Rheumatoid arthritis

Positive feedback loop PU.1-IL9 in Th9 promotes rheumatoid arthritis development

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

These results support that the PU.1-IL-9 axis forms a positive loop in Th9 dysregulation of RA.

Study context

Population
Patients with RA; PU.1-T cell-conditional knockout (KO), IL-9 KO and IL-9R KO mice (collagen antibody-induced arthritis (CAIA)); Collagen-induced arthritis (CIA) mice
Methodological detailshuman samples, conditional knockout mouse models, CAIA and CIA models, in vitro assays
  • Human samples
  • Conditional knockout mouse models
  • CAIA and CIA models
  • In vitro assays

Main finding

As reported in the abstract

  • Upregulated IL-9 expression in patients with RA correlated positively with clinical markers
  • Interventions targeting PU.1 and IL-9 substantially mitigated the inflammatory phenotype in CAIA and CIA models
  • IL-9 proinflammatory in vitro, particularly in hyperactivation of macrophages and fibroblast-like synoviocytes
  • PU.1 directly binds the IL-9 promoter, activating its transcription
  • Th9-derived IL-9 induces PU.1 via the IL-9R-JAK1/STAT3 pathway (positive feedback loop)

Original publication

Positive feedback loop PU.1-IL9 in Th9 promotes rheumatoid arthritis development. Ann Rheum Dis. Published 14 November 2024. doi:10.1136/ard-2024-226067

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