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Psoriatic arthritis subtypes are phenocopied in humanized mice
Christopher T. Ritchlin, … , Francisco Tausk, Maria de la Luz Garcia-Hernandez
Christopher T. Ritchlin, … , Francisco Tausk, Maria de la Luz Garcia-Hernandez
Published August 8, 2024
Citation Information: JCI Insight. 2024;9(15):e178213. https://doi.org/10.1172/jci.insight.178213.
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Research Article Dermatology Inflammation

Psoriatic arthritis subtypes are phenocopied in humanized mice

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Abstract

Psoriatic arthritis (PsA) is a complex inflammatory disease that challenges diagnosis and complicates the rational selection of effective therapies. Although T cells are considered active effectors in psoriasis and PsA, the role of CD8+ T cells in pathogenesis is not well understood. We selected the humanized mouse model NSG-SGM3 transgenic strain to examine psoriasis and PsA endotypes. Injection of PBMCs and sera from patients with psoriasis and PsA generated parallel skin and joint phenotypes in the recipient mouse. The transfer of human circulating memory T cells was followed by migration and accumulation in the skin and synovia of these immunodeficient mice. Unexpectedly, immunoglobulins were required for recapitulation of the clinical phenotype of psoriasiform lesions and PsA domains (dactylitis, enthesitis, bone erosion). Human CD8+ T cells expressing T-bet, IL-32 and CXCL14 were detected by spatial transcriptomics in murine synovia and by immunofluorescence in the human PsA synovia. Importantly, depletion of human CD8+ T cells prevented skin and synovial inflammation in mice humanized with PsA peripheral blood cells. The humanized model of psoriasis and PsA represents a valid platform for accelerating the understanding of disease pathogenesis, improving the design of personalized therapies, and revealing psoriatic disease targets.

Authors

Christopher T. Ritchlin, Javier Rangel-Moreno, Delaney Martino, Brian Isett, Ananta Paine, Soumyaroop Bhattacharya, Jeffrey Fox, Ernest M. Meyer, Riyue Bao, Tullia Bruno, Francisco Tausk, Maria de la Luz Garcia-Hernandez

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Figure 9

CD8+ T cell depletion ameliorates psoriasis and arthritis in humanized mice.

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CD8+ T cell depletion ameliorates psoriasis and arthritis in humanized m...
(A) PsA mice were injected with anti-CD8 or isotype control antibodies at the time of PBMC injection. At day 30 after transfer, mouse PBMCs were stained with a DEAD/LIVE marker and nonspecific binding blocked with human TruStain FcX Fc receptor blocking solution. The percentage of CD19–CD3+CD8+ T cells was defined with FlowJo to determine the efficiency of CD8+ T cell depletion. (B and C) hu-PsA mice injected with CD8 antibodies did not develop psoriasiform lesions or ankle swelling, compared with mice injected with isotype control antibodies. (D) Epidermal hypertrophy and numerous dermal infiltrating cells were observed in the skin of hu-PsA mice injected with isotype control antibodies. (E) Infiltrating CD3+ T cells (red) and Ki67+ proliferating cells in skin of humanized mice. (F) CD8+ T cell depletion significantly reduced epidermal thickness in hu-PsA mice. (G) Pannus areas were visualized in hu-PsA treated with isotype control or CD8+ T cell–depleting antibodies. The dashed line outlines pannus areas. (H) Proliferative type 1 T cells (CD3, red; T-bet, green; Ki67, white) and proliferating T cells (CD3, red; Ki67, white) were decreased in CD8+ T cell–depleted mice. Representative images of Alcian Blue and H&E stain were taken with an Olympus VS120 scanner. Scale bars: 1,000 μm. IF 3 × 3 mosaic images were taken (original magnification, ×200) with a Zeiss Axioplan microscope and recorded with a Hamamatsu camera. (I) Quantitation of CD3+ T cells, CD3+Ki67+ proliferating T cells, and CD3+T-bet+ type 1 T cells in ankle synovial tissue of hu-PsA mice. Scale bar: 200 μm. n = 5 mice reconstituted with PBMCs and sera from different patients with PsA in each group. Significance was calculated with 2-way ANOVA and Tukey’s multiple comparison test. *P ≤ 0.05; **P ≤ 0.005; ****P ≤ 0.0001.

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