Department of Nanoengineering, University of California, La Jolla, San Diego, CA, 92093, USA.
Chemical Engineering Program, University of California, La Jolla, San Diego, CA, 92093, USA.
Adv Sci (Weinh). 2023 Apr;10(11):e2202720. doi: 10.1002/advs.202202720. Epub 2023 Mar 8.
Disease modifying antirheumatic drugs (DMARDs) have improved the prognosis of autoimmune inflammatory arthritides but a large fraction of patients display partial or nonresponsiveness to front-line DMARDs. Here, an immunoregulatory approach based on sustained joint-localized release of all-trans retinoic acid (ATRA), which modulates local immune activation and enhances disease-protective T cells and leads to systemic disease control is reported. ATRA imprints a unique chromatin landscape in T cells, which is associated with an enhancement in the differentiation of naïve T cells into anti-inflammatory regulatory T cells (T ) and suppression of T destabilization. Sustained release poly-(lactic-co-glycolic) acid (PLGA)-based biodegradable microparticles encapsulating ATRA (PLGA-ATRA MP) are retained in arthritic mouse joints after intra-articular (IA) injection. IA PLGA-ATRA MP enhance migratory T which in turn reduce inflammation and modify disease in injected and uninjected joints, a phenotype that is also reproduced by IA injection of T . PLGA-ATRA MP reduce proteoglycan loss and bone erosions in the SKG and collagen-induced arthritis mouse models of autoimmune arthritis. Strikingly, systemic disease modulation by PLGA-ATRA MP is not associated with generalized immune suppression. PLGA-ATRA MP have the potential to be developed as a disease modifying agent for autoimmune arthritis.
疾病修饰抗风湿药物(DMARDs)改善了自身免疫性炎症性关节炎的预后,但很大一部分患者对一线 DMARDs 表现出部分或无反应。在这里,报道了一种基于全反式视黄酸(ATRA)持续关节局部释放的免疫调节方法,该方法可调节局部免疫激活,增强疾病保护 T 细胞,并导致全身疾病控制。ATRA 在 T 细胞中刻上独特的染色质景观,与增强幼稚 T 细胞分化为抗炎调节性 T 细胞(Treg)和抑制 T 细胞不稳定有关。包封 ATRA 的聚(乳酸-共-乙醇酸)(PLGA)基于可生物降解的微球(PLGA-ATRA MP)在关节内(IA)注射后保留在关节炎小鼠关节中。IA PLGA-ATRA MP 增强迁移 T 细胞,进而减少炎症并改变注射和未注射关节的疾病,IA 注射 Treg 也可再现这种表型。PLGA-ATRA MP 减少了 SKG 和胶原诱导性关节炎小鼠模型中自身免疫性关节炎的蛋白聚糖丢失和骨侵蚀。引人注目的是,PLGA-ATRA MP 对系统性疾病的调节与全身性免疫抑制无关。PLGA-ATRA MP 有可能被开发为治疗自身免疫性关节炎的疾病修饰剂。