Polymerized-type I collagen induces upregulation of Foxp3-expressing CD4 regulatory T cells and downregulation of IL-17-producing CD4⁺ T cells (Th17) cells in collagen-induced arthritis

Janette Furuzawa-Carballeda, Perla Macip-Rodríguez, Angeles S Galindo-Feria, David Cruz-Robles, Virgina Soto-Abraham, Sergio Escobar-Hernández, Diana Aguilar, Deshiré Alpizar-Rodríguez, Karen Férez-Blando, Luis Llorente, Janette Furuzawa-Carballeda, Perla Macip-Rodríguez, Angeles S Galindo-Feria, David Cruz-Robles, Virgina Soto-Abraham, Sergio Escobar-Hernández, Diana Aguilar, Deshiré Alpizar-Rodríguez, Karen Férez-Blando, Luis Llorente

Abstract

Previous studies showed that polymerized-type I collagen (polymerized collagen) exhibits potent immunoregulatory properties. This work evaluated the effect of intramuscular administration of polymerized collagen in early and established collagen-induced arthritis (CIA) in mice and analyzed changes in Th subsets following therapy. Incidence of CIA was of 100% in mice challenged with type II collagen. Clinimorphometric analysis showed a downregulation of inflammation after administration of all treatments (P < 0.05). Histological analysis showed that the CIA-mice group had extensive bone erosion, pannus and severe focal inflammatory infiltrates. In contrast, there was a remarkable reduction in the severity of arthritis in mice under polymerized collagen, methotrexate or methotrexate/polymerized collagen treatment. Polymerized Collagen but not methotrexate induced tissue joint regeneration. Polymerized Collagen and methotrexate/polymerized collagen but not methotrexate alone induces downregulation of CD4(+)/IL17A(+) T cells and upregulation of Tregs and CD4(+)/IFN-γ(+) T cells. Thus, Polymerized Collagen could be an effective therapeutic agent in early and established rheumatoid arthritis by exerting downregulation of autoimmune inflammation.

Figures

Figure 1
Figure 1
Preventive and therapeutic effects of polymerized-type I collagen on mouse CIA. (a) Paw thickness in early arthritis model. One hundred microliters of Polymerized Collagen, 100 μL of Polymerized Collagen, and 100 μL of methotrexate (2.5 mg/kg) or 100 μL of methotrexate (2.5 mg/kg)/Polymerized Collagen were administered intramuscular once a week during 6 weeks at the same time of that of the booster. Citric/citrate buffer was injected as a vehicle control. Data represent mean ± SEM (each group, n = 6). (b) Clinical arthritis score in early arthritis model (n = 6). (c) Paw thickness in established arthritis model. One hundred microliters of Polymerized Collagen, 100 μL of Polymerized Collagen, and 100 μL of methotrexate (2.5 mg/kg) or 100 μL of methotrexate (2.5 mg/kg)/Polymerized Collagen were administered intramuscularly once a week during 6 weeks. Treatments were started on 14 days after the booster. Citric/citrate buffer was injected as a vehicle control. Data represent mean ± SEM (each group, n = 6). (d) Clinical arthritis score in established arthritis model (n = 6). *P < 0.05.
Figure 2
Figure 2
Preventive effect of polymerized-type I collagen on the histological damage in CIA mice. (a) Representative section of joint histopathology is shown. Upper panel: hematoxylin and eosin stained and lower panel: PAS stained; magnification: 10x. Arrow heads point out nodules. (b) Pathology scores of each group were calculated and expressed as mean ± SEM (n = 6). *P < 0.05.
Figure 3
Figure 3
Representative flow plots of IL-17A- and Foxp3-expressing CD4+ T cells.
Figure 4
Figure 4
Effect of polymerized-type I collagen on the ex vivo intracellular cytokine production and on CD4+ T cell subsets regulation in splenocytes. (a) Spleen cells obtained immediately ex vivo in early arthritis model on day 35 after booster immunization. (b) Splenocytes obtained immediately ex vivo in early arthritis model on day 98 after booster immunization. (c) Spleen cells obtained immediately ex vivo in established arthritis model during first sacrifice. (d) Splenocytes obtained from established arthritis model during second sacrifice. Intracellular production of IL-17A, IL-4, IFN-γ, and Foxp3 by CD4+ T cells was detected by flow cytometry. Results are representative of 6 mice analyzed in each group. Horizontal dotted line represents mean normal values, obtained from mice (n = 3) without CIA. Data represent mean ± SEM. *P < 0.05.
Figure 5
Figure 5
Effect of polymerized-type I collagen on the ex vivo NF-κB and IκB-α in splenocytes. (a) Spleen cells obtained immediately ex vivo in early arthritis model on day 35 after booster immunization. (b) Splenocytes obtained immediately ex vivo in early arthritis model on day 98 after booster immunization. (c) Spleen cells obtained immediately ex vivo in established arthritis model during first sacrifice. (d) Splenocytes obtained from established arthritis model during second sacrifice. Intracellular levels of NF-κBp65 and IκBα cells were detected by flow cytometry. Results are representative of 6 mice analyzed in each group. Horizontal dotted line represent mean normal values, obtained from mice (n = 3) without CIA. Data represent mean ± SEM. *P < 0.05.

References

    1. Brand DD, Latham KA, Rosloniec E. Collagen-induced arthritis. Nature Protocols. 2007;2(5):1269–1275.
    1. Brand DD, Kang AH, Rosloniec EF. Immunopathogenesis of collagen arthritis. Springer Seminars in Immunopathology. 2003;25(1):3–18.
    1. Brand DD, Kang AH, Rosloniec EF. The mouse model of collagen-induced arthritis. Methods in molecular medicine. 2004;102:295–312.
    1. Mauri C, Williams RO, Walmsley M, Feldmann M. Relationship between Th1/Th2 cytokine patterns and the arthritogenic response in collagen-induced arthritis. European Journal of Immunology. 1996;26(7):1511–1518.
    1. Doncarli A, Stasiuk LM, Fournier C, Abehsira-Amar O. Conversion in vivo from an early dominant Th0/Th1 response to a Th2 phenotype during the development of collagen-induced arthritis. European Journal of Immunology. 1997;27(6):1451–1460.
    1. Weaver CT, Hatton RD, Mangan PR, Harrington LE. IL-17 family cytokines and the expanding diversity of effector T cell lineages. Annual Review of Immunology. 2007;25:821–852.
    1. McInnes IB, Schett G. Cytokines in the pathogenesis of rheumatoid arthritis. Nature Reviews Immunology. 2007;7(6):429–442.
    1. Furuzawa-Carballeda J, Vargas-Rojas MI, Cabral AR. Autoimmune inflammation from the Th17 perspective. Autoimmunity Reviews. 2007;6(3):169–175.
    1. Bettelli E, Oukka M, Kuchroo VK. TH-17 cells in the circle of immunity and autoimmunity. Nature Immunology. 2007;8(4):345–350.
    1. Fujimoto M, Serada S, Mihara M, et al. Interleukin-6 blockade suppresses autoimmune arthritis in mice by the inhibition of inflammatory Th17 responses. Arthritis & Rheumatism. 2008;58(12):3710–3719.
    1. Bettelli E, Carrier Y, Gao W, et al. Reciprocal developmental pathways for the generation of pathogenic effector TH17 and regulatory T cells. Nature. 2006;441(7090):235–238.
    1. Chimal-Monroy J, Bravo-Ruiz T, Krötzsch-Gómez FE, Díaz de León L. Implantes de FibroquelMR aceleran la formación de hueso nuevo en defectos óseos inducidos experimentalmente en cráneos de rata: un estudio histológico. Revista Biomédica. 1997;8:81–88.
    1. Krötzsch-Gómez FE, Furuzawa-Carballeda J, Reyes-Márquez R, Quiróz- Hernández E, Díaz de León L. Cytokine expression is downregulated by collagen-polyvinylpyrrolidone in hypertrophic scars. Journal of Investigative Dermatology. 1998;111(5):828–834.
    1. Furuzawa-Carballeda J, Krötzsch-Gómez FE, Espinosa-Morales R, Alcalá M, Barile-Fabris L. Subcutaneous administration of collagen-polyvinylpyrrolidone down regulates IL-1β, TNF-α, TGF-β1, ELAM-1 and VCAM-1 expression in scleroderma skin lesions. Clinical and Experimental Dermatology. 2005;30(1):83–86.
    1. Furuzawa-Carballeda J, Alcocer-Varela J, Díaz de León L. Collagen-PVP decreases collagen turnover in synovial tissue cultures from rheumatoid arthritis patients. Annals of the New York Academy of Sciences. 1999;878:598–603.
    1. Furuzawa-Carballeda J, Rodríquez-Calderón R, Díaz de León L, Alcocer-Varela J. Mediators of inflammation are down-regulated while apoptosis is up-regulated in rheumatoid arthritis synovial tissue by polymerized collagen. Clinical and Experimental Immunology. 2002;130(1):140–149.
    1. Furuzawa-Carballeda J, Cabral AR, Zapata-Zuúñiga M, Alcocer-Varela J. Subcutaneous administration of polymerized-type I collagen for the treatment of patients with rheumatoid arthritis. An open-label pilot trial. The Journal of Rheumatology. 2003;30(2):256–259.
    1. Furuzawa-Carballeda J, Fenutria-Ausmequet R, Gil-Espinosa V, et al. Polymerized-type I collagen for the treatment of patients with rheumatoid arthritis. Effect of intramuscular administration in a double blind placebo-controlled clinical trial. Clinical and Experimental Rheumatology. 2006;24(5):521–528.
    1. Lange F, Bajtner E, Rintisch C, Nandakumar KS, Sack U, Holmdahl R. Methotrexate ameliorates T cell dependent autoimmune arthritis and encephalomyelitis but not antibody induced or fibroblast induced arthritis. Annals of the Rheumatic Diseases. 2005;64(4):599–605.
    1. Zhou R, Tang W, Ren Y-X, et al. (5 R)-5-Hydroxytriptolide attenuated collagen-induced arthritis in DBA/1 mice via suppressing interferon-γ production and its related signaling. The Journal of Pharmacology and Experimental Therapeutics. 2006;8(1):35–44.
    1. Infante-Duarte C, Horton HF, Byrne MC, Kamradt T. Microbial lipopeptides induce the production of IL-17 in Th cells. The Journal of Immunology. 2000;165(11):6107–6115.
    1. Chu C-Q, Swart D, Alcorn D, Tocker J, Elkon KB. Interferon-γ regulates susceptibility to collagen-induced arthritis through suppression of interleukin-17. Arthritis & Rheumatism. 2007;56(4):1145–1151.
    1. Manoury-Schwartz B, Chiocchia G, Bessis N, et al. High susceptibility to collagen-induced arthritis in mice lacking IFN-γ receptors. The Journal of Immunology. 1997;158(11):5504–5506.
    1. Vermeire K, Heremans H, Vandeputte M, Huang S, Billiau A, Matthys P. Accelerated collagen-induced arthritis in IFN-γ receptor-deficient mice. The Journal of Immunology. 1997;158(11):5507–5513.
    1. Kageyama Y, Koide Y, Yoshida A, et al. Reduced susceptibility to collagen-induced arthritis in mice deficient in IFN-γ/receptor. The Journal of Immunology. 1998;161(3):1542–1548.
    1. Bettelli E, Sullivan B, Szabo SJ, Sobel RA, Glimcher LH, Kuchroo VK. Loss of T-bet, but not STAT1, prevents the development of experimental autoimmune encephalomyelitis. The Journal of Experimental Medicine. 2004;200(1):79–87.
    1. Nakae S, Nambu A, Sudo K, Iwakura Y. Suppression of immune induction of collagen-induced arthritis in IL-17-deficient mice. Journal of Immunology. 2003;171(11):6173–6177.
    1. Lubberts E, Koenders MI, Oppers-Walgreen B, et al. Treatment with a neutralizing anti-murine interleukin-17 antibody after the onset of collagen-induced arthritis reduces joint inflammation, cartilage destruction, and bone erosion. Arthritis and Rheumatism. 2004;50(2):650–659.
    1. Sato K, Suematsu A, Okamoto K, et al. Th17 functions as an osteoclastogenic helper T cell subset that links T cell activation and bone destruction. The Journal of Experimental Medicine. 2006;203(12):2673–2682.
    1. Yao ZQ, Li R, Li ZG. A triple altered collagen II peptide with consecutive substitutions of TCR contacting residues inhibits collagen-induced arthritis. Annals of the Rheumatic Diseases. 2007;66(3):423–424.
    1. Myers LK, Sakurai Y, Rosloniec EF, Stuart JM, Kang AH. An analog peptide that suppresses collagen-induced arthritis. American Journal of the Medical Sciences. 2004;327(4):212–216.
    1. Sakurai Y, Brand DD, Tang B, et al. Analog peptides of type II collagen can suppress arthritis in HLA-DR4 (DRB1*0401) transgenic mice. Arthritis Research & Therapy. 2006;8(5, article R150)
    1. Zhao J, Li R, He J, Shi J, Long L, Zhanguo L. Mucosal administration of an altered CII263-272 peptide inhibits collagen-induced arthritis by suppression of Th1/Th17 cells and expansion of regulatory T cells. Rheumatology International. 2008;29(1):9–16.
    1. Segal R, Caspi D, Tishler M, Fishel B, Yaron M. Accelerated nodulosis and vasculitis during methotrexate therapy for rheumatoid arthritis. Arthritis and Rheumatism. 1988;31(9):1182–1185.
    1. Hessian PA, Highton J, Kean A, Sun ChK, Chin M. Cytokine profile of the rheumatoid nodule suggests that it is a Th1 granuloma. Arthritis & Rheumatism. 2003;48(2):334–338.
    1. Matsushita I, Uzuki M, Matsuno H, Sugiyama E, Kimura T. Rheumatoid nodulosis during methotrexate therapy in a patient with rheumatoid arthritis. Modern Rheumatology. 2006;16(6):401–403.
    1. Duarte J, Agua-Doce A, Oliveira VG, Fonseca JE, Graca L. Modulation of IL-17 and Foxp3 expression in the prevention of autoimmune arthritis in mice. PloS one. 2010;5(5):p. e10558.
    1. Ghosh S, Hayden MS. New regulators of NF-κB in inflammation. Nature Reviews Immunology. 2008;8(11):837–848.

Source: PubMed

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