PMID- 31231373 OWN - NLM STAT- MEDLINE DCOM- 20200720 LR - 20200720 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - Downregulation of Transcription Factor T-Bet as a Protective Strategy in Monosodium Urate-Induced Gouty Inflammation. PG - 1199 LID - 10.3389/fimmu.2019.01199 [doi] LID - 1199 AB - Gout is sterile joint inflammation triggered by the damaging effects of monosodium urate (MSU) crystals accumulation. Previous studies suggest transcription factor T-bet plays an important role in inflammatory arthritis. Notably, mice lacking T-bet markedly reduced joint inflammation of rheumatoid arthritis models, however, the involvement of T-bet in gouty inflammation has yet to be clarified. Here, we took advantage of T-bet knockout (KO) mice to investigate the role of T-bet in the pathogenesis of MSU-induced gout inflammation. T-bet KO and wild type (WT) mice were used for models of acute inflammation induced with MSU crystals, including footpad, air pouch and peritonitis models. Inflammatory cytokines and phagocytosis were detected in bone-marrow-derived macrophages (BMDMs) from T-bet KO and WT mice treated with MSU crystals in vitro. In addition, T-bet expression in peripheral blood mononuclear cells (PBMCs) from gout patients was measured, as well as plasma inflammatory cytokines. We found that the levels of interleukin (IL)-17, IL-23, and interferon-gamma were reduced, but tumor necrosis factor-alpha was not, in BMDMs from T-bet KO compared with WT mice after MSU challenge in vitro, as well as MSU phagocytosis. In comparison with WT mice in vivo, the swelling index of T-bet KO mice was significantly decreased in the footpad model. T-bet deficiency also dramatically relieved MSU-induced inflammatory cell infiltration in peritonitis and air pouch models in vivo, and as well as the IL-1beta levels of air pouch lavage fluid (APLF). In addition, plasma IL-17 and IL-23 levels were elevated in acute gout, whereas protein levels of T-bet were downregulated in PBMCs from acute gout patients and intercritical gout treated with MSU crystals in vitro as well. Transcription factor T-bet deficiency protects against MSU-induced gouty inflammation, suggesting that downregulation of T-bet could be a protective strategy and contribute to spontaneous remission of inflammation in acute gout. FAU - Yang, Qi-Bin AU - Yang QB AD - Department of Rheumatology and Immunology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China. FAU - He, Yong-Long AU - He YL AD - Department of Rheumatology and Immunology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China. AD - Clinical Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Zhang, Quan-Bo AU - Zhang QB AD - Department of Gerontology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China. FAU - Mi, Qing-Sheng AU - Mi QS AD - Henry Ford Immunology Program, Henry Ford Health System, Detroit, MI, United States. FAU - Zhou, Jing-Guo AU - Zhou JG AD - Department of Rheumatology and Immunology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190529 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Cytokines) RN - 0 (T-Box Domain Proteins) RN - 0 (T-box transcription factor TBX21) RN - 268B43MJ25 (Uric Acid) SB - IM MH - Adult MH - Animals MH - Body Fluids/chemistry MH - Cytokines/biosynthesis MH - Disease Models, Animal MH - Down-Regulation MH - Edema/chemically induced/prevention & control MH - Female MH - Foot MH - Gout/chemically induced/genetics/*prevention & control MH - Humans MH - Leukocytes, Mononuclear/drug effects/metabolism MH - Macrophages/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Middle Aged MH - Peritonitis/chemically induced/prevention & control MH - Phagocytosis/drug effects MH - Specific Pathogen-Free Organisms MH - Subcutaneous Tissue MH - T-Box Domain Proteins/biosynthesis/*deficiency/genetics/physiology MH - Uric Acid/toxicity PMC - PMC6558421 OTO - NOTNLM OT - T-bet OT - cytokines OT - gout OT - inflammation OT - monosodium urate EDAT- 2019/06/25 06:00 MHDA- 2020/07/21 06:00 PMCR- 2019/01/01 CRDT- 2019/06/25 06:00 PHST- 2019/02/14 00:00 [received] PHST- 2019/05/13 00:00 [accepted] PHST- 2019/06/25 06:00 [entrez] PHST- 2019/06/25 06:00 [pubmed] PHST- 2020/07/21 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.01199 [doi] PST - epublish SO - Front Immunol. 2019 May 29;10:1199. doi: 10.3389/fimmu.2019.01199. eCollection 2019.