Targeting the chemokine receptor CXCR4 with histamine analog to reduce inflammation in juvenile arthritis

Front Immunol. 2023 Sep 26:14:1178172. doi: 10.3389/fimmu.2023.1178172. eCollection 2023.

Abstract

Introduction: Among immune cells, activated monocytes play a detrimental role in chronic and viral-induced inflammatory pathologies, particularly in Juvenile Idiopathic Arthritis (JIA), a childhood rheumatoid arthritis (RA) disease. The uncontrolled activation of monocytes and excessive production of inflammatory factors contribute to the damage of bone-cartilage joints. Despite the moderate beneficial effect of current therapies and clinical trials, there is still a need for alternative strategies targeting monocytes to treat RA.

Methods: To explore such an alternative strategy, we investigated the effects of targeting the CXCR4 receptor using the histamine analog clobenpropit (CB). Monocytes were isolated from the blood and synovial fluids of JIA patients to assess CB's impact on their production of key inflammatory cytokines. Additionally, we administered daily intraperitoneal CB treatment to arthritic mice to evaluate its effects on circulating inflammatory cytokine levels, immune cell infiltrates, joints erosion, and bone resorption, as indicators of disease progression.

Results: Our findings demonstrated that CXCR4 targeting with CB significantly inhibited the spontaneous and induced-production of key inflammatory cytokines by monocytes isolated from JIA patients. Furthermore, CB treatment in a mouse model of collagen-induce arthritis resulted in a significant decrease in circulating inflammatory cytokine levels, immune cell infiltrates, joints erosion, and bone resorption, leading to a reduction in disease progression.

Discussion: In conclusion, targeting CXCR4 with the small amino compound CB shows promise as a therapeutic option for chronic and viral-induced inflammatory diseases, including RA. CB effectively regulated inflammatory cytokine production of monocytes, presenting a potential targeted approach with potential advantages over current therapies. These results warrant further research and clinical trials to explore the full therapeutic potential of targeting CXCR4 with CB-like molecules in the management of various inflammatory diseases.

Keywords: arthritis; cytokines; inflammation; monocytes; treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arthritis, Juvenile* / drug therapy
  • Arthritis, Rheumatoid*
  • Bone Resorption*
  • Cytokines
  • Disease Progression
  • Histamine* / analogs & derivatives
  • Humans
  • Inflammation / drug therapy
  • Mice
  • Receptors, CXCR4

Substances

  • CXCR4 protein, human
  • Cytokines
  • Histamine
  • Receptors, CXCR4

Grants and funding

This research was financially supported by the Agence National de la Recherche sur le SIDA et les Hépatites (ANRS) under the grant awarded to J-PH for conducting the experiments. NB received a fellowship (AAP 2017-166) for this work. NS is a recipient of the European Molecular Biology Organization (EMBO) Long-Term Fellowship (LT-834-2017) and the Pasteur-Roux-Cantarini Fellowship.