Inverse-Vaccines for Rheumatoid Arthritis Re-establish Metabolic and Immunological Homeostasis in Joint Tissues

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Adv Healthc Mater. 2024 Mar 12:e2303995. doi: 10.1002/adhm.202303995. Online ahead of print.

Abhirami Thumsi 1Diego Martínez 2Srivatsan J Swaminathan 3Arezoo Esrafili 4Abhirami P Suresh 1Madhan Mohan Chandrasekhar Jaggarapu 5Kelly Lintecum 4Michelle Halim 4Shivani V Mantri 6Yasmine Sleiman 6Nicole Appel 4Haiwei Gu 7Marion Curtis 8 9Cristal Zuniga 2Abhinav P Acharya 1 5 10

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Abstract

Rheumatoid arthritis (RA) causes immunological and metabolic imbalances in tissue, exacerbating inflammation in affected joints. Changes in immunological and metabolic tissue homeostasis at different stages of RA are not well understood. Herein, the changes in the immunological and metabolic profiles in different stages in collagen induced arthritis (CIA), namely, early, intermediate, and late stage is examined. Moreover, the efficacy of the inverse-vaccine, paKG(PFK15+bc2) microparticle, to restore tissue homeostasis at different stages is also investigated. Immunological analyses of inverse-vaccine-treated group revealed a significant decrease in the activation of pro-inflammatory immune cells and remarkable increase in regulatory T-cell populations in the intermediate and late stages compared to no treatment. Also, glycolysis in the spleen is normalized in the late stages of CIA in inverse-vaccine-treated mice, which is similar to no-disease tissues. Metabolomics analyses revealed that metabolites UDP-glucuronic acid and L-Glutathione oxidized are significantly altered between treatment groups, and thus might provide new druggable targets for RA treatment. Flux metabolic modeling identified amino acid and carnitine pathways as the central pathways affected in arthritic tissue with CIA progression. Overall, this study shows that the inverse-vaccines initiate early re-establishment of homeostasis, which persists through the disease span.

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