Synergistically targeting synovium STING pathway for rheumatoid arthritis treatment

协同靶向滑膜 STING 通路治疗类风湿关节炎

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作者:Haotian Shen, Lulu Jin, Qiangqiang Zheng, Ziqiang Ye, Linxiang Cheng, Yuxu Wu, Honghao Wu, Tae Gyong Jon, Wenduo Liu, Zongyou Pan, Zhengwei Mao, Yue Wang

Abstract

Rheumatoid arthritis (RA) is a common autoimmune disease leading to pain, disability, and even death. Although studies have revealed that aberrant activation of STING was implicated in various autoimmune diseases, the role of STING in RA remains unclear. In the current study, we demonstrated that STING activation was pivotal in RA pathogenesis. As the accumulation of dsDNA, a specific stimulus for STING, is a feature of RA, we developed a spherical polyethyleneimine-coated mesoporous polydopamine nanoparticles loaded with STING antagonist C-176 (PEI-PDA@C-176 NPs) for treating RA. The fabricated NPs with biocompatibility had high DNA adsorption ability and could effectively inhibit the STING pathway and inflammation in macrophages. Intra-articular administration of PEI-PDA@C-176 NPs could effectively reduce joint damage in mice models of dsDNA-induced arthritis and collagen-induced arthritis by inhibiting STING pathway. We concluded that materials with synergistic effects of STING inhibition might be an efficacious strategy to treat RA.

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