1. The tyrosine kinase inhibitor imatinib mesylate suppresses uric acid crystal-induced acute gouty arthritis in mice
- Author
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Dongmin Kang, Stephan Rogalla, Bianca Balbino, Riccardo Sibilano, Harini Raghu, Philipp Starkl, Christopher H. Contag, Stephen J. Galli, Steven Sensarn, William H. Robinson, Laurent L. Reber, Jeremy Sokolove, Mindy Tsai, Nicolas Gaudenzio, Department of Pathology [Stanford], Stanford Medicine, Stanford University-Stanford University, Sean N. Parker Center for Allergy and Asthma Research [Stanford], Anticorps en thérapie et pathologie - Antibodies in Therapy and Pathology, Institut Pasteur [Paris]-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Pierre et Marie Curie - Paris 6 (UPMC), Stanford School of Medicine [Stanford], Molecular Imaging Program at Stanford (MIPS), EWHA Womans University (EWHA), Veterans Affairs Palo Alto Healthcare System [Palo Alto, CA, États-Unis], Department of Microbiology and Immunology [Stanford], L.L.R. acknowledges support from the Arthritis National Research Foundation (ANRF), National Institutes of Health grant K99 AI110645, the European Commission (Marie Skłodowska-Curie Individual Fellowship H2020-MSCA-IF-2014 656086) and the Institut National de la Santé et de la Recherche Médicale (INSERM), P.S. was supported by a Max Kade Fellowship of the Max Kade Foundation and the Austrian Academy of Sciences and a Schroedinger Fellowship of the Austrian Science Fund (FWF): J3399-B21, B.B. was supported by a stipend from the Pasteur - Paris University (PPU) International Ph.D. Program, R.S. was supported by the Lucile Packard Foundation for Children’s Health and the Stanford NIH/NCRR CTSA award number UL1 RR025744, N.G. was the recipient of a fellowship from the French 'Fondation pour la Recherche Médicale FRM', S.R. was supported in part by the George Will Foundation, C.H.C. acknowledges the Chambers Family Foundation Fund for Excellence in Pediatric Research, and the Child Health Research Institute at Stanford for their generous support, S.J.G. acknowledges support from National Institutes of Health grants U19 AI104209, NS 080062, and R01 AR067145 and the Department of Pathology, Stanford University School of Medicine., We thank Dr. Rajadas and the Stanford Biomaterials and Advanced Drug Delivery (BioADD) Laboratory core for the production of the imatinib-loaded PLGA nanoparticles., HAL UPMC, Gestionnaire, Institut Pasteur [Paris] (IP)-Institut National de la Santé et de la Recherche Médicale (INSERM), and Veterans Affairs Palo Alto Healthcare System
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0301 basic medicine ,Gout ,MESH: Protein Kinase Inhibitors / administration & dosage ,lcsh:Medicine ,Arthritis ,MESH: Uric Acid / chemistry ,Pharmacology ,Pathology and Laboratory Medicine ,Mouse models ,Tyrosine-kinase inhibitor ,Mice ,chemistry.chemical_compound ,0302 clinical medicine ,Medicine and Health Sciences ,Nanotechnology ,MESH: Animals ,lcsh:Science ,Musculoskeletal System ,Immune Response ,Routes of Administration ,MESH: Crystallization ,[SDV.MHEP.RSOA] Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system ,Multidisciplinary ,Arthritis, Gouty ,Animal Models ,Protein-Tyrosine Kinases ,3. Good health ,Experimental Organism Systems ,[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system ,Rheumatoid arthritis ,[SDV.SP.PHARMA] Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology ,Physical Sciences ,Imatinib Mesylate ,Legs ,Engineering and Technology ,Anatomy ,Crystallization ,Tyrosine kinase ,Injections, Intraperitoneal ,MESH: Injections, Intraperitoneal ,Research Article ,medicine.drug ,medicine.medical_specialty ,Materials by Structure ,medicine.drug_class ,Inflammatory Diseases ,Materials Science ,Immunology ,Intraperitoneal injections ,MESH: Imatinib Mesylate / administration & dosage ,Research and Analysis Methods ,Crystals ,03 medical and health sciences ,MESH: Protein-Tyrosine Kinases / antagonists & inhibitors ,Model Organisms ,Signs and Symptoms ,Rheumatology ,MESH: Imatinib Mesylate / pharmacology ,Diagnostic Medicine ,MESH: Mice, Inbred C57BL ,Internal medicine ,medicine ,Animals ,Protein Kinase Inhibitors ,MESH: Mice ,030203 arthritis & rheumatology ,Inflammation ,MESH: Arthritis, Gouty / prevention & control ,business.industry ,lcsh:R ,Limbs (Anatomy) ,Ankles ,Biology and Life Sciences ,Imatinib ,medicine.disease ,MESH: Uric Acid / adverse effects ,MESH: Protein Kinase Inhibitors / pharmacology ,Uric Acid ,Mice, Inbred C57BL ,030104 developmental biology ,Endocrinology ,Imatinib mesylate ,chemistry ,[SDV.SP.PHARMA]Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology ,Uric acid ,Nanoparticles ,lcsh:Q ,business - Abstract
International audience; Gouty arthritis is caused by the deposition of monosodium urate (MSU) crystals in joints. Despite many treatment options for gout, there is a substantial need for alternative treatments for patients unresponsive to current therapies. Tyrosine kinase inhibitors have demonstrated therapeutic benefit in experimental models of antibody-dependent arthritis and in rheumatoid arthritis in humans, but to date, the potential effects of such inhibitors on gouty arthritis has not been evaluated. Here we demonstrate that treatment with the tyrosine kinase inhibitor imatinib mesylate (imatinib) can suppress inflammation induced by injection of MSU crystals into subcutaneous air pouches or into the ankle joint of wild type mice. Moreover, imatinib treatment also largely abolished the lower levels of inflammation which developed in IL-1R1-/- or KitW-sh/W-sh mice, indicating that this drug can inhibit IL-1-independent pathways, as well as mast cell-independent pathways, contributing to pathology in this model. Imatinib treatment not only prevented ankle swelling and synovial inflammation when administered before MSU crystals but also diminished these features when administrated after the injection of MSU crystals, a therapeutic protocol more closely mimicking the clinical situation in which treatment occurs after the development of an acute gout flare. Finally, we also assessed the efficiency of local intra-articular injections of imatinib-loaded poly(lactic-co-glycolic acid) (PLGA) nanoparticles in this model of acute gout. Treatment with low doses of this long-acting imatinib:PLGA formulation was able to reduce ankle swelling in a therapeutic protocol. Altogether, these results raise the possibility that tyrosine kinase inhibitors might have utility in the treatment of acute gout in humans.
- Published
- 2017