Key result
Bone-targeted angiotensin 1-7 conjugate reduces serum nitric oxide ~82% and restores RAS balance in arthritis.
Why the study?
Ang-(1-7) has protective effects via Mas receptor signaling, but its short half-life limits its therapeutic feasibility in rheumatoid arthritis.
Does a bone-targeting conjugate of Ang-(1-7) reduce joint inflammation, serum nitric oxide levels, and renin-angiotensin system imbalance compared to plain Ang-(1-7) or vehicle in rats with adjuvant-induced arthritis?
Does a bone-targeting conjugate of Ang-(1-7) reduce joint inflammation, serum nitric oxide levels, and renin-angiotensin system imbalance compared to plain Ang-(1-7) or vehicle in rats with adjuvant-induced arthritis?
Extending the half-life of Ang-(1-7) via a bone-targeting bisphosphonate conjugate restores the protective renin-angiotensin system axis in the heart and other organs while attenuating systemic and joint inflammation in experimental rheumatoid arthritis.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for bone-targeted Ang-(1-7) in experimental arthritis; leaves open clinical translation and requires human trials.
Rheumatoid arthritis (RA) is a chronic inflammatory condition of synovial joints that causes disability and systemic complications. Ang-(1-7), one of the main peptides in the renin-angiotensin (Ang) system (RAS), imposes its protective effects through Mas receptor (MasR) signaling. It has a short half-life, limiting its feasibility as a therapeutic agent. In this study, we evaluated the anti-inflammatory effects of Ang-(1-7)'s novel and stable conjugate (Ang. Conj.) by utilizing its affinity for bone through bisphosphonate (BP) moiety in an adjuvant-induced arthritis (AIA) rat model. The rats received subcutaneous injections of vehicle, plain Ang-(1-7), or an equivalent dose of Ang. Conj. The rats' body weights, paws, and joints' diameters were measured thrice weekly. After 14 days, the rats were euthanized, and the blood and tissue samples were harvested for further analysis of nitric oxide (NO) and RAS components' gene and protein expression. The administration of Ang. Conj. reduced body weight loss, joint edema, and serum NO. Moreover, the Ang. Conj. treatment significantly reduced the classical arm components at peptide, enzyme, and receptor levels while augmenting them for the protective arm. The results of this study introduce a novel class of bone-targeting natural peptides for RA caused by an inflammation-induced imbalance in the activated RAS. Our results indicate that extending the half-life of Ang-(1-7) augments the RAS protective arm and exerts enhanced therapeutic effects in the AIA model in rats.
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Khajehpour et al. (2022) studied Adjuvant-induced arthritis (AIA) rat model of rheumatoid arthritis (n=22). Ang-(1-7) bone-targeting bisphosphonate conjugate (Ang. Conj.) or plain Ang-(1-7) vs. Vehicle (drug-free normal saline) in inflamed and healthy-control rats was evaluated on Serum nitric oxide (NO) concentration at day 24 (after 14 days of treatment) (p=<0.05). Ang-(1-7) bone-targeting conjugate significantly reduced serum nitric oxide to 0.95 ng/mL vs 5.15 ng/mL in untreated arthritic rats (p<0.05) and restored RAS balance.
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