PMID- 29184553 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1664-3224 (Print) IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 8 DP - 2017 TI - Tumor Necrosis Factor-Alpha Targeting Can Protect against Arthritis with Low Sensitization to Infection. PG - 1533 LID - 10.3389/fimmu.2017.01533 [doi] LID - 1533 AB - Tumor necrosis factor-alpha (TNF-alpha) blockade is an effective treatment for rheumatoid arthritis (RA) and other inflammatory diseases, but in patients, it is associated with reduced resistance to the infectious agents Mycobacterium tuberculosis and Listeria monocytogenes, among others. Our goal was to model infection and arthritis in mice and to compare etanercept, a currently used anti-TNF-alpha inhibitor, to an anti-TNF-alpha vaccine. We developed a murine surrogate of the TNF-alpha kinoid and produced an anti-murine TNF-alpha vaccine (TNFKi) composed of keyhole limpet hemocyanin conjugated to TNF-alpha, which resulted in anti-TNF-alpha antibody production in mice. We also used etanercept (a soluble receptor of TNF commonly used to treat RA) as a control of TNF neutralization. In a mouse model of collagen-induced arthritis, TNFKi protected against inflammation similar to etanercept. In a mouse model of acute L. monocytogenes infection, all TNFKi-treated mice showed cleared bacterial infection and survived, whereas etanercept-treated mice showed large liver granulomas and quickly died. Moreover, TNFKi mice infected with the virulent H37Rv M. tuberculosis showed resistance to infection, in contrast with etanercept-treated mice or controls. Depending on the TNF-alpha blockade strategy, treating arthritis with a TNF-alpha inhibitor could result in a different profile of infection suceptibility. Our TNFKi vaccine allowed for a better remaining host defense than did etanercept. FAU - Belmellat, Nadia AU - Belmellat N AD - UMR 1125 INSERM, Bobigny, France. AD - Sorbonne Paris Cite Universite Paris 13, Bobigny, France. FAU - Semerano, Luca AU - Semerano L AD - UMR 1125 INSERM, Bobigny, France. AD - Sorbonne Paris Cite Universite Paris 13, Bobigny, France. AD - Service de Rhumatologie, Groupe Hospitalier Avicenne-Jean Verdier-Rene Muret, APHP, Bobigny, France. FAU - Segueni, Noria AU - Segueni N AD - INEM UMR7355, CNRS, University of Orleans, Orleans, France. FAU - Damotte, Diane AU - Damotte D AD - Service de pathologie Hopitaux Universitaires Paris Centre, APHP, Universite Paris Descartes, Paris, France. FAU - Decker, Patrice AU - Decker P AD - UMR 1125 INSERM, Bobigny, France. AD - Sorbonne Paris Cite Universite Paris 13, Bobigny, France. FAU - Ryffel, Bernhard AU - Ryffel B AD - INEM UMR7355, CNRS, University of Orleans, Orleans, France. AD - IDM, University of Cape Town, Cape Town, South Africa. FAU - Quesniaux, Valerie AU - Quesniaux V AD - INEM UMR7355, CNRS, University of Orleans, Orleans, France. FAU - Boissier, Marie-Christophe AU - Boissier MC AD - UMR 1125 INSERM, Bobigny, France. AD - Sorbonne Paris Cite Universite Paris 13, Bobigny, France. AD - Service de Rhumatologie, Groupe Hospitalier Avicenne-Jean Verdier-Rene Muret, APHP, Bobigny, France. FAU - Assier, Eric AU - Assier E AD - UMR 1125 INSERM, Bobigny, France. AD - Sorbonne Paris Cite Universite Paris 13, Bobigny, France. LA - eng PT - Journal Article DEP - 20171114 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 PMC - PMC5694445 OTO - NOTNLM OT - host-defense OT - infection OT - rheumatoid arthritis OT - tumor necrosis factor OT - vaccine EDAT- 2017/12/01 06:00 MHDA- 2017/12/01 06:01 PMCR- 2017/01/01 CRDT- 2017/11/30 06:00 PHST- 2017/08/01 00:00 [received] PHST- 2017/10/27 00:00 [accepted] PHST- 2017/11/30 06:00 [entrez] PHST- 2017/12/01 06:00 [pubmed] PHST- 2017/12/01 06:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2017.01533 [doi] PST - epublish SO - Front Immunol. 2017 Nov 14;8:1533. doi: 10.3389/fimmu.2017.01533. eCollection 2017.