gms | German Medical Science

Deutscher Rheumatologiekongress 2023

51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh)
37. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh)
33. Jahrestagung der Gesellschaft für Kinder- und Jugendrheumatologie (GKJR)

30.08. - 02.09.2023, Leipzig

Canstatin as a potential therapeutic molecule for rheumatoid arthritis synovial fibroblast mediated altered angiogenesis

Meeting Abstract

  • Corinna Heck - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim
  • Sophie Haun - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim
  • Daria Kürsammer - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim
  • Klaus Frommer - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim
  • Mona Arnold - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim
  • Markus Rickert - University Hospital Giessen and Marburg, Dept. of Orthopaedics and Orthopaedic Surgery, Giessen
  • Katrin Lips - Justus-Liebig-Universität Giessen, Department of Experimental Trauma Surgery, Giessen
  • Stefan Rehart - Agaplesion Markus Hospital, Orthopaedics and Trauma Surgery, Frankfurt am Main
  • Ulf Müller-Ladner - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim
  • Elena Neumann - Justus-Liebig-Universität Giessen, Campus Kerckhoff, Rheumatologie und Klinische Immunologie, Bad Nauheim

Deutsche Gesellschaft für Rheumatologie. Deutsche Gesellschaft für Orthopädische Rheumatologie. Gesellschaft für Kinder- und Jugendrheumatologie. Deutscher Rheumatologiekongress 2023, 51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 37. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh), 33. Jahrestagung der Gesellschaft für Kinder- und Jugendrheumatologie (GKJR). Leipzig, 30.08.-02.09.2023. Düsseldorf: German Medical Science GMS Publishing House; 2023. DocET.28

doi: 10.3205/23dgrh047, urn:nbn:de:0183-23dgrh0476

Veröffentlicht: 30. August 2023

© 2023 Heck et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Introduction: Increased angiogenesis in the inflamed synovium of RA patients is a pathological feature in RA. Key players in RA progression are chronically activated RA synovial fibroblasts (RASF) promoting angiogenesis and degradation of matrix, cartilage and bone. Canstatin, a matrix-derived anti-angiogenic collagen IV fragment, blocks the angiopoietin (ANGPT)/Tie2 pathway in endothelial cells (EC).

Objective: Characterization of RASF-EC interactions with focus on vessel formation regarding the influence of canstatin and ANGPT2 expression.

Methods: RASF were repetitively stimulated thrice every 24h with 0.05 ng/µl IL-1β. 2D tube formation assay was performed using HUVEC (+/- prestimulated with 0.2 µg/ml canstatin for 20 h) and 15% RASF seeded on Matrigel®. RASF/HUVEC were treated with 0.5 µg/ml canstatin. Tube thickness and the area covered by the formed cellular network were measured. RNA was extracted from tubes and analysed by qPCR. Cartilage was subcutaneously co-implanted with RASF alone or with 0.5 µg/ml canstatin into SCID mice. Contralaterally, cartilage without RASF but with canstatin was implanted. Vessel formation was evaluated after 3–45 days.

Results: RASF stimulated once showed a significant IL-6, IL-11 and CXCL2 increase compared to unstimulated controls, while subsequent repetitive stimulation of RASF led to a significant decrease in IL-6, IL-11 and CXCL2 (p<0.004 each). RASF significantly reduced tube thickness (22.9 µm vs. 16.6 µm, p=0.014) and the network area (p<0.0001) and significantly increased ANGPT2 2-fold compared to HUVEC alone. Canstatin stimulation of HUVEC and HUVEC+RASF also led to disturbed tube formation with reduced tube thickness (e.g. 22.9 to 14.6 µm (SD=1.4, p<0.001), with a significant 1.6-fold decrease of ANGPT2. In SCID mice, RASF-mediated altered vessel formation leading to helix-like vessels was observed at early time points in implants with RASF (day 3–9). The addition of canstatin into implants resulted in a decrease of helix-like vessel formation.

Conclusion: Repetitive stimulation of RASF resulted in an inflammatory adjustment to IL-1β, leading to significant reduction of inflammatory and angiogenic parameters IL-6, IL-11 and CXCL2 suggesting an influence on vessel formation. RASF-mediated influence on altered angiogenesis was confirmed in the tube formation assay. ANGPT2 was demonstrated as a pathological vessel marker for RASF-mediated altered angiogenesis. Interestingly, the anti-angiogenic canstatin reduced the RASF-induced helix-like vessels in vivo.