Vasculitis & polymyalgia rheumatica

FTY720 ameliorates experimental MPO-ANCA-associated vasculitis by regulating fatty acid oxidation via the neutrophil PPARα–CPT1a pathway

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

FTY720 attenuated renal injury in EAV through upregulating FAO via the PPARα-CPT1a pathway in neutrophils

Study context

Population
Rats with experimental autoimmune vasculitis (EAV); neutrophils from patients with active ANCA-associated vasculitis (AAV) and normal controls; differentiated HL-60 cells
Comparison
FTY720 treatment in EAV and in anti-neutrophil cytoplasmic antibody (ANCA)-stimulated neutrophils
Methodological detailsexperimental autoimmune vasculitis model, RNA sequencing, in vitro neutrophil and HL-60 experiments
  • Experimental autoimmune vasculitis model
  • RNA sequencing
  • In vitro neutrophil and HL-60 experiments

Main finding

As reported in the abstract

  • FTY720 significantly attenuated renal injury and pulmonary haemorrhage in EAV
  • Renal cortex RNA sequencing: enhanced fatty acid oxidation (FAO) and peroxisome proliferator-activated receptor (PPAR) signalling in FTY720-treated rats
  • Decreased FAO in neutrophils of patients with active AAV vs normal controls
  • FTY720-treated differentiated HL-60 cells: increased CPT1a and PPARα expression
  • Blocking or knockdown of CPT1a or PPARα reversed FTY720's inhibition of ANCA-induced neutrophil respiratory burst and NETosis

Original publication

FTY720 ameliorates experimental MPO-ANCA-associated vasculitis by regulating fatty acid oxidation via the neutrophil PPARα–CPT1a pathway. Rheumatology (Oxford). Published 5 June 2024. doi:10.1093/rheumatology/keae320

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