PMID- 32723833 OWN - NLM STAT- MEDLINE DCOM- 20210610 LR - 20210610 IS - 2056-5933 (Electronic) IS - 2056-5933 (Linking) VI - 6 IP - 2 DP - 2020 Jul TI - Dual neutralisation of IL-17F and IL-17A with bimekizumab blocks inflammation-driven osteogenic differentiation of human periosteal cells. LID - 10.1136/rmdopen-2020-001306 [doi] LID - e001306 AB - OBJECTIVES: Interleukin (IL)-17 signalling has been shown to be a key regulator of disease in ankylosing spondylitis (AS) with several IL-17 blockers currently clinically approved. Despite this, the role of IL-17 in bone pathology is poorly understood. This study aimed to investigate IL-17 signalling in the context of pathological bone formation. METHODS: A biomimetic human periosteum-derived cell (hPDC) model of osteogenic differentiation was used in combination with recombinant IL-17 cytokines, T-cell supernatants or serum from patients with AS. IL-17A, IL-17F and bimekizumab monoclonal antibodies were used to block IL-17 cytokine action. RESULTS: Recombinant IL-17A and IL-17F are pro-osteogenic with respect to hPDC differentiation. T helper 17 or gammadelta-T cell supernatants also potently stimulated in vitro bone formation, which was blocked deeper by dual inhibition of IL-17A and IL-17F than by neutralisation of IL-17A or IL-17F individually. Osteogenic blockade may be due to an increase in expression of the Wnt antagonist DKK1. Interestingly, osteocommitment was also induced by serum obtained from patients with AS, which was also abrogated by dual neutralisation of IL-17A and IL-17F. CONCLUSIONS: These data show for the first time that IL-17A and IL-17F enhance in vitro osteogenic differentiation and bone formation from hPDCs, inhibition of which may offer an attractive therapeutic strategy to prevent pathological bone formation. CI - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Shah, Mittal AU - Shah M AD - UCB Pharma, Slough, UK. AD - Division of Surgery and Interventional Science, University College London, London, UK. FAU - Maroof, Asher AU - Maroof A AD - UCB Pharma, Slough, UK. FAU - Gikas, Panos AU - Gikas P AD - Royal National Orthopaedic Hospital Stanmore, Stanmore, UK. FAU - Mittal, Gayatri AU - Mittal G AD - Royal National Orthopaedic Hospital Stanmore, Stanmore, UK. FAU - Keen, Richard AU - Keen R AD - Royal National Orthopaedic Hospital Stanmore, Stanmore, UK. FAU - Baeten, Dominique AU - Baeten D AD - UCB Pharma, Slough, UK. FAU - Shaw, Stevan AU - Shaw S AD - UCB Pharma, Slough, UK. FAU - Roberts, Scott J AU - Roberts SJ AUID- ORCID: 0000-0003-3974-8895 AD - UCB Pharma, Slough, UK scott.roberts@ucl.ac.uk. AD - Division of Surgery and Interventional Science, University College London, London, UK. AD - Department of Comparative Biomedical Sciences, Royal Veterinary College, London, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - RMD Open JT - RMD open JID - 101662038 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antibodies, Neutralizing) RN - 0 (Cytokines) RN - 0 (IL17A protein, human) RN - 0 (IL17F protein, human) RN - 0 (IL17RA protein, human) RN - 0 (IL17RC protein, human) RN - 0 (Interleukin-17) RN - 0 (Receptors, Antigen, T-Cell, gamma-delta) RN - 0 (Receptors, Interleukin) RN - 0 (Receptors, Interleukin-17) RN - 09495UIM6V (bimekizumab) SB - IM MH - Antibodies, Monoclonal, Humanized/*pharmacology MH - Antibodies, Neutralizing/pharmacology MH - Bone Matrix/metabolism MH - Calcification, Physiologic/drug effects/genetics MH - Cell Differentiation/*drug effects MH - Cytokines/genetics/metabolism MH - Humans MH - Interleukin-17/*antagonists & inhibitors/metabolism MH - Osteogenesis/*drug effects MH - Periosteum/*cytology MH - Receptors, Antigen, T-Cell, gamma-delta/metabolism MH - Receptors, Interleukin/genetics/metabolism MH - Receptors, Interleukin-17/genetics/metabolism MH - Th17 Cells/immunology/metabolism PMC - PMC7722278 OTO - NOTNLM OT - Ankylosing Spondylitis OT - Cytokines OT - Inflammation OT - TCells COIS- Competing interests: MS, AM, SS and DB are employees of UCB Pharma. PG has received honoraria from Medacta International. RK has received honoraria from Kyowa Kirin, Amgen and Clementia Pharmaceuticals, and consulting fees from Kyowa Kirin and Clementia Pharmaceuticals. SR is a former employee of UCB Pharma and has received consulting fees from Angitia Biopharmaceuticals. EDAT- 2020/07/30 06:00 MHDA- 2021/06/11 06:00 PMCR- 2020/07/28 CRDT- 2020/07/30 06:00 PHST- 2020/05/05 00:00 [received] PHST- 2020/06/25 00:00 [revised] PHST- 2020/06/25 00:00 [accepted] PHST- 2020/07/30 06:00 [entrez] PHST- 2020/07/30 06:00 [pubmed] PHST- 2021/06/11 06:00 [medline] PHST- 2020/07/28 00:00 [pmc-release] AID - rmdopen-2020-001306 [pii] AID - 10.1136/rmdopen-2020-001306 [doi] PST - ppublish SO - RMD Open. 2020 Jul;6(2):e001306. doi: 10.1136/rmdopen-2020-001306.