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Schnurri-3 inhibition suppresses bone and joint damage in models of rheumatoid arthritis

Stavre, Zheni
Kim, Jung-Min
Yang, Yeon-Suk
Nündel, Kerstin
Chaugule, Sachin
Sato, Tadatoshi
Park, Kwang Hwan
Gao, Guangping
Gravallese, Ellen M
Shim, Jae-Hyuck
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Authors
Stavre, Zheni
Kim, Jung-Min
Yang, Yeon-Suk
Nündel, Kerstin
Chaugule, Sachin
Sato, Tadatoshi
Park, Kwang Hwan
Gao, Guangping
Gravallese, Ellen M
Shim, Jae-Hyuck
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Document Type
Journal Article
Publication Date
2023-05-04
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Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory disease that leads to systemic and articular bone loss by activating bone resorption and suppressing bone formation. Despite current therapeutic agents, inflammation-induced bone loss in RA continues to be a significant clinical problem due to joint deformity and lack of articular and systemic bone repair. Here, we identify the suppressor of bone formation, Schnurri-3 (SHN3), as a potential target to prevent bone loss in RA. SHN3 expression in osteoblast-lineage cells is induced by proinflammatory cytokines. Germline deletion or conditional deletion of in osteoblasts limits articular bone erosion and systemic bone loss in mouse models of RA. Similarly, silencing of SHN3 expression in these RA models using systemic delivery of a bone-targeting recombinant adenoassociated virus protects against inflammation-induced bone loss. In osteoblasts, TNF activates SHN3 via ERK MAPK-mediated phosphorylation and, in turn, phosphorylated SHN3 inhibits WNT/β-catenin signaling and up-regulates RANKL expression. Accordingly, knock-in of a mutation in that fails to bind ERK MAPK promotes bone formation in mice overexpressing human TNF due to augmented WNT/β-catenin signaling. Remarkably, Shn3-deficient osteoblasts are not only resistant to TNF-induced suppression of osteogenesis, but also down-regulate osteoclast development. Collectively, these findings demonstrate SHN3 inhibition as a promising approach to limit bone loss and promote bone repair in RA.

Source

Stavre Z, Kim JM, Yang YS, Nündel K, Chaugule S, Sato T, Park KH, Gao G, Gravallese EM, Shim JH. Schnurri-3 inhibition suppresses bone and joint damage in models of rheumatoid arthritis. Proc Natl Acad Sci U S A. 2023 May 9;120(19):e2218019120. doi: 10.1073/pnas.2218019120. Epub 2023 May 4. PMID: 37141171; PMCID: PMC10175794.

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DOI
10.1073/pnas.2218019120
PubMed ID
37141171
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Copyright © 2023 the Author(s). Published by PNAS. This article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND).Attribution-NonCommercial-NoDerivatives 4.0 International