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JTE-952 Suppresses Bone Destruction in Collagen-Induced Arthritis in Mice by Inhibiting Colony Stimulating Factor 1 Receptor.

Abstract
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.
AuthorsNaofumi Uesato, Koji Inagaki, Naoki Miyagawa, Yoshihiro Kitagawa, Reina Kakefuda, Yushi Matsuo, Takayuki Yamaguchi, Takahiro Hata, Kazutaka Ikegashira, Mutsuyoshi Matsushita
JournalBiological & pharmaceutical bulletin (Biol Pharm Bull) Vol. 43 Issue 12 Pg. 1884-1892 ( 2020) ISSN: 1347-5215 [Electronic] Japan
PMID33268706 (Publication Type: Journal Article)
Chemical References
  • Azetidines
  • Csf1r protein, mouse
  • JTE-952
  • Receptors, Granulocyte-Macrophage Colony-Stimulating Factor
Topics
  • Animals
  • Arthritis, Experimental (drug therapy, metabolism, pathology)
  • Azetidines (pharmacology, therapeutic use)
  • Bone Density (drug effects, physiology)
  • Dose-Response Relationship, Drug
  • Humans
  • Male
  • Mice
  • Mice, Inbred DBA
  • Osteoclasts (drug effects, metabolism, pathology)
  • Receptors, Granulocyte-Macrophage Colony-Stimulating Factor (antagonists & inhibitors, metabolism)
  • Synovial Membrane (drug effects, metabolism, pathology)

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