatment did not alter these PIM kinase levels.
Area of Science:
- Immunology
- Molecular Biology
- Rheumatology
Background:
- PIM kinases (PIM-1, -2, -3) regulate key cellular processes like survival and proliferation.
- PIM kinases are implicated in rheumatoid arthritis pathogenesis.
- Their role in psoriatic arthritis and axial spondyloarthritis remains unexplored.
Purpose of the Study:
- To investigate PIM kinase expression in inflammatory arthritides (RA, PsA, axSpA).
- To correlate PIM kinase levels with pro-inflammatory cytokines.
- To assess changes in PIM kinase expression following treatment with biologic DMARDs or JAK inhibitors.
Main Methods:
- Gene and protein expression analysis of PIM-1, -2, and -3.
- Samples included peripheral blood mononuclear cells and serum from RA, PsA, axSpA patients, and healthy controls.
- Expression levels were compared between groups and after 6 months of therapy.
Main Results:
- PIM-1, -2, and -3 kinases were expressed at both gene and protein levels in all samples.
- PIM-1 protein was highest, PIM-3 lowest.
- Patients showed reduced PIM-1 and increased PIM-3 protein compared to controls, with no differences between disease types.
- Therapy did not alter PIM kinase levels.
Conclusions:
- Preliminary data suggest PIM pathway deregulation in inflammatory arthritides.
- Further research is needed to elucidate the specific role of PIM kinases in these conditions.
- PIM kinases represent a potential therapeutic target in inflammatory arthritis.
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