RNA interference-mediated suppression of TNF-α converting enzyme as an alternative anti-TNF-α therapy for rheumatoid arthritis
Y Song, S Jo, JY Chung, Y Oh, S Yoon, YL Lee… - Journal of Controlled …, 2021 - Elsevier
Journal of Controlled Release, 2021•Elsevier
Excessive tumor necrosis factor-α (TNF-α) is associated with the pathogenesis of
rheumatoid arthritis (RA). Approximately 90% of patients with RA, who have inadequate
response to methotrexate, follow anti-TNF-α therapy as the first-line immuno-treatment.
However, ineffective long-term anti-TNF-α antibody cycling for 40% of non-responders to
anti-TNF-α antibodies is costly and associated with various side effects, which needs
alternative mechanism of action therapies. In the present study, a novel strategy to down …
rheumatoid arthritis (RA). Approximately 90% of patients with RA, who have inadequate
response to methotrexate, follow anti-TNF-α therapy as the first-line immuno-treatment.
However, ineffective long-term anti-TNF-α antibody cycling for 40% of non-responders to
anti-TNF-α antibodies is costly and associated with various side effects, which needs
alternative mechanism of action therapies. In the present study, a novel strategy to down …
Abstract
Excessive tumor necrosis factor-α (TNF-α) is associated with the pathogenesis of rheumatoid arthritis (RA). Approximately 90% of patients with RA, who have inadequate response to methotrexate, follow anti-TNF-α therapy as the first-line immuno-treatment. However, ineffective long-term anti-TNF-α antibody cycling for 40% of non-responders to anti-TNF-α antibodies is costly and associated with various side effects, which needs alternative mechanism of action therapies. In the present study, a novel strategy to down-regulate TNF-α level was developed by using an alternative method of suppressing TNF-α converting enzyme (TACE), a transmembrane enzyme involved in cleaving and releasing bioactive soluble TNF-α. TACE suppression can be an effective remedy to block the production of soluble TNF-α, leading to an increased sensitivity to anti-TNF-α non-responders. A disease site-targeted RNA interference system was developed by forming non-viral complex between shRNA against TACE (shTACE) and bone resorption site-specific peptide carrier composed of aspartate repeating and arginine repeating sequences. The shTACE/peptide carrier complex alleviated arthritic symptoms in collagen induced arthritis (CIA) models by demonstrating enhanced anti-inflammatory and anti-osteoclastogenic effects. Similar results were obtained with human primary synovial cells and osteoclast precursor isolated from tissues and synovial fluids of RA patients. Taken together, the shTACE/targeting peptide complex provides a strong potential as an alternative anti-TNF-α therapeutic for RA treatment.
Elsevier