The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model

<b>Background/Objectives:</b> Interleukin-1 (IL-1) is a pivotal mediator in the pathological progression of osteoarthritis (OA), playing a central role in disease progression. However, the rapid clearance of IL-1 receptor antagonist (IL-1Ra) from the joints may hinder the efficacy of int...

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Main Authors: Shuang Luo, Hao Jiang, Qingwei Li, Shiping Yang, Xuemei Yu, Xiongliang Xu, Qing Xie, Xiao Ke, Qiang Zheng
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/16/12/1518
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author Shuang Luo
Hao Jiang
Qingwei Li
Shiping Yang
Xuemei Yu
Xiongliang Xu
Qing Xie
Xiao Ke
Qiang Zheng
author_facet Shuang Luo
Hao Jiang
Qingwei Li
Shiping Yang
Xuemei Yu
Xiongliang Xu
Qing Xie
Xiao Ke
Qiang Zheng
author_sort Shuang Luo
collection DOAJ
description <b>Background/Objectives:</b> Interleukin-1 (IL-1) is a pivotal mediator in the pathological progression of osteoarthritis (OA), playing a central role in disease progression. However, the rapid clearance of IL-1 receptor antagonist (IL-1Ra) from the joints may hinder the efficacy of intra-articular IL-1Ra injections in reducing OA-associated pain or cartilage degradation. <b>Methods:</b> Sustaining sufficient levels of IL-1Ra within the joints via adeno-associated virus (AAV)-mediated gene therapy presents a promising therapeutic strategy for OA. In this study, we constructed an IL-1Ra expression cassette employing intron insertion in the coding sequence (CDS) region to enhance protein expression levels. Furthermore, we incorporated precisely targeted liver-specific microRNA (miRNA) sequences to specifically downregulate transgene expression within hepatic tissues, thereby ensuring more targeted and controlled regulation of gene expression. <b>Results:</b> A rat model of OA was employed to compare the efficacy of AAV5 and AAV9 for IL-1Ra delivery at both high and low doses. It was observed that low-dose, but not high-dose, AAV9-IL-1Ra resulted in a significant reduction in joint swelling, accompanied by a decrease in the diameter of the affected area and the preservation of biomarkers associated with trabecular bone integrity. <b>Conclusions:</b> These results highlight the great potential of AAV9-IL-1Ra in osteoarthritis therapy, with the promise of achieving long-term improvement through a single intra-articular injection.
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spelling doaj-art-62e2e0cc9d774962a1ff4088b64546602025-08-20T02:01:20ZengMDPI AGPharmaceutics1999-49232024-11-011612151810.3390/pharmaceutics16121518The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat ModelShuang Luo0Hao Jiang1Qingwei Li2Shiping Yang3Xuemei Yu4Xiongliang Xu5Qing Xie6Xiao Ke7Qiang Zheng8Chengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, ChinaChengdu Origen Biotechnology Co., Ltd., Chengdu 610036, China<b>Background/Objectives:</b> Interleukin-1 (IL-1) is a pivotal mediator in the pathological progression of osteoarthritis (OA), playing a central role in disease progression. However, the rapid clearance of IL-1 receptor antagonist (IL-1Ra) from the joints may hinder the efficacy of intra-articular IL-1Ra injections in reducing OA-associated pain or cartilage degradation. <b>Methods:</b> Sustaining sufficient levels of IL-1Ra within the joints via adeno-associated virus (AAV)-mediated gene therapy presents a promising therapeutic strategy for OA. In this study, we constructed an IL-1Ra expression cassette employing intron insertion in the coding sequence (CDS) region to enhance protein expression levels. Furthermore, we incorporated precisely targeted liver-specific microRNA (miRNA) sequences to specifically downregulate transgene expression within hepatic tissues, thereby ensuring more targeted and controlled regulation of gene expression. <b>Results:</b> A rat model of OA was employed to compare the efficacy of AAV5 and AAV9 for IL-1Ra delivery at both high and low doses. It was observed that low-dose, but not high-dose, AAV9-IL-1Ra resulted in a significant reduction in joint swelling, accompanied by a decrease in the diameter of the affected area and the preservation of biomarkers associated with trabecular bone integrity. <b>Conclusions:</b> These results highlight the great potential of AAV9-IL-1Ra in osteoarthritis therapy, with the promise of achieving long-term improvement through a single intra-articular injection.https://www.mdpi.com/1999-4923/16/12/1518osteoarthritisgene therapyadeno-associated virusIL-1Ra
spellingShingle Shuang Luo
Hao Jiang
Qingwei Li
Shiping Yang
Xuemei Yu
Xiongliang Xu
Qing Xie
Xiao Ke
Qiang Zheng
The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model
Pharmaceutics
osteoarthritis
gene therapy
adeno-associated virus
IL-1Ra
title The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model
title_full The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model
title_fullStr The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model
title_full_unstemmed The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model
title_short The Intra-Articular Delivery of a Low-Dose Adeno-Associated Virus-IL-1 Receptor Antagonist Vector Alleviates the Progress of Arthritis in an Osteoarthritis Rat Model
title_sort intra articular delivery of a low dose adeno associated virus il 1 receptor antagonist vector alleviates the progress of arthritis in an osteoarthritis rat model
topic osteoarthritis
gene therapy
adeno-associated virus
IL-1Ra
url https://www.mdpi.com/1999-4923/16/12/1518
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