Key result
4-Phenylbutyric acid significantly attenuated the severity of collagen-induced arthritis in mice, reducing joint swelling, bone erosion, and inflammatory cytokines compared to vehicle.
Why the study?
Although 4-phenylbutyric acid exhibits potent pharmacological effects including anti-inflammatory properties by inhibiting endoplasmic reticulum stress, whether it attenuates rheumatoid arthritis severity was unknown.
Does 4-Phenylbutyric acid attenuate the severity of collagen-induced arthritis in mice?
Does 4-Phenylbutyric acid attenuate the severity of collagen-induced arthritis in mice?
4-PBA attenuates the severity of collagen-induced arthritis in mice by inhibiting ER stress and inflammatory responses, suggesting potential as a therapeutic agent for rheumatoid arthritis.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for 4-PBA in rheumatoid arthritis; prospective human trials required before any clinical consideration.
4-Phenylbutyric acid (4-PBA) exerts potent pharmacological effects, including anti-inflammatory properties, via inhibition of endoplasmic reticulum (ER) stress. However, it is not known whether 4-PBA attenuates the severity of rheumatoid arthritis. The present study aimed to determine whether the inhibition of ER stress by 4-PBA ameliorated experimentally induced arthritis. The proliferation of synovial fibroblasts (SFs) and expression of matrix metalloproteinases (MMPs) were evaluated in the presence of interleukin (IL)-1β with or without 4-PBA. The effect of 4-PBA on the phosphorylation of Mitogen-activated protein kinase (MAPK) and the activation of Nuclear factor-κB (NF-κB) in IL-1β-stimulated SFs was assessed. In an in vivo study, the effects of 4-PBA were investigated using DBA/1 mice with collagen-induced arthritis (CIA). Clinical, histological, and serological assessments of CIA treated with 4-PBA were performed to determine the therapeutic effect of 4-PBA. In vitro, 4-PBA inhibited the proliferation and expression of IL-1β-stimulated SFs and MMP-1 and MMP-3 through the suppression of both the phosphorylation of MAPKs and NF-κB in IL-1β-stimulated SFs. The 4-PBA treatment markedly attenuated the severity of arthritis in CIA mice. The 4-PBA treatment ameliorated joint swelling and the degree of bone erosion and destruction and decreased the level of inflammatory cytokines and MMP-3 and Cox-2. Furthermore, remarkable improvements in histopathological findings occurred in 4-PBA-treated mice. These findings suggested that 4-PBA could attenuate the severity of arthritis in CIA mice by partially blocking the phosphorylation of MAPKs and the activation of NF-κB in SFs. Thus, through the inhibition of ER stress, 4-PBA may be a potent agent for the treatment of RA.
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Choi et al. (2021) studied Rheumatoid arthritis (Collagen-induced arthritis model) (n=45). 4-Phenylbutyric acid (4-PBA) vs. Vehicle (PBS) was evaluated on Severity of arthritis (paw thickness and clinical score) (p=<0.05). 4-Phenylbutyric acid significantly attenuated the severity of collagen-induced arthritis in mice, reducing joint swelling, bone erosion, and inflammatory cytokines compared to vehicle.
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