The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
King's College London, London, UK.
Arthritis Rheumatol. 2021 Aug;73(8):1430-1440. doi: 10.1002/art.41696. Epub 2021 Jul 7.
Collectin 11 (CL-11) is a soluble C-type lectin, a mediator of innate immunity. Its role in autoimmune disorders is unknown. We undertook this study to determine the role of CL-11 in a mouse model of rheumatoid arthritis (RA).
A murine collagen-induced arthritis (CIA) model was used and combined two approaches, including gene deletion of Colec11 and treatment with recombinant CL-11 (rCL-11). Joint inflammation and tissue destruction, circulating levels of inflammatory cytokines, and adaptive immune responses were assessed in mice with CIA. Splenic CD11c+ cells were used to examine the influence of CL-11 on antigen-presenting cell (APC) function. Serum CL-11 levels in RA patients were also examined.
Colec11 mice developed more severe arthritis than wild-type mice, as determined by disease incidence, clinical arthritis scores, and histopathology (P < 0.05). Disease severity was associated with significantly enhanced APC activation, Th1/Th17 responses, pathogenic IgG2a production and joint inflammation, as well as elevated circulating levels of inflammatory cytokines. In vitro analysis of CD11c+ cells revealed that CL-11 is critical for suppression of APC activation and function. Pharmacologic treatment of mice with rCL-11 reduced the severity of CIA in mice. Analysis of human blood samples revealed that serum CL-11 levels were lower in RA patients (n = 51) compared to healthy controls (n = 53). Reduction in serum CL-11 was inversely associated with the Disease Activity Score in 28 joints, erythrocyte sedimentation rate, and C-reactive protein level (P < 0.05).
Our findings demonstrate a novel role of CL-11 in protection against RA, suggesting that the underlying mechanism involves suppression of APC activation and subsequent T cell responses.
胶原凝集素 11(CL-11)是一种可溶性 C 型凝集素,是先天免疫的介质。其在自身免疫性疾病中的作用尚不清楚。我们进行这项研究是为了确定 CL-11 在类风湿关节炎(RA)小鼠模型中的作用。
采用鼠胶原诱导性关节炎(CIA)模型,并结合两种方法,包括Colec11 基因缺失和重组 CL-11(rCL-11)治疗。在 CIA 小鼠中评估关节炎症和组织破坏、循环炎症细胞因子水平以及适应性免疫反应。使用脾 CD11c+细胞检查 CL-11 对抗原呈递细胞(APC)功能的影响。还检查了 RA 患者的血清 CL-11 水平。
Colec11 小鼠比野生型小鼠发展出更严重的关节炎,表现在疾病发生率、临床关节炎评分和组织病理学上(P < 0.05)。疾病严重程度与 APC 激活、Th1/Th17 反应、致病性 IgG2a 产生和关节炎症以及循环炎症细胞因子水平升高显著相关。体外分析 CD11c+细胞表明 CL-11 对于抑制 APC 激活和功能至关重要。用 rCL-11 对小鼠进行药物治疗可降低 CIA 小鼠的严重程度。对人血样本的分析显示,RA 患者(n = 51)的血清 CL-11 水平低于健康对照者(n = 53)。血清 CL-11 的减少与 28 个关节疾病活动评分、红细胞沉降率和 C 反应蛋白水平呈负相关(P < 0.05)。
我们的研究结果表明 CL-11 在预防 RA 中具有新的作用,表明其潜在机制涉及抑制 APC 激活和随后的 T 细胞反应。