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嵌合抗 IL-17 全长单克隆抗体是一种新型潜在的类风湿关节炎治疗候选药物。

Chimeric anti-IL-17 full-length monoclonal antibody is a novel potential candidate for the treatment of rheumatoid arthritis.

机构信息

Biopharmaceutical Teaching and Research Section, College of Life Science, Northeast Agricultural University, Harbin, Heilongjiang 150030, P.R. China.

出版信息

Int J Mol Med. 2014 Mar;33(3):711-21. doi: 10.3892/ijmm.2013.1611. Epub 2013 Dec 27.

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease, primarily manifesting as inflammatory arthritis. It is associated with chronic inflammation of the synovial joints, mostly in the hands and feet, as well as with systemic extra-articular inflammation. The chimeric anti-interleukin (IL)-17 full-length monoclonal antibody (CMa17Aab) targets IL-17A, which is an important cytokine in the pathogenesis of RA and other inflammatory disorders. In this study, we investigated whether CMa17Aab exerts therapeutic effects in a mouse model of type II collagen-induced arthritis (CIA). Mice with CIA were subcutaneously injected with the humanized CMa17Aab antibody. The effects of treatment were assessed by estimating the arthritis severity score, the extent of histological damage and bone destruction, the autoreactive humoral and cellular immune responses and the production of cytokines. Treatment with CMa17Aab exerted beneficial effects in the mice with CIA as regards clinical and histological parameters. Compared with the controls, treatment with CMa17Aab resulted in a significant alleviation of the severity of the symptoms of arthritis, by preventing bone damage and cartilage destruction, reducing humoral and cellular immune responses, and downregulating the expression of IL-6, IL-8, matrix metalloproteinase (MMP)-3, IL-17, IL-1β, tumor necrosis factor (TNF)-α, receptor activator for nuclear factor-κB ligand (RANKL) and interferon (IFN)-γ in inflamed tissues. In conclusion, our study demonstrates that treatment with CMa17Aab exerts beneficial effects in mice with CIA, by preventing joint inflammation, cartilage destruction and bone damage. These preliminary results suggest that CMa17Aab is an important regulator in RA, and that it may represent a novel therapeutic agent that may prove useful in the treatment of this disease.

摘要

类风湿关节炎(RA)是一种自身免疫性疾病,主要表现为炎症性关节炎。它与滑膜关节的慢性炎症有关,主要发生在手和脚,以及全身性关节外炎症。嵌合抗白细胞介素(IL)-17 全长单克隆抗体(CMa17Aab)针对 IL-17A,它是 RA 和其他炎症性疾病发病机制中的重要细胞因子。在这项研究中,我们研究了 CMa17Aab 是否在 II 型胶原诱导的关节炎(CIA)小鼠模型中发挥治疗作用。 CIA 小鼠皮下注射人源化 CMa17Aab 抗体。通过估计关节炎严重程度评分、组织学损伤和骨破坏程度、自身反应性体液和细胞免疫反应以及细胞因子的产生来评估治疗效果。与对照组相比,CMa17Aab 治疗 CIA 小鼠在临床和组织学参数方面均产生有益效果。与对照组相比,CMa17Aab 治疗可显著减轻关节炎症状的严重程度,防止骨损伤和软骨破坏,减少体液和细胞免疫反应,并下调白细胞介素 6(IL-6)、白细胞介素 8(IL-8)、基质金属蛋白酶(MMP)-3、白细胞介素 17(IL-17)、白细胞介素 1β(IL-1β)、肿瘤坏死因子(TNF)-α、核因子-κB 配体的受体激活剂(RANKL)和干扰素(IFN)-γ在炎症组织中的表达。总之,我们的研究表明,CMa17Aab 治疗 CIA 小鼠可通过预防关节炎症、软骨破坏和骨损伤产生有益效果。这些初步结果表明,CMa17Aab 是 RA 的重要调节剂,可能代表一种新型治疗剂,可用于治疗这种疾病。

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