Succinate/NLRP3 inflammasome induces synovial fibroblast activation: therapeutical effects of clematichinenoside AR on arthritis

Y Li, JY Zheng, JQ Liu, J Yang, Y Liu, C Wang… - Frontiers in …, 2016 - frontiersin.org
Y Li, JY Zheng, JQ Liu, J Yang, Y Liu, C Wang, XN Ma, BL Liu, GZ Xin, LF Liu
Frontiers in immunology, 2016frontiersin.org
Clematichinenoside AR (C-AR) is a triterpene saponin isolated from the root of Clematis
manshurica Rupr., which is a herbal medicine used in traditional Chinese medicine for the
treatment of arthritis. C-AR exerts anti-inflammatory and immunosuppressive properties, but
little is known about its action in the suppression of fibroblast activation. Low oxygen tension
and transforming growth factor-β (TGF-β1) induction in the synovium contribute to fibrosis in
arthritis. This study was designed to investigate the effect of C-AR on synovial fibrosis from …
Clematichinenoside AR (C-AR) is a triterpene saponin isolated from the root of Clematis manshurica Rupr., which is a herbal medicine used in traditional Chinese medicine for the treatment of arthritis. C-AR exerts anti-inflammatory and immunosuppressive properties, but little is known about its action in the suppression of fibroblast activation. Low oxygen tension and transforming growth factor-β (TGF-β1) induction in the synovium contribute to fibrosis in arthritis. This study was designed to investigate the effect of C-AR on synovial fibrosis from the aspects of hypoxic TGF-β1 and hypoxia-inducible transcription factor-1α (HIF-1α) induction. In the synovium of rheumatoid arthritis (RA) rats, hypoxic TGF-β1 induction increased succinate accumulation due to the reversal of succinate dehydrogenase (SDH) activation and induced NLRP3 inflammasome activation in a manner dependent on HIF-1α induction. In response to NLRP3 inflammasome activation, the released IL-1β further increased TGF-β1 induction, suggesting the forward cycle between inflammation and fibrosis in myofibroblast activation. In the synovium of RA rats, C-AR inhibited hypoxic TGF-β1 induction and suppressed succinate-associated NLRP3 inflammasome activation by inhibiting SDH activity, and thereby prevented myofibroblast activation by blocking the cross-talk between inflammation and fibrosis. Taken together, these results showed that succinate worked as a metabolic signaling, linking inflammation with fibrosis through NLRP3 inflammasome activation. These findings suggested that synovial succinate accumulation and HIF-1α induction might be therapeutical targets for the prevention of fibrosis in arthritis.
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