Pristimerin, a naturally occurring triterpenoid, protects against autoimmune arthritis by modulating the cellular and soluble immune mediators of inflammation and tissue damage

Li Tong, Siddaraju M. Nanjundaiah, Shivaprasad H. Venkatesha, Brian Astry, Hua Yu, Kamal D. Moudgil

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder affecting the synovial joints. The currently available drugs for RA are effective only in a proportion of patients and their prolonged use is associated with severe adverse effects. Thus, new anti-arthritic agents are being sought. We tested Pristimerin, a naturally occurring triterpenoid, for its therapeutic activity against rat adjuvant arthritis. Pristimerin effectively inhibited both arthritic inflammation and cartilage and bone damage in the joints. Pristimerin-treated rats exhibited a reduction in the pro-inflammatory cytokines (IL-6, IL-17, IL-18, and IL-23) and the IL-6/IL-17-associated transcription factors (pSTAT3 and ROR-γt), coupled with an increase in the immunomodulatory cytokine IL-10. Also increased was IFN-γ, which can inhibit IL-17 response. In addition, the Th17/Treg ratio was altered in favor of immune suppression and the RANKL/OPG ratio was skewed towards anti-osteoclastogenesis. This is the first report on testing Pristimerin in arthritis. We suggest further evaluation of Pristimerin in RA patients.

Original languageEnglish (US)
Pages (from-to)220-230
Number of pages11
JournalClinical Immunology
Volume155
Issue number2
DOIs
StatePublished - Dec 1 2014

Bibliographical note

Funding Information:
This work was supported in part by the National Institutes of Health grant R01AT004321 (to KDM). We thank Joseph P. Stains for advice and help in bone histomorphometry experiments; Stefanie Vogel for providing us with RT-PCR facility; Nicholas Ambulos for help with PCR primers; and Lisa Hester for help with cytokine testing.

Publisher Copyright:
© 2014 Elsevier Inc.

Keywords

  • Autoimmunity
  • Experimental arthritis
  • Mediators of inflammation
  • Natural products
  • T cell subsets (Th17/Treg)
  • Therapy

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