Combined inhibition of IL-1, IL-33 and IL-36 signalling by targeting IL1RAP ameliorates skin and lung fibrosis in preclinical models of systemic sclerosis

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ on behalf of EULAR..

BACKGROUND: The interleukin (IL)-1 receptor accessory protein (IL1RAP) is an essential coreceptor required for signalling through the IL-1, IL-33 and IL-36 receptors. Here, we investigate the antifibrotic potential of the combined inhibition of these cytokines by an anti-IL1RAP antibody to provide a scientific background for clinical development in systemic sclerosis (SSc).

METHODS: The expression of IL1RAP-associated signalling molecules was determined by data mining of publicly available RNA sequencing (RNAseq) data as well as by imaging mass cytometry. The efficacy of therapeutic dosing of anti-IL1RAP antibodies was determined in three complementary mouse models: sclerodermatous chronic graft-versus-host disease (cGvHD), bleomycin-induced dermal fibrosis model and topoisomerase-I (topo)-induced fibrosis.

RESULTS: SSc skin showed upregulation of IL1RAP and IL1RAP-related signalling molecules on mRNA and protein level compared with normal skin. IL-1, IL-33 and IL-36 all regulate distinct gene sets related to different pathophysiological processes in SSc. The responses of human fibroblasts and endothelial cells to IL-1, IL-33 and IL-36 were completely blocked by treatment with an anti-IL1RAP antibody in vitro. Moreover, anti-IL1RAP antibody treatment reduced dermal and pulmonary fibrosis in cGvHD-induced, bleomycin-induced and topoisomerase-induced fibrosis. Importantly, RNAseq analyses revealed effects of IL1RAP inhibition on multiple processes related to inflammation and fibrosis that are also deregulated in human SSc skin.

CONCLUSION: This study provides the first evidence for the therapeutic benefits of targeting IL1RAP in SSc. Our findings have high translational potential as the anti-IL1RAP antibody CAN10 has recently entered a phase one clinical trial.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Annals of the rheumatic diseases - (2024) vom: 09. Apr.

Sprache:

Englisch

Beteiligte Personen:

Grönberg, Caitríona [VerfasserIn]
Rattik, Sara [VerfasserIn]
Tran-Manh, Cuong [VerfasserIn]
Zhou, Xiang [VerfasserIn]
Rius Rigau, Aleix [VerfasserIn]
Li, Yi-Nan [VerfasserIn]
Györfi, Andrea-Hermina [VerfasserIn]
Dickel, Nicholas [VerfasserIn]
Kunz, Meik [VerfasserIn]
Kreuter, Alexander [VerfasserIn]
Matei, Emil-Alexandru [VerfasserIn]
Zhu, Honglin [VerfasserIn]
Skoog, Petter [VerfasserIn]
Liberg, David [VerfasserIn]
Distler, Jörg Hw [VerfasserIn]
Trinh-Minh, Thuong [VerfasserIn]

Links:

Volltext

Themen:

Fibroblasts
Inflammation
Journal Article
Pulmonary Fibrosis
Scleroderma, Systemic

Anmerkungen:

Date Revised 09.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1136/ard-2023-225158

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370833937