Rheumatoid arthritis

Anti-carbamylated protein antibodies drive AEC II toward a profibrotic phenotype by interacting with carbamylated TLR5

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Overall, we found anti-CarP drives aberrant AEC II activation by interacting with carbamylated TLR5 to promote ILD progression.

Study context

Population
Serum samples from patients with CTD with and without interstitial lung disease (ILD); male C57BL/6 micemice n = 5
Participants
89 vs 170
Comparison
CTD with ILD vs CTD without ILD; Anti-carbamylated protein (anti-CarP) treatment in mice and AEC II
  • CTD-ILDn = 89
  • non-CTD-ILDn = 170reference
Outcome
Role of anti-CarP antibodies in lung fibrosis in CTD-ILD (serum anti-CarP level; mechanistic effects in vivo and in AEC II)
Methodological detailsELISA of human serum, mouse pulmonary fibrosis model, in vitro cell treatment
  • ELISA of human serum
  • Mouse pulmonary fibrosis model
  • In vitro cell treatment

Main finding

As reported in the abstract

Lysine carbamylation sites in TLR5 ectodomain, allowing anti-CarP interaction with carbamylated TLR5

up to 12

Original publication

Anti-carbamylated protein antibodies drive AEC II toward a profibrotic phenotype by interacting with carbamylated TLR5. Rheumatology (Oxford). Published 16 February 2024. doi:10.1093/rheumatology/keae111

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