Adenosine deaminase modulates metabolic remodeling and orchestrates joint destruction in rheumatoid arthritis

Autor: Venketesh Sivaramakrishnan, Rahul Ray, Saibharath Simha Reddy Santha, Sai Krishna Srimadh Bhagavatham, Polani B. Seshagiri, Vishnu Kannan, Sujith Kumar Pulukool, Narsimulu Gumdal, Divya Sridharan, Sai Mangala Divi, Ashish Pargaonkar, Damodaram Potikuri, Ashwin Ashok Naik, Prakash Khanchandani, K. Narasimhan, Rajesh Babu Dandamudi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Male
Adenosine Deaminase
medicine.medical_treatment
Osteoclasts
Diseases
Biochemistry
Arthritis
Rheumatoid

0302 clinical medicine
Adenosine deaminase
Rheumatic diseases
immune system diseases
Synovial Fluid
Synoviocyte proliferation
Multidisciplinary
biology
hemic and immune systems
Middle Aged
Cytokine
Rheumatoid arthritis
Cytokines
Medicine
Tumor necrosis factor alpha
Female
medicine.symptom
medicine.drug
Cell biology
congenital
hereditary
and neonatal diseases and abnormalities

Science
Inflammation
Article
Autoimmune Diseases
03 medical and health sciences
medicine
Humans
030203 arthritis & rheumatology
business.industry
Macrophages
Mesenchymal stem cell
nutritional and metabolic diseases
medicine.disease
Adenosine
Computational biology and bioinformatics
enzymes and coenzymes (carbohydrates)
030104 developmental biology
Immunology
biology.protein
Leukocytes
Mononuclear

business
Biomarkers
Zdroj: Scientific Reports, Vol 11, Iss 1, Pp 1-22 (2021)
Scientific Reports
ISSN: 2045-2322
Popis: Rheumatoid Arthritis (RA) is a chronic autoimmune disease associated with inflammation and joint remodeling. Adenosine deaminase (ADA), a risk factor in RA, degrades adenosine, an anti-inflammatory molecule, resulting in an inflammatory bias. We present an integrative analysis of clinical data, cytokines, serum metabolomics in RA patients and mechanistic studies on ADA-mediated effects on in vitro cell culture models. ADA activity differentiated patients into low and high ADA sets. The levels of the cytokines TNFα, IFNγ, IL-10, TGFβ and sRANKL were elevated in RA and more pronounced in high ADA sets. Serum metabolomic analysis shows altered metabolic pathways in RA which were distinct between low and high ADA sets. Comparative analysis with previous studies shows similar pathways are modulated by DMARDs and biologics. Random forest analysis distinguished RA from control by methyl-histidine and hydroxyisocaproic acid, while hexose-phosphate and fructose-6-phosphate distinguished high ADA from low ADA. The deregulated metabolic pathways of High ADA datasets significantly overlapped with high ADA expressing PBMCs GEO transcriptomics dataset. ADA induced the death of chondrocytes, synoviocyte proliferation, both inflammation in macrophages and their differentiation into osteoclasts and impaired differentiation of mesenchymal stem cells to osteoblasts and mineralization. PBMCs expressing elevated ADA had increased expression of cytokines and P2 receptors compared to synovial macrophages which has low expression of ADA. Our data demonstrates increased cytokine levels and distinct metabolic signatures of RA based on the ADA activity, suggests an important role for ADA in the pathophysiology of RA joints and as a potential marker and therapeutic target in RA patients.
Databáze: OpenAIRE