Rheumatoid arthritis

Endoplasmic reticulum aminopeptidase 2 regulates CD4+ T cells pyroptosis in rheumatoid arthritis

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

Taken together, our results identify a novel mechanism by which ERAP2 regulates RA development and document the effect of the ERAP2/Hedgehog signaling axis on pyroptosis of CD4+ T cells from RA patients.

Study context

Population
CD4+ T cells from peripheral venous blood of human subjects with rheumatoid arthritis (RA); chimeric mice engrafted with human synovial tissue and reconstituted with human CD4+ T cells
Outcome
Role of ERAP2 in pyroptosis of CD4+ T cells in RA and its molecular mechanism
Methodological detailshuman CD4+ T cells, ERAP2 knockdown and overexpression, chimeric mice engrafted with human synovial tissue
  • Human CD4+ T cells
  • ERAP2 knockdown and overexpression
  • Chimeric mice engrafted with human synovial tissue

Main finding

As reported in the abstract

  • CD4+ T cells undergoing pyroptosis elevated in blood and synovium of RA patients
  • ERAP2 gene and protein expression significantly higher in CD4+ T cells from RA patients
  • ERAP2 deletion suppressed pyroptosis, attenuated Caspase-1 activation in tissue T cells and reduced tissue inflammatory responses
  • ERAP2 overexpression triggered inflammasome assembly, activated Caspase-1 and induced pyroptosis in CD4+ T cells
  • ERAP2 inhibits the Hedgehog signalling pathway and upregulates NLRP3, cleaved Caspase-1 and Gasdermin D to promote pyroptosis

Original publication

Endoplasmic reticulum aminopeptidase 2 regulates CD4+ T cells pyroptosis in rheumatoid arthritis. Arthritis Res Ther. Published 25 January 2024. doi:10.1186/s13075-024-03271-3

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