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Multi-omics profiling of collagen-induced arthritis mouse model reveals early metabolic dysregulation via SIRT1 axis

Rheumatoid arthritis (RA) is characterized by joint infiltration of immune cells and synovial inflammation which leads to progressive disability. Current treatments improve the disease outcome, but the unmet medical need is still high. New discoveries over the last decade have revealed the major impact of cellular metabolism on immune cell functions. So far, a comprehensive understanding of metabolic changes during disease development, especially in the diseased microenvironment, is still limited. Therefore, we studied the longitudinal metabolic changes during the development of murine arthritis integrating metabolomics and bulk RNA-seq data. We identified an early change in macrophage pathways which was accompanied by oxidative stress, a drop in NAD+ level and induction of glucose transporters. We discovered inhibition of SIRT1, a NAD-dependent histone deacetylase and confirmed its dysregulation in human macrophages and synovial tissue of RA patients. Mining this database should enable the discovery of novel metabolic targets and therapy opportunities in RA.

Figure 1: Arthritis progression in CIA mice.

Figure 2: UPLC-MS/MS metabolomics revealed early metabolic alterations in plasma of CIA mice.

Figure 3: Transcriptional profiling of CIA paws over disease progression revealed innate immune cell activation and metabolic adaptations.

Figure 4: Tissue MALDI-MS imaging showed reduction of NAD+ in CIA paws.

Figure 5: Multi-omics data integration identifies ROS as disease-correlated factor.

Figure 6: Transcriptional profiling of LPS-stimulated human macrophages partially overlaps to early transcript changes in mouse CIA.

Figure 7: Gene expression of human synovium over disease progression to RA showed similar changes in oxidative stress and innate immunity.

Figure 8: Metabolic reprogramming in early RA.

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