Mesothelin as a biomarker and potential therapeutic target in rheumatoid arthritis bone destruction

Xiaohui Su1, Qian Wang1, Jingbo Wang1

  • 1State Key Laboratory for Quality Ensurance and Sustainable Use of Dao-di Herbs, Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, China.

Cell Reports. Medicine
|November 5, 2025
PubMed

Insights

Mesothelin (MSLN) is elevated in rheumatoid arthritis, driving bone destruction by promoting osteoclast differentiation. Inhibiting MSLN alleviates bone damage, suggesting it as a therapeutic target.

Area of Science:

  • Immunology
  • Rheumatology
  • Bone Biology

Background:

  • Mesothelin (MSLN) plays a role in immune responses.
  • The function of MSLN in osteoclastogenesis is not well understood.
  • Rheumatoid arthritis (RA) is characterized by joint inflammation and bone erosion.

Purpose of the Study:

  • To investigate the role of Mesothelin (MSLN) in osteoclastogenesis and bone destruction in rheumatoid arthritis (RA).
  • To explore MSLN as a potential therapeutic target for RA-related bone damage.

Main Methods:

  • Quantified MSLN levels in RA patients and collagen-induced arthritis (CIA) animal models.
  • Utilized pharmacological and genetic inhibition of MSLN.
  • Investigated the molecular mechanism involving PI3K/AKT/NFATc1 signaling pathway.

Main Results:

  • MSLN levels were significantly elevated in RA patients and CIA animals.
  • Inhibition of MSLN impaired osteoclast differentiation and bone resorption.
  • Down-regulation of MSLN reduced bone destruction in the animal model.
  • MSLN was found to activate the PI3K/AKT pathway, promoting NFATc1 expression and osteoclast differentiation.

Conclusions:

  • MSLN is a key regulator of osteoclastogenesis and bone destruction in RA.
  • MSLN levels can serve as a prognostic marker for bone destruction in RA.
  • Targeting MSLN presents a potential therapeutic strategy for mitigating bone damage in RA.