PMID- 36675245 OWN - NLM STAT- MEDLINE DCOM- 20230124 LR - 20230202 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 2 DP - 2023 Jan 15 TI - DHA Induces Cell Death through the Production of ROS and the Upregulation of CHOP in Fibroblast-like Synovial Cells from Human Rheumatoid Arthritis Patients. LID - 10.3390/ijms24021734 [doi] LID - 1734 AB - Rheumatoid arthritis (RA) is an inflammatory disease marked by a massive proliferation of synovial cells in the joints. In this study, we investigated the pro-apoptotic effects of docosahexaenoic acid (DHA) in human fibroblast-like synovial cells from RA patients (RA-FLS). An in vitro study using MH7A cells showed that DHA treatment induced caspase-8-dependent apoptosis in a dose-dependent manner and reduced the TNF-alpha-mediated induction of MMP-9 and IL-1beta. DHA also induced the phosphorylation of eIF2alpha, the expression of the ER stress markers ATF4 and C/EBP homologous protein (CHOP), and death receptor 5 (DR5). The knockdown of CHOP or DR5 increased cell viability and reduced apoptosis in DHA-treated cells. Furthermore, the knockdown of CHOP reduced DHA-mediated DR5 expression, while the overexpression of CHOP increased DR5 expression. We also found that DHA treatment induced the accumulation of reactive oxygen species (ROS), and pretreatment with the anti-oxidant Tiron effectively abrogated not only the expression of CHOP and DR5, but also DHA-induced apoptosis. Under this condition, cell viability was increased, while PARP-1 cleavage and caspase-8 activation were reduced. All the findings were reproduced in human primary synovial cells obtained from RA patients. These results suggest that the DHA-mediated induction of ROS and CHOP induced apoptosis through the upregulation of DR5 in RA-FLSs, and that CHOP could be used as a therapy for RA. FAU - Jeong, Mini AU - Jeong M AUID- ORCID: 0000-0003-3279-4215 AD - Division of Allergy and Clinical Immunology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea. FAU - Shin, Jong-Il AU - Shin JI AD - Department of Biological Sciences, Konkuk University, 120 Neungdong-ro, Gwangin-gu, Seoul 05029, Republic of Korea. FAU - Cho, Jaewook AU - Cho J AD - Department of Biological Sciences, Konkuk University, 120 Neungdong-ro, Gwangin-gu, Seoul 05029, Republic of Korea. FAU - Jeon, Yong-Joon AU - Jeon YJ AD - Department of Biological Sciences, Konkuk University, 120 Neungdong-ro, Gwangin-gu, Seoul 05029, Republic of Korea. FAU - Kim, Jin-Hyun AU - Kim JH AD - Department of Biological Sciences, Konkuk University, 120 Neungdong-ro, Gwangin-gu, Seoul 05029, Republic of Korea. FAU - Youn, Jeehee AU - Youn J AD - Department of Anatomy and Cell Biology, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea. FAU - Lee, Kyungho AU - Lee K AUID- ORCID: 0000-0002-5220-1387 AD - Department of Biological Sciences, Konkuk University, 120 Neungdong-ro, Gwangin-gu, Seoul 05029, Republic of Korea. AD - Korea Hemp Institute, Konkuk University, 120 Neungdong-ro, Gwangin-gu, Seoul 05029, Republic of Korea. LA - eng GR - 2017M3A9G7072745/National Research Foundation of Korea/ GR - 2017R1D1A1B03031743/National Research Foundation of Korea/ GR - 2022R1F1A1074572/National Research Foundation of Korea/ PT - Journal Article DEP - 20230115 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Reactive Oxygen Species) RN - EC 3.4.22.- (Caspase 8) RN - 25167-62-8 (Docosahexaenoic Acids) RN - 147336-12-7 (Transcription Factor CHOP) SB - IM MH - Humans MH - Up-Regulation MH - Cell Line, Tumor MH - Reactive Oxygen Species/metabolism MH - Caspase 8/metabolism MH - *Docosahexaenoic Acids/pharmacology MH - Apoptosis MH - *Arthritis, Rheumatoid MH - Fibroblasts/metabolism MH - Transcription Factor CHOP/genetics/metabolism PMC - PMC9865349 OTO - NOTNLM OT - CHOP OT - DHA OT - ER stress OT - RA-FLSs OT - ROS OT - apoptosis COIS- All authors declare that they have no competing interests. EDAT- 2023/01/22 06:00 MHDA- 2023/01/25 06:00 PMCR- 2023/01/15 CRDT- 2023/01/21 01:29 PHST- 2022/11/06 00:00 [received] PHST- 2022/12/29 00:00 [revised] PHST- 2023/01/11 00:00 [accepted] PHST- 2023/01/21 01:29 [entrez] PHST- 2023/01/22 06:00 [pubmed] PHST- 2023/01/25 06:00 [medline] PHST- 2023/01/15 00:00 [pmc-release] AID - ijms24021734 [pii] AID - ijms-24-01734 [pii] AID - 10.3390/ijms24021734 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jan 15;24(2):1734. doi: 10.3390/ijms24021734.