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Updated: Jun 20, 2025

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
FTO-mediated RNA m6A methylation regulates synovial aggression and inflammation in rheumatoid arthritis
Ruiru Li1, Yu Kuang1, Yuanyuan Niu2
1Department of Rheumatology and Immunology, the First Affiliated Hospital, Sun Yat-sen University, No.58 Zhongshan Er Road, Guangzhou 510080, Guangdong Province, China.
Abstract:
Fibroblast-like synoviocytes (FLS) plays an important role in synovial inflammation and joint damage in rheumatoid arthritis (RA). As the most abundant mRNA modification, N6-methyladenosine (m6A) is involved in the development of various diseases; however, its role in RA remains to be defined. In this study, we reported the elevated expression of the m6A demethylase fat mass and obesity-associated protein (FTO) in FLS and synovium from RA patients. Functionally, FTO knockdown or treatment with FB23-2, an inhibitor of the mRNA m6A demethylase FTO, inhibited the migration, invasion and inflammatory response of RA FLS, however, FTO-overexpressed RA FLS exhibited increased migration, invasion and inflammatory response. We further demonstrated that FTO promoted ADAMTS15 mRNA stability in an m6A-IGF2BP1 dependent manner. Notably, the severity of arthritis was significantly reduced in CIA mice with FB23-2 administration or CIA rats with intra-articular injection of FTO shRNA. Our results illustrate the contribution of FTO-mediated m6A modification to joint damage and inflammation in RA and suggest that FTO might be a potential therapeutic target in RA.
Insights
Fat mass and obesity-associated protein (FTO) drives rheumatoid arthritis (RA) inflammation and joint damage by regulating N6-methyladenosine (m6A) modification. Inhibiting FTO reduces RA severity, suggesting FTO as a potential therapeutic target.
Area of Science:
- Rheumatology
- Molecular Biology
- Epigenetics
Background:
- Fibroblast-like synoviocytes (FLS) are key drivers of synovial inflammation and joint damage in rheumatoid arthritis (RA).
- N6-methyladenosine (m6A) is a prevalent mRNA modification implicated in various diseases, but its role in RA pathogenesis is unclear.
Purpose of the Study:
- To investigate the role of the m6A demethylase fat mass and obesity-associated protein (FTO) in rheumatoid arthritis.
Main Methods:
- Assessed FTO expression in RA patient FLS and synovium.
- Utilized FTO knockdown and the FTO inhibitor FB23-2 in RA FLS models.
- Examined FTO's effect on ADAMTS15 mRNA stability and IGF2BP1 interaction.
- Evaluated therapeutic efficacy in collagen-induced arthritis (CIA) mouse and rat models.
Main Results:
- FTO expression was elevated in RA FLS and synovium.
- FTO inhibition reduced RA FLS migration, invasion, and inflammatory responses.
- FTO overexpression enhanced RA FLS migration, invasion, and inflammation.
- FTO stabilized ADAMTS15 mRNA via an m6A-IGF2BP1-dependent mechanism.
- FB23-2 treatment or FTO shRNA injection significantly ameliorated arthritis severity in CIA models.
Conclusions:
- FTO-mediated m6A modification contributes significantly to joint inflammation and damage in RA.
- FTO inhibition presents a promising therapeutic strategy for managing rheumatoid arthritis.
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