PMID- 22006294 OWN - NLM STAT- MEDLINE DCOM- 20120914 LR - 20211020 IS - 1529-0131 (Electronic) IS - 0004-3591 (Print) IS - 0004-3591 (Linking) VI - 64 IP - 4 DP - 2012 Apr TI - Treatment of arthritis by macrophage depletion and immunomodulation: testing an apoptosis-mediated therapy in a humanized death receptor mouse model. PG - 1098-109 LID - 10.1002/art.33423 [doi] AB - OBJECTIVE: To determine the therapeutic efficacy and immunomodulatory effect of an anti-human death receptor 5 (DR5) antibody, TRA-8, in eliminating macrophage subsets in a mouse model of type II collagen-induced arthritis (CIA). METHODS: A human/mouse-chimeric DR5-transgenic mouse, under the regulation of a mouse 3-kb promoter and a loxP-flanked STOP cassette, was generated and crossed with an ubiquitous Cre (Ubc.Cre) mouse and a lysozyme M-Cre (LysM.Cre)-transgenic mouse to achieve inducible or macrophage-specific expression. Chicken type II collagen was used to induce CIA in mice, which were then treated with an anti-human DR5 antibody, TRA-8. Clinical scores, histopathologic severity, macrophage apoptosis and depletion, and T cell subset development were evaluated. RESULTS: In human/mouse DR5-transgenic Ubc.Cre mice with CIA, transgenic DR5 was most highly expressed on CD11b+ macrophages, with lower expression on CD4+ T cells. In human/mouse DR5-transgenic LysM.Cre mice, transgenic DR5 was restrictively expressed on macrophages. Both in vivo near-infrared imaging of caspase activity and TUNEL staining demonstrated that TRA-8 rapidly induced apoptosis of macrophages in inflamed synovium. Depletion of pathogenic macrophages by TRA-8 led to significantly reduced clinical scores for arthritis; decreased macrophage infiltration, synovial hyperplasia, osteoclast formation, joint destruction, cathepsin activity, and inflammatory cytokine expression in joints; reduced numbers of Th17 cells; and an increased number of Treg cells in draining lymph nodes. CONCLUSION: The anti-human DR5 antibody TRA-8 was efficacious in reducing the severity of arthritis via targeted depletion of macrophages and immunomodulation. Our data provide preclinical evidence that TRA-8 is a potential novel biologic agent for rheumatoid arthritis therapy. CI - Copyright (c) 2012 by the American College of Rheumatology. FAU - Li, Jun AU - Li J AD - University of Alabama at Birmingham, AL, USA. FAU - Hsu, Hui-Chen AU - Hsu HC FAU - Yang, PingAr AU - Yang P FAU - Wu, Qi AU - Wu Q FAU - Li, Hao AU - Li H FAU - Edgington, Laura E AU - Edgington LE FAU - Bogyo, Matthew AU - Bogyo M FAU - Kimberly, Robert P AU - Kimberly RP FAU - Mountz, John D AU - Mountz JD LA - eng GR - P30 AI027767/AI/NIAID NIH HHS/United States GR - R01 AI071110-04/AI/NIAID NIH HHS/United States GR - R01 EB005011/EB/NIBIB NIH HHS/United States GR - P30 AR048311-08/AR/NIAMS NIH HHS/United States GR - I01 BX000600/BX/BLRD VA/United States GR - P30 AR048311-09/AR/NIAMS NIH HHS/United States GR - P30 AR048311-10/AR/NIAMS NIH HHS/United States GR - R01 AI071110-01A2/AI/NIAID NIH HHS/United States GR - R01 AI071110/AI/NIAID NIH HHS/United States GR - P30 AI027767-24/AI/NIAID NIH HHS/United States GR - R01-AI-71110-02S1/AI/NIAID NIH HHS/United States GR - P30 AR046031/AR/NIAMS NIH HHS/United States GR - T32 CA009302/CA/NCI NIH HHS/United States GR - 1-R01-EB-005011-06/EB/NIBIB NIH HHS/United States GR - R01-AI-083705-01A2/AI/NIAID NIH HHS/United States GR - R01 AI071110-03/AI/NIAID NIH HHS/United States GR - P30 AR048311/AR/NIAMS NIH HHS/United States GR - R01 AI071110-02S1/AI/NIAID NIH HHS/United States GR - P30 AI027767-23/AI/NIAID NIH HHS/United States GR - R01 AI083705/AI/NIAID NIH HHS/United States GR - P30-AR-046031/AR/NIAMS NIH HHS/United States GR - P30-AR-048311/AR/NIAMS NIH HHS/United States GR - 1-AI-071110-01A1/AI/NIAID NIH HHS/United States GR - R01 AI083705-01A2/AI/NIAID NIH HHS/United States GR - P30 AI027767-22S1/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20111013 PL - United States TA - Arthritis Rheum JT - Arthritis and rheumatism JID - 0370605 RN - 0 (Antibodies, Monoclonal) RN - 0 (Receptors, TNF-Related Apoptosis-Inducing Ligand) SB - IM MH - Animals MH - Antibodies, Monoclonal/*therapeutic use MH - Apoptosis/drug effects/*immunology MH - Arthritis, Experimental/*drug therapy/immunology/metabolism MH - Disease Models, Animal MH - Humans MH - Joints/drug effects/immunology MH - Macrophages/drug effects/*immunology MH - Mice MH - Receptors, TNF-Related Apoptosis-Inducing Ligand/*metabolism MH - Severity of Illness Index MH - T-Lymphocytes/drug effects/immunology/metabolism PMC - PMC3596268 MID - NIHMS331856 COIS- All authors claim to have no financial interests which could create a potential conflict of interest or the appearance of a conflict of interest with regard to the work. EDAT- 2011/10/19 06:00 MHDA- 2012/09/15 06:00 PMCR- 2013/04/01 CRDT- 2011/10/19 06:00 PHST- 2011/10/19 06:00 [entrez] PHST- 2011/10/19 06:00 [pubmed] PHST- 2012/09/15 06:00 [medline] PHST- 2013/04/01 00:00 [pmc-release] AID - 10.1002/art.33423 [doi] PST - ppublish SO - Arthritis Rheum. 2012 Apr;64(4):1098-109. doi: 10.1002/art.33423. Epub 2011 Oct 13.