Inflammation and Immune Mediated Disease Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, Hefei, 230032, China.
The Key Laboratory of Anti-inflammatory and Immune Medicines, Ministry of Education, Hefei, 230032, China.
Acta Pharmacol Sin. 2023 Feb;44(2):454-464. doi: 10.1038/s41401-022-00957-9. Epub 2022 Aug 2.
Rheumatoid arthritis (RA) is characterized by synovial inflammation, synoviocyte expansion and damage to cartilage and bone. We recently reported that peroxisome proliferator-activated receptor (PPAR)-γ inhibited the proliferation and activation of fibroblast-like synoviocytes (FLS), and was downregulated in RA synovial. In this study we investigated the role of PPAR-γ in RA and the underlying mechanisms. Adjuvant-induced arthritis (AIA) was induced in rats; from D15, AIA rats were orally administered pioglitazone (30 mg·kg·d) or rosiglitazone (4 mg·kg·d) for 14 days. Collagen-induced arthritis (CIA) was induced in wild-type and Ppar-γ mice. We showed that the expression of PPAR-γ was significantly reduced, whereas that of TNF-α was markedly increased in human RA FLS. In CIA mice, knockdown of PPAR-γ expression (Ppar-γ) aggravated the ankle inflammation. Similarly, T0070907 (a PPAR-γ antagonist) or si-PPAR-γ promoted the activation and inflammation of TNF-α-induced FLS in vitro. On the contrary, administration of PPAR-γ agonist pioglitazone or rosiglitazone, or injection of ad-Ppar-γ into the ankle of AIA rat in vivo induced overexpression of PPAR-γ, reduced the paw swelling and inflammation, and downregulated activation and inflammation of FLS in RA. Interesting, injection of ad-Ppar-γ into the ankle also reversed the ankle inflammation in Ppar-γ CIA mice. We conducted RNA-sequencing and KEGG pathway analysis, and revealed that PPAR-γ overexpression was closely related to p53 signaling pathway in TNF-α-induced FLS. Co-IP study confirmed that p53 protein was bound to PPAR-γ in RA FLS. Taken together, PPAR-γ alleviates the inflammatory response of TNF-α-induced FLS by binding p53 in RA.
类风湿关节炎(RA)的特征是滑膜炎症、滑膜细胞扩张以及软骨和骨损伤。我们最近报道过,过氧化物酶体增殖物激活受体(PPAR)-γ 可抑制成纤维样滑膜细胞(FLS)的增殖和激活,并在 RA 滑膜中下调。在这项研究中,我们研究了 PPAR-γ 在 RA 中的作用及其潜在机制。在大鼠中诱导佐剂诱导的关节炎(AIA);从第 15 天开始,AIA 大鼠每天口服吡格列酮(30mg·kg·d)或罗格列酮(4mg·kg·d)治疗 14 天。在野生型和 Ppar-γ 小鼠中诱导胶原诱导性关节炎(CIA)。我们发现,PPAR-γ 的表达明显降低,而 TNF-α 的表达明显增加。在 CIA 小鼠中,PPAR-γ 表达的敲低(Ppar-γ)加重了踝关节炎症。同样,T0070907(PPAR-γ 拮抗剂)或 si-PPAR-γ 促进了 TNF-α 诱导的 FLS 的体外激活和炎症。相反,给予 PPAR-γ 激动剂吡格列酮或罗格列酮,或在体内向 AIA 大鼠踝关节注射 ad-Ppar-γ,可诱导 PPAR-γ 过表达,减轻爪肿胀和炎症,并下调 RA 中 FLS 的激活和炎症。有趣的是,向 Ppar-γ CIA 小鼠踝关节注射 ad-Ppar-γ 也可逆转踝关节炎症。我们进行了 RNA 测序和 KEGG 通路分析,发现 PPAR-γ 过表达与 TNF-α 诱导的 FLS 中的 p53 信号通路密切相关。Co-IP 研究证实,p53 蛋白在 RA FLS 中与 PPAR-γ 结合。总之,PPAR-γ 通过与 RA 中 FLS 中的 p53 结合来减轻 TNF-α 诱导的 FLS 的炎症反应。