Key result
TNF induces an interferon response in rheumatoid fibroblast-like synoviocytes via an IRF1-dependent pathway, which is significantly suppressed by the JAK inhibitors baricitinib and tofacitinib.
IRF1 is a critical transcription factor for the TNF-driven interferon response in rheumatoid arthritis fibroblast-like synoviocytes, and this pathway can be effectively targeted by JAK inhibitors.
Does not support clinical IRF1 targeting in RA; leaves open translation of TNF-IRF1 axis from animal models to human therapy.
Rheumatoid arthritis (RA) is an autoimmune disease characterized by persistent synovial inflammation. The major drivers of synovial inflammation are cytokines and chemokines. Among these molecules, TNF activates fibroblast-like synoviocytes (FLSs), which leads to the production of inflammatory mediators. Here, we show that TNF regulates the expression of the transcription factor interferon regulatory factor 1 (IRF1) in human FLSs as well as in a TNF transgenic arthritis mouse model. Transcriptomic analyses of IRF1-deficient, TNF-stimulated FLSs define the interferon (IFN) pathway as a major target of IRF1. IRF1 expression is associated with the expression of IFNβ, which leads to the activation of the JAK-STAT pathway. Blocking the JAK-STAT pathway with the Janus kinase inhibitor (JAKinib) baricitinib or tofacitinib reduces the expression of IFN-regulated genes (IRGs) in TNF-activated FLSs. Therefore, we conclude that TNF induces a distinct inflammatory cascade, in which IRGs are key elements, in FLSs. The IFN-signature might be a promising biomarker for the efficient and personalized use of new treatment strategies for RA, such as JAKinibs.
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Bonelli et al. (2019) studied Rheumatoid arthritis. JAK inhibitors (baricitinib or tofacitinib) and IRF1 knockdown vs. Vehicle control (DMSO) or non-targeting siRNA was evaluated on Expression of interferon-regulated genes (CXCL9, CXCL10, CXCL11, TNFSF13B) and STAT1 activation in TNF-stimulated fibroblast-like synoviocytes. TNF induces an interferon response in rheumatoid fibroblast-like synoviocytes via an IRF1-dependent pathway, which is significantly suppressed by the JAK inhibitors baricitinib and tofacitinib.
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