Vasculitis & polymyalgia rheumatica

Kv1.3 blockade by ShK186 modulates CD4+ effector memory T-cell activity of patients with granulomatosis with polyangiitis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Modulation of cellular effector function by ShK-186 may constitute a novel treatment strategy for GPA with high specificity and less harmful side effects.

Study context

Population
Peripheral blood samples from patients with granulomatosis with polyangiitis (GPA) in remission and age- and sex-matched healthy controls (HCs)
Participants
27 vs 16
Comparison
Pre-incubation with ShK-186 vs without ShK-186
  • GPAn = 27
  • HCsn = 16reference
Outcome
Effect of ShK-186 on cytokine production (IFNγ, TNFα, IL-4, IL-17, IL-21) within total and subsets of CD4+TH cells
Methodological detailsin vitro, flow cytometry, age- and sex-matched healthy controls, Samples pre-incubated in vitro with or without ShK-186, then stimulated with phorbol myristate acetate, calcium ionophore and brefeldin-A
  • In vitro
  • Flow cytometry
  • Age- and sex-matched healthy controls
  • Samples pre-incubated in vitro with or without ShK-186, then stimulated with phorbol myristate acetate, calcium ionophore and brefeldin-A

Main finding

As reported in the abstract

Cytokine production in CD4+TH cells with ShK-186 in vitro
  • ShK-186 reduced expression level of IFNγ, TNFα, IL-4, IL-17 and IL-21 in CD4+TH cells from patients with GPA in vitro
  • ShK-186 predominantly inhibited cytokine production of CD4+TEM cells (sorted CD4+T cell subsets)
  • ShK-186 reduced pro-inflammatory cytokine production to the level seen in CD4+TH cells from HCs

Original publication

Kv1.3 blockade by ShK186 modulates CD4+ effector memory T-cell activity of patients with granulomatosis with polyangiitis. Rheumatology (Oxford). Published 22 April 2023. doi:10.1093/rheumatology/kead192

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