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      Triptolide alleviates collagen‐induced arthritis in mice by modulating Treg/Th17 imbalance through the JAK/PTEN‐STAT3 pathway

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          Abstract

          Background

          This study aimed to investigate the effects of triptolide (TP) on collagen‐induced arthritis (CIA) mice and the related mechanisms.

          Methods

          CIA mice were administered TP for 35 days. Mouse ankle joints and serum antibodies and cytokines were examined to assess the therapeutic effects of TP. The ratios of Treg, Th1 and Th17 cells were measured by flow cytometry and RT‐qPCR. Reverse docking was used to characterize the binding modes of TP against target proteins. The expression of the STAT3 pathway in CIA mice was evaluated by western blotting and immunofluorescence staining. Mouse spleen lymphocytes were extracted, and the expression of the STAT3 pathway after IL‐6 stimulation was analysed.

          Results

          TP could significantly alleviate joint swelling, reduce bone destruction and downregulate serum inflammation levels. TP improved the imbalance of Treg/Th17 cells in CIA mice. TP could form stable complexes with target proteins. TP significantly inhibited the activation of the JAK/PTEN‐STAT3 pathway in mice. Moreover, TP regulated the activation of the JAK1/2‐STAT3 signalling pathway in mouse spleen lymphocytes under inflammatory stimulation.

          Conclusion

          TP can inhibit inflammation and alleviate bone destruction in CIA mice. The underlying mechanism is related to the regulation of the imbalance of Treg/Th17 cells through the JAK/PTEN‐STAT3 pathway.

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          Most cited references52

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          Rheumatoid arthritis

          Rheumatoid arthritis (RA) is a chronic, inflammatory, autoimmune disease that primarily affects the joints and is associated with autoantibodies that target various molecules including modified self-epitopes. The identification of novel autoantibodies has improved diagnostic accuracy, and newly developed classification criteria facilitate the recognition and study of the disease early in its course. New clinical assessment tools are able to better characterize disease activity states, which are correlated with progression of damage and disability, and permit improved follow-up. In addition, better understanding of the pathogenesis of RA through recognition of key cells and cytokines has led to the development of targeted disease-modifying antirheumatic drugs. Altogether, the improved understanding of the pathogenetic processes involved, rational use of established drugs and development of new drugs and reliable assessment tools have drastically altered the lives of individuals with RA over the past 2 decades. Current strategies strive for early referral, early diagnosis and early start of effective therapy aimed at remission or, at the least, low disease activity, with rapid adaptation of treatment if this target is not reached. This treat-to-target approach prevents progression of joint damage and optimizes physical functioning, work and social participation. In this Primer, we discuss the epidemiology, pathophysiology, diagnosis and management of RA.
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            Targeting Interleukin-6 Signaling in Clinic

            Interleukin-6 (IL-6) is a pleiotropic cytokine with roles in immunity, tissue regeneration, and metabolism. Rapid production of IL-6 contributes to host defense during infection and tissue injury, but excessive synthesis of IL-6 and dysregulation of IL-6 receptor signaling is involved in disease pathology. Therapeutic agents targeting the IL-6 axis are effective in rheumatoid arthritis, and applications are being extended to other settings of acute and chronic inflammation. Recent studies reveal that selective blockade of different modes of IL-6 receptor signaling has different outcomes on disease pathology, suggesting novel strategies for therapeutic intervention. However, some inflammatory diseases do not seem to respond to IL-6 blockade. Here, we review the current state of IL-6-targeting approaches in the clinic and discuss how to apply the growing understanding of the immunobiology of IL-6 to clinical decisions.
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              The pathogenicity of Th17 cells in autoimmune diseases

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                Author and article information

                Contributors
                Journal
                Basic & Clinical Pharmacology & Toxicology
                Basic Clin Pharma Tox
                Wiley
                1742-7835
                1742-7843
                July 2023
                May 08 2023
                July 2023
                : 133
                : 1
                : 43-58
                Affiliations
                [1 ] Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China
                [2 ] Rehabilitation & Sports Medicine Research Institute of Zhejiang Province Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College Hangzhou China
                [3 ] Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China
                Article
                10.1111/bcpt.13880
                41c91f27-38e3-4cb4-89fc-e34ea8c8faac
                © 2023

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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