Rheumatoid arthritis

The role of ITIH4 in regulating the PI3K/Akt signalling in rheumatoid arthritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

The study suggests that the ITIH4-CXCR4 interaction is linked to apoptosis and inflammation in RA through PI3K/Akt signalling.

Study context

Population
RA patients' plasma and PBMCs; RA fibroblast-like synoviocytes (RA-FLS); CIA rat model
Comparison
ITIH4 knockdown vs control in RA-FLS and CIA rats
Methodological detailsin vitro siRNA knockdown in RA-FLS, molecular dynamics simulation, CIA rat model
  • In vitro siRNA knockdown in RA-FLS
  • Molecular dynamics simulation
  • CIA rat model

Main finding

As reported in the abstract

  • Increased ITIH4 levels in RA patients' plasma and PBMCs
  • ITIH4 positively interacted with CXCR4
  • ITIH4 knockdown in RA-FLS: increased apoptosis and reduced pro-inflammatory cytokine production via PI3K/Akt signalling
  • ITIH4 knockdown in CIA rats: significantly inhibited arthritis-like symptoms (decreased arthritis index, cellular infiltration, cytokines production and pannus formation)

Original publication

The role of ITIH4 in regulating the PI3K/Akt signalling in rheumatoid arthritis. Rheumatology (Oxford). Published 3 July 2025. doi:10.1093/rheumatology/keaf363

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