Department of Experimental Rheumatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Medicine, Tulane University School of Medicine, New Orleans, LA, USA.
Rheumatology (Oxford). 2021 Apr 6;60(4):1974-1983. doi: 10.1093/rheumatology/keaa589.
High levels of IL-22 are present in serum and synovial fluid of patients with RA. As both pro- and anti-inflammatory roles for IL-22 have been described in studies using animal models of RA, its exact function in arthritis remains poorly defined. With this study we aimed to further unravel the mechanism by which IL-22 exerts its effects and to decipher its therapeutic potential by overexpression of IL-22 either locally or systemically during experimental arthritis.
CIA was induced in DBA-1 mice by immunization and booster injection with type II collagen (col II). Before arthritis onset, IL-22 was overexpressed either locally by intra-articular injection or systemically by i.v. injection using an adenoviral vector and clinical arthritis was scored for a period of 10 days. Subsequently, joints were isolated for histological analysis of arthritis severity and mRNA and protein expression of various inflammatory mediators was determined in the synovium, spleen and serum.
Local IL-22 overexpression did not alter arthritis pathology, whereas systemic overexpression of IL-22 potently reduced disease incidence, severity and pathology during CIA. Mice systemically overexpressing IL-22 showed strongly reduced serum cytokine levels of TNF-α and macrophage inflammatory protein 1α that correlated significantly with the enhanced expression of the negative immune regulator SOCS3 in the spleen.
With this study, we revealed clear anti-inflammatory effects of systemic IL-22 overexpression during CIA. Additionally, we are the first to show that the protective effect of systemic IL-22 during experimental arthritis is likely orchestrated via upregulation of the negative regulator SOCS3.
类风湿关节炎(RA)患者的血清和滑液中存在高水平的白细胞介素 22(IL-22)。由于在 RA 的动物模型研究中描述了 IL-22 的促炎和抗炎作用,因此其在关节炎中的确切功能仍未得到很好的定义。通过本研究,我们旨在进一步阐明 IL-22 发挥作用的机制,并通过在实验性关节炎期间局部或系统性过表达 IL-22 来解码其治疗潜力。
通过免疫接种和用 II 型胶原(col II)进行加强注射,在 DBA-1 小鼠中诱导 CIA。在关节炎发作之前,通过关节内注射或静脉内注射腺病毒载体局部或系统性过表达 IL-22,并在 10 天内对临床关节炎进行评分。随后,分离关节进行组织学分析关节炎的严重程度,并确定滑膜、脾脏和血清中各种炎症介质的 mRNA 和蛋白表达。
局部过表达 IL-22 不会改变关节炎的病理,而全身性过表达 IL-22 则可强力降低 CIA 期间疾病的发生率、严重程度和病理。系统性过表达 IL-22 的小鼠血清中 TNF-α和巨噬细胞炎症蛋白 1α的细胞因子水平显著降低,与脾脏中负免疫调节剂 SOCS3 的表达增强显著相关。
通过本研究,我们揭示了全身性过表达 IL-22 在 CIA 期间的明确抗炎作用。此外,我们首次表明,系统性 IL-22 在实验性关节炎中的保护作用可能是通过上调负调节因子 SOCS3 来协调的。