ALOX5 drives the pyroptosis of CD4+ T cells and tissue inflammation in rheumatoid arthritis

#Anti-Rat CD3 SAFIRE Purified ; #Anti-Rat CD28 SAFIRE Purified ;  #05113-25; #10313-25 ; 

Sci Signal. 2024 Feb 27;17(825):eadh1178.

Hao Cai 1Jianhua Zhang 1Hua Xu 1Weiwei Sun 1Weijie Wu 1Chen Dong 2Ping Zhou 3Chengbin Xue 4Yunyi Nan 1Yingchen Ni 1Xinyuan Wu 1Zhifeng Gu 2Minhao Chen 1Youhua Wang 1

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Abstract

Pyroptosis, an inflammatory form of programmed cell death, is linked to the pathology of rheumatoid arthritis (RA). Here, we investigated the molecular mechanism underlying pyroptosis in T cells isolated from patients with RA. Compared with healthy individuals, patients with RA had more pyroptotic CD4+ T cells in blood and synovia, which correlated with clinical measures of disease activity. Moreover, the mRNA expression and protein abundance of arachidonate 5-lipoxygenase (ALOX5), which converts arachidonic acid to leukotriene A4 (LTA4), were increased in CD4+ T cells from patients with RA and, among patients with RA, were lowest in those in clinical remission. Knockdown or pharmacological inhibition of ALOX5 suppressed CD4+ T cell pyroptosis and improved symptoms in two rodent models of RA. Mechanistically, the increase in ALOX5 activity in RA CD4+ T cells enhanced the production of the LTA4 derivative LTB4, which stimulated Ca2+ influx through ORAI3 channels, leading to the activation of NLRP3 inflammasomes and pyroptosis. Our findings reveal a role for ALOX5 in RA and provide a molecular basis for further exploring the clinical utility of ALOX5 inhibition in RA and for using ALOX5 as a biomarker to distinguish active disease and remission in RA.

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