ANGPTL2 inhibits macrophage pyroptosis and alleviates rheumatoid arthritis progression by regulating mitophagy via

Yuqi Liu1, Qiudong Yang1, Zhendong Huang1

  • 1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine, Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China.

Cell Death & Disease
|March 13, 2026
PubMed

Insights

Angiopoietin-like 2 (ANGPTL2) protects against rheumatoid arthritis (RA) by enhancing macrophage mitophagy and suppressing pyroptosis. Restoring ANGPTL2 alleviates joint inflammation and bone erosion in RA models.

Area of Science:

  • Immunology
  • Rheumatology
  • Cell Biology

Background:

  • Rheumatoid arthritis (RA) progression is linked to macrophage pyroptosis and impaired mitophagy.
  • ANGPTL2 deficiency exacerbates bone loss in periodontitis, suggesting a potential role in RA.
  • The upstream regulators of these processes in RA remain largely unknown.

Purpose of the Study:

  • To investigate the role of ANGPTL2 in rheumatoid arthritis (RA) pathogenesis.
  • To elucidate the molecular mechanisms by which ANGPTL2 influences macrophage function and joint pathology in RA.
  • To evaluate the therapeutic potential of ANGPTL2 in RA.

Main Methods:

  • Collagen-induced arthritis (CIA) mouse model.
  • Assessment of joint inflammation, bone erosion, and macrophage pyroptosis.
  • Analysis of mitophagy, mitochondrial function, and NLRP3 inflammasome activation.
  • Adeno-associated virus (AAV)-mediated gene delivery of Angptl2.

Main Results:

  • ANGPTL2 deficiency aggravated joint inflammation, bone erosion, and macrophage pyroptosis in CIA mice.
  • ANGPTL2 deficiency impaired mitophagy and promoted mitochondrial dysfunction by inhibiting IGFBP5, leading to NLRP3 inflammasome activation.
  • Intra-articular AAV-Angptl2 administration restored mitophagy, suppressed pyroptosis, and alleviated RA pathology.

Conclusions:

  • ANGPTL2 is a critical regulator of macrophage mitophagy and pyroptosis in the context of rheumatoid arthritis.
  • ANGPTL2 deficiency exacerbates RA by impairing mitophagy and promoting NLRP3 inflammasome activation.
  • ANGPTL2 represents a promising therapeutic target for rheumatoid arthritis.