Rheumatoid arthritis (RA) is a chronic
autoimmune disease characterized by synovial
inflammation and structural destruction of the joints. Bone damage occurs in an early stage after onset and osteoclast activation plays a substantial role in its progression.
Colony stimulating factor 1 receptor (CSF1R) is a
receptor protein tyrosine kinase specifically expressed in monocytic-lineage cells such as macrophages and osteoclasts. Here, we investigated the effect of
JTE-952, a novel CSF1R
tyrosine kinase inhibitor, on osteoclast formation in vitro and on bone destruction in a mouse model of
collagen-induced arthritis.
JTE-952 completely inhibited osteoclast differentiation from human monocytes, with an IC50 of 2.8 nmol/L, and reduced osteoclast formation from the synovial cells of RA patients. Detectable levels of
colony stimulating factor 1 (CSF1), a
ligand of CSF1R, were observed in the synovial tissues of the
arthritis model, similar to those observed in the pathology of human RA.
JTE-952 significantly suppressed increases in the bone destruction score, the number of
tartrate-resistant-acid-phosphatase-positive cells, and the severity of
arthritis in the model mice. We also examined the efficacy of
JTE-952 combined with
methotrexate. This combination
therapy more effectively reduced the severity of bone destruction and
arthritis than monotherapy with either agent alone. In summary,
JTE-952 potently inhibited human osteoclast formation in vitro and suppressed bone destruction in an
experimental arthritis model, especially when combined with
methotrexate. These results indicate that
JTE-952 should strongly inhibit bone destruction and joint
inflammation in RA patients and effectively prevent the progression of the structural destruction of joints.