Home » Key Scientific Articles » APL-2, an altered peptide ligand derived from heat-shock protein 60, induces interleukin-10 in peripheral bloodmononuclear cell derived from juvenile idiopathic arthritis patients and downregulates the inflammatory response in collagen-induced arthritis model.

APL-2, an altered peptide ligand derived from heat-shock protein 60, induces interleukin-10 in peripheral bloodmononuclear cell derived from juvenile idiopathic arthritis patients and downregulates the inflammatory response in collagen-induced arthritis model.

Lorenzo N, Cantera D, Barberá A, Alonso A, Chall E, Franco L, Ancizar J, Nuñez Y, Altruda F, Silengo L, Padrón G, Del Carmen Dominguez M.

Clin Exp Med. 2014 Jan 29.

Biomedical Research Department, Center for Genetic Engineering and Biotechnology, P.O. Box 6162, 10600, Havana, Cuba, [email protected]

 

Abstract

 

Juvenile idiopathic arthritis (JIA) is a heterogeneous group of diseases characterized by autoimmune arthritis of unknown cause with onset before age of 16 years. Methotrexate provides clinical benefits in JIA. For children who do not respond to methotrexate, treatment with anti-tumor necrosis factor (TNF)-{Alpha} is an option. However, some patients do not respond or are intolerant to anti-TNF therapy. Induction ofperipheral tolerance has long been considered a promising approach to the treatment of chronic autoimmune diseases. We aimed to evaluate the potentialities of two altered peptide ligands (APLs) derived from human heat-shock protein 60, an autoantigen involved in the pathogenesis of autoimmune arthritis, in JIA patients. Interferon (IFN)-{Gamma}, TNF-{Alpha} and interleukin (IL)-10 levels were determined in ex vivo assays using peripheral blood mononuclear cells (PBMC) from these patients. Wild-type peptide and one of these APLs increased IFN-{Gamma} and TNF-{Alpha} levels. Unlike, the other APLs (called APL2) increased the IL-10 level without affecting IFN-{Gamma} and TNF-{Alpha} levels. On the other hand, APL2 induces a marked activation of T cells since it transforms cell cycle phase’s distribution of CD4+ T cells from thesepatients. In addition, we evaluated the therapeutic effect of APL2 in collagen-induced arthritis model. Therapy with APL2 reducedarthritis scores and histological lesions in mice. This effect was associated to a decrease in TNF-{Alpha} and IL-17 levels. These results indicate a therapeutic potentiality of APL2 for JIA.

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