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2016 ; 14
(1
): 185
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TWEAK-binding autoantibodies are generated during psoriatic arthritis and are not
influenced by anti-TNF therapy
#MMPMID27338143
Guis S
; Berbis P
; Stephan D
; Bertin D
; Amatore F
; Balandraud N
; Lesavre N
; Desplat-Jégo S
J Transl Med
2016[Jun]; 14
(1
): 185
PMID27338143
show ga
BACKGROUND: TNF weakly inducer of apoptosis (TWEAK) is member of the TNF ligand
superfamily. Various data support that TWEAK produced by synovial macrophages may
contribute to synovitis observed in psoriatic arthritis (PsoA). In PsoA, anti-TNF
therapy has been successful in agreement with the key role of TNF in the
pathogenesis and the generation by PsoA patients of anti-TNF autoantibodies
referred as "beneficial autoimmunity to pro-inflammatory mediators". However, the
role of TNF-alpha in the regulation of TWEAK modulation of inflammation during
PsoA remains unknown. METHODS: We have studied level course during anti-TNF
therapy of serum soluble TWEAK. In the same cohort, we have investigated the
generation of TWEAK-binding autoantibodies by PsoA patients before and after
anti-TNF therapy. RESULTS: Patients with PsoA had significantly higher serum
levels of TWEAK compared with controls [respective means (±SEM) were 645 pg/ml
(64) and 467 pg/ml (23); (p = 0.006)] but serum soluble TWEAK levels were not
correlated with BASDAI (Spearman's coefficients <0.003, p > 0.05). Our study
showed that soluble TWEAK levels were not modulated by etanercept therapy
[respective Means (±SEM) were 605 (95) (week 12) and 744 (97) (week 24) pg/ml;
(p > 0.23)]. Anti-TWEAK autoantibodies were detected in 9/13 (69.2 %) PsoA
patients at inclusion and only in 3/57 (5.3 %) healthy blood donors (p < 0.0001).
These circulating antibodies were persistent in PsoA patients and detected at
similar levels during etanercept therapy. Moreover we showed that they had a down
regulating effect on CCL-2 secretion by endothelial cells stimulated by rh TWEAK
in vitro. CONCLUSION: Our study revealed that during psoriatic arthritis (1)
serum TWEAK was up regulated and (2) TWEAK-binding autoantibodies are generated.
Both parameters were not influenced by anti-TNF therapy and persisted at high
levels during anti-TNF therapy. For the first time we described here
TWEAK-binding IgG autoantibodies with a down regulating effect on CCL-2 secretion
by endothelial cells stimulated by rh TWEAK in vitro. Finally, our results
suggest that TWEAK may be involved in PsoA pathogeny. Trial registration This
clinical trial was approved by the local Ethics Committee "Comité de Protection
des Personnes Sud-Méditerranée V" with the registration number: 2011-002954-29,
and French health minister registration number AFSSAPS A110784-42 obtained the
08/22/2011. This clinical trial is registered in Clinical trial.gov under the
number: NCT02164214.