抗血管内皮生长因子A(VEGF-A)单克隆抗体可减轻脊柱关节炎SKG小鼠模型中的滑膜炎、骨损伤和成骨作用。

Monoclonal Antibodies Against Vascular Endothelial Growth Factor A (VEGF-A) Reduce Synovitis, Bone Damage, and Osteogenesis in an SKG Mouse Model of Spondyloarthritis.

作者信息

Czepiel Marcin, Stec Małgorzata, Gąsiorek Anna, Gałuszka Anna, Kłosińska Kornelia, Kozieł Joanna, Czyż Jarosław, Baran Jarosław, Błyszczuk Przemysław, Siedlar Maciej, Korkosz Mariusz

机构信息

Department of Clinical Immunology, Institute of Pediatrics, Jagiellonian University Medical College, Wielicka 265 Str., Krakow, Poland.

Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Gronostajowa 7 Str., Krakow, Poland.

出版信息

J Immunol Res. 2025 May 30;2025:8870895. doi: 10.1155/jimr/8870895. eCollection 2025.

Abstract

Vascular endothelial growth factor-A (VEGF-A) plays a pivotal role in inflammatory rheumatic diseases, including spondyloarthritis (SpA). Recently, we have demonstrated that the expression of VEGF-A in human classical monocytes is positively associated with the number of swollen and painful joints in SpA patients. Therefore, we tested whether the anti-VEGF-A therapy can affect the hallmarks of SpA in the SKG mouse model. When initiated at the disease onset, the administration of anti-VEGF-A monoclonal antibodies (mAbs) significantly reduced the objective symptoms of SpA in the curdlan suspension-treated mice compared to their untreated and isotypic control-treated counterparts. Micro-computed tomography (CT) imaging revealed substantial benefits of the treatment, with anti-VEGF-A mAbs-treated mice exhibiting preserved joint spaces, reduced number and depth of bone erosions, and limited new bone formation in hind paws, calcaneus, sacroiliac joints, and caudal vertebrae. These effects remained in contrast to the pronounced damage and osteogenesis in relevant skeletal regions of control animals. The histological assessment confirmed reduced synovial inflammation and bone erosions in anti-VEGF-A mAbs-treated mice, underscoring the efficacy of the treatment in mitigating SpA bone damage. Collectively, anti-VEGF-A mAbs treatment favors the maintenance of joint and spine structures, alleviates bone destruction and osteogenesis, and reduces local inflammation in the mouse SpA model. Our study pinpoints anti-VEGF-A mAb therapy as a promising avenue to understand the SpA pathogenesis and as a treatment option. It also addresses vascular and inflammatory aspects of the disease and illustrates the potential of the SKG mouse SpA model for assessing the long-term safety of anti-VEGF-A therapy before its clinical translation.

摘要

血管内皮生长因子-A(VEGF-A)在包括脊柱关节炎(SpA)在内的炎性风湿性疾病中起关键作用。最近,我们已经证明,人类经典单核细胞中VEGF-A的表达与SpA患者肿胀和疼痛关节的数量呈正相关。因此,我们测试了抗VEGF-A疗法是否能影响SKG小鼠模型中SpA的特征。在疾病发作时开始给予抗VEGF-A单克隆抗体(mAb),与未治疗和同型对照治疗的小鼠相比,显著降低了用凝胶多糖悬浮液治疗的小鼠SpA的客观症状。微型计算机断层扫描(CT)成像显示了该治疗的显著益处,用抗VEGF-A mAb治疗的小鼠在爪、跟骨、骶髂关节和尾椎的关节间隙得以保留,骨侵蚀的数量和深度减少,新骨形成受限。这些效果与对照动物相关骨骼区域明显的损伤和成骨形成了鲜明对比。组织学评估证实,抗VEGF-A mAb治疗的小鼠滑膜炎症和骨侵蚀减少,突出了该治疗在减轻SpA骨损伤方面的疗效。总的来说,抗VEGF-A mAb治疗有利于维持关节和脊柱结构,减轻骨破坏和成骨,减少小鼠SpA模型中的局部炎症。我们的研究指出抗VEGF-A mAb治疗是了解SpA发病机制的一个有前途的途径和一种治疗选择。它还解决了该疾病的血管和炎症方面的问题,并说明了SKG小鼠SpA模型在抗VEGF-A治疗临床转化之前评估其长期安全性的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c3e/12143944/c0b863a29f88/JIR2025-8870895.001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索