FOR IMMEDIATE RELEASE
June 10, 2005
Arthritis National Research Foundation
Grant Recipients 2005-2006
Research Across the Arthritis Spectrum
Long Beach, CA – Arthritis National Research Foundation (ANRF)
grant recipients are highly qualified researchers with several years
of post-doctoral experience, hoping that this grant award will help
them launch their independent research careers. The ANRF is delighted
to provide the funding they need at a pivotal time in their careers:
they are affiliated with established laboratories at non-profit
research universities or facilities and their projects show a great
deal of promise to increase our understanding of arthritis diseases
and developing new treatments.
The following 14 researchers have been funded for the 2005-06 grant
award period:
New Therapeutic Target for Lupus
David Cauvi, Ph.D., The Scripps Research Institute, La Jolla, CA
Decay accelerating factor and systemic autoimmunity
Systemic lupus erythematosus (SLE or lupus) is a devastating chronic
autoimmune disease affecting multiple organ systems and characterized
by a broad array of antibodies. Dr. David Cauvi’s laboratory
has identified that a protein called decay accelerating factor (DAF),
is increased in lupus-resistant mice. Dr. Cauvi will test whether
an elevated level of DAF reduces the development of SLE by treating
lupus-prone mice with a soluble form of DAF. These experiments will
allow Dr. Cauvi to conclude whether or not DAF exerts a protective
role in the development of SLE, providing a new target for therapeutic
intervention, not only for SLE but for other autoimmune diseases,
as well.
Using a New Genetic Tool
Hongbo Chi, Ph.D., Yale University School of Medicine, New Haven,
CT | S1P1 and regulation of autoimmune disease
T lymphocytes, a type of white blood cell, play a central role
in the regulation of immune responses against infection. The function
of T lymphocytes is critically dependent upon their ability to distinguish
between self and non-self. The inappropriate recognition of self
tissues by T lymphocytes leads to many autoimmune diseases; the
most representative systemic autoimmune disease in humans is systemic
lupus erythematosus (SLE or lupus). Therapeutic intervention of
SLE and other rheumatic diseases requires a better understanding
of the molecular and cellular pathways regulating T cell function.
Dr. Hongbo Chi is using a new genetic tool to study this molecular
pathway in immune responses and autoimmune diseases with the long-term
goal of translating the knowledge gained from these studies into
innovative therapeutic strategies.
Proteins that may cause RA
Myung-Shin Jeon, Ph.D., La Jolla Institute for Allergy and Immunology,
San Diego, CA | c-Cbl in the development of autoimmune arthritis
T cells are the critical components in the initiation and the maintenance
of autoimmune diseases, such as rheumatoid arthritis. Dr. Myung-Shin
Jeon will analyze mice with collagen-induced arthritis to understand
the molecular function of certain proteins in the development of
arthritis. This may help identify novel therapeutic approaches for
the treatment of human autoimmune arthritis and other autoimmune
disorders.
Gene Therapy for Lupus?
Martin Kriegel, M.D., Yale University School of Medicine, New Haven,
CT | T Cell-specific Deletion of GRAIL – the gene related
to anergy in lymphocytes
One key mechanism to preserve normal immune response –
called T cell anergy – is disturbed in SLE patients and lupus-prone
mice. The molecular details of anergy are not fully understood.
Dr. Martin Kriegel’s study will examine a particular enzyme
in the anergy pathway called gene related to anergy in lymphocytes
(GRAIL). He will genetically engineer a mouse so that GRAIL is not
expressed, specifically in T cells, to study its role in the development
of SLE and other systemic autoimmune diseases. In the long term,
enzymes like GRAIL may provide novel therapeutic avenues for rheumatic
diseases.
The Role of B Cells in RA
Taras Lyubchenko, Ph.D., University of Colorado Health Sciences
Center, Denver, CO | Role of complement receptor 2 (CR2/CD21) in
B cell receptor signal transduction
Understanding the mechanisms underlying activation of antibody-producing
B cells is particularly important in autoimmune diseases such as
rheumatoid arthritis. Dr. Taras Lyubchenko’s study will focus
on one of the key processes responsible for the contribution of
B cells to the course of the autoimmune disease – intracellular
signaling mechanisms. The goal of this study is to characterize
these novel mechanisms of B cell activation and to facilitate a
new therapeutic approach to reduce B cell activation in rheumatoid
arthritis.
Understanding the Immune System
Adam Mor, M.D., New York University School of Medicine, Hospital
for Joint Diseases, New York, NY | Ras signaling in Autoimmune T
cells: Spatiotemporal Ras signaling in primary T cells
The immune system is designed to protect us from infection, but
when its regulation is impaired it can give rise to diseases in
which normal tissues are damaged. Lupus (SLE) is the prototype of
such a disease. The component of the immune system that regulates
its activity is a type of white blood cell called a lymphocyte.
Like all cells, a complex network of regulatory proteins controls
the activation of a lymphocyte. Among the most important of these
is one called Ras. Ras functions as a simple molecular switch (“on”
versus “off”). Recently, a strain of mice that develop
lupus was found to have defective control of Ras. Dr. Adam Mor developed
novel tools to study when and where Ras becomes active in living
cells. He will apply these tools to lymphocytes from normal and
lupus mice to learn what aspects of Ras activation are relevant
for the development of the disease.
In order to prevent onset of the disease, we must understand the
defects at the molecular level. Learning the basic pathways involved
in the pathology of lupus is a crucial step in the development of
drugs against the disease.
Cartilage Regeneration in OA
Anna Spagnoli, M.D., Vanderbilt University Medical Center, Memphis,
TN | Role of insulin-like growth factor (IGF-I) in mesenchymal stem
cell cartilage regeneration
In industrialized countries, osteoarthritis affects over one-third
of the adult population. Since cartilage is unable to repair itself,
treatments for osteoarthritis primarily cover up symptoms only.
This had led to efforts to develop alternative means to restore
degenerated cartilage. Over the last few years, research in tissue
regeneration has been bolstered by the discovery that cells in bone
marrow, called mesenchymal stem cells (MSC), are capable of maturing
into several tissues including cartilage. Dr. Anna Spagnoli’s
research is aimed at understanding the mechanisms by which growth
factors regulate MSC cartilage regeneration potential. Among these
growth factors, insulin-like growth factor-I (IFG-I) seems to play
a pivotal role in cartilage regeneration. The primary focus of Dr.
Spagnoli’s study is to define the mechanisms by which IGF-I
determine the cartilage potential of MSC. Identification of such
mechanisms will provide a critical framework to fully implement
and optimize effective MSC gene and cellular therapy in patients
with osteoarthritis.
Preventing Bone Loss in RA
Nicole Cherie Walsh, Ph.D., Beth Israel Deaconess Medical Center,
Harvard Institute of Medicine, Boston, MA | The role of T cells
in the pathogenesis of focal articular bone loss in inflammatory
arthritis
The structural integrity of bone is maintained by the coordinated
actions of two cell types, the bone forming osteoblast and the bone
resorbing osteoclast. In rheumatoid arthritis (RA), there is an
imbalance in the activities of these two cells, with osteoclast
resorption predominating. This results in bone loss within the joints
leading to joint deformity and pain. The exact mechanisms mediating
this imbalance have not been fully elucidated. White blood cells
such as T cells not only contribute to inflammation within the RA
joint, but have also been implicated in mediating the formation
of osteoclasts. There is also evidence to suggest that T cells may
modulate osteoblast formation and function. Therefore, T cells represent
a potential target for therapeutic intervention to prevent arthritis-induced
bone loss.
Dr. Nicole Walsh’s study will assess the potential for the
T cells to modulate osteoblast formation and function in arthritis,
using experimental animal models of arthritis. A clearer understanding
of the role of T cells in mediating arthritis-induced bone loss
may lead to the development of novel therapeutic strategies to prevent
bone loss in this disease.
Novel Imaging Technique
Xueding Wang, Ph.D., University of Michigan, Ann Arbor, MI Photoacoustic
tomography of inflammatory arthritis
The 2005-2006 Sontag Foundation Fellowship award recipient, Xueding
Wang, Ph.D., developed a new technique using laser technology to
provide images of soft tissues such as joints affected by arthritis.
He will test the technique (which has already been demonstrated
successfully in brain images) in animals, comparing the non-invasive
images with physically sectioned tissue to determine the efficacy
of the imaging technique.
The objective of this proposed research is to develop a novel, non-ionizing,
non-invasive, laser-based technology--photoacoustic tomography (PAT)
- to image structural and functional changes in inflammatory joint
diseases. PAT can image tissue structures and functional changes
with high resolution and may provide a unique opportunity for early
diagnosis and monitoring of therapeutic interventions in inflammatory
arthritis with high specificity. Although PAT will be tested on
animals, the ultimate goal is to develop an imaging technology for
human joints. This technique is non-invasive, cost-effective, minimally-dependent
on operators, and patient-friendly. PAT has the potential to become
a routinely used bedside tool for rheumatologists in the near future.
Alternative to Immunosuppressive Drugs
Song Guo Zheng, M.D., University of Southern California, Los Angeles,
CA | Effects of TGF-B on both CD4+ and CD8+ cells are required for
optimal generation and function of regulatory cells
Certain cells that respond to self tissues or organs exist in normal
humans; however, their activities are controlled by a cell population
called regulatory T cells. The deficit and dysfunction of regulatory
T cells cause autoimmune diseases. This novel knowledge provides
a possibility that regulatory T cells can replace immunosuppressive
drugs to treat autoimmune diseases.
Dr. Song Guo Zheng will study the effects of different combinations
of regulatory T cells, generating results that will provide guidance
to choose optimal combination of regulatory T cells in the therapy
for SLE patients.
In Dr. Zheng’s opinion, it is likely that regulatory T cell
therapy will one day replace the immunosuppressive drugs currently
used to treat autoimmune diseases and for patients who have had
organ transplants. The regulatory T cells might be more effective
and less toxic.
Grant Recipients a Second Year: The Research Continues
For the first time this year, the ANRF has awarded a second year
of funding to several scientists. Each submitted a detailed report
outlining the scientific progress made during the first year of
their study and a formal proposal for continuing the work for a
second year. These four researchers were chosen from all grant applicants:
Reversing Fibrosis
Kemin Chen, M.D., Ph.D., University of Missouri-Columbia, Columbia,
MO | Role of Chemokines and matrix metalloproteinases (MMPs) in
resolution vs fibrosis in a murine model of granulomatous experimental
autoimmune thyroiditis (G-EAT): implications for pathology and treatment
Fibrosis is the cycle of damage-healing-scarring-damage, etc. in
inflammatory disease. The functions of various proteins and peptides
are to direct specific inflammatory cells to the diseased tissue
and to regulate formation and breakdown of fibers in scars. Research
has shown that fibrosis progresses in some mice, but other affected
mice return to normal, suggesting that healing mechanisms exist
to end inflammation and clear the scarring, thereby reversing fibrosis.
The results of Dr. Kemin Chen’s study will be 1) to determine
if fibrosis derives from dysregulated proteins and peptides in the
study, and 2) to design therapeutic strategies to inhibit development
of fibrosis by blocking the specific proteins and peptides (chemokines
and MMPs).
RA Gene Susceptibility Study
Walter Fast, Ph.D., The University of Texas at Austin
Peptidylarginine Deiminase 4: Enzymology of a Rheumatoid Arthritis
Susceptibility Gene Product
Rheumatoid arthritis is a chronic inflammatory condition affecting
almost 1% of the world’s population. The cause of this complex
disease is still unknown. However, considerable research interest
has focused on the appearance of disease specific autoantibodies
that recognize a subset of our own proteins that contain an unusual
modification called citrulline. Some of the most specific forms
of these autoantibodies recognize citrullinated proteins, appear
very early in the disease. One hypothesis is that dysregulation
of this citrullination process results in unusually modified proteins
that could induce this autoimmune response. In support of this model,
a strong association has been discovered between susceptibility
to rheumatoid arthritis and mutations in a gene responsible for
protein citrullination.
Dr. Fast’s lab is studying the mutations in this gene that
may result in changes to the normal activity, regulation, localization,
or specificity of its product, an enzyme that catalyzes protein
citrullination. He is comparing this enzyme and the mutant enzyme
that is associated with rheumatoid arthritis susceptibility to determine
whether these mutations introduce any functional changes into the
activity or regulation of this important enzyme. He is also synthesizing
and studying new small molecules that can inhibit the activity of
the enzyme. In the future, these small molecules could potentially
be used in the design of new drugs to treat rheumatoid arthritis.
Increased Estrogen May Alter Immune Response
Christine Grimaldi, Ph.D., Columbia University Department of Medicine
, New York, NY | The role of estrogen receptors in B cell autoreactivity
Systemic lupus erythematosus (SLE) is an autoimmune disease that
is caused by the production of autoantibodies that mediate tissue
damage of target organs, such as the kidney. The autoreactive B
cells that secrete autoantibodies are generated in healthy individuals;
however, they are unable to cause disease because the immune system
is able to effectively regulate these cells. Dr. Christine Grimaldi
will study how the autoreactive B cells of SLE patients bypass the
surveillance mechanisms of the immune system that would normally
silence these cells in healthy individuals.
Since SLE affects females almost 10 times more frequently than males,
it has been widely speculated that the sex hormone, estrogen, plays
a role in disease progression. In light of this, there is a growing
concern about the use of estrogenic compounds, such as those found
in hormone replacement therapy (HRT), in patients with SLE. A recent
clinical trial revealed that some of the SLE patients receiving
HRT experienced significantly more flare-ups than patients receiving
placebo, providing compelling evidence that alterations in estrogen
levels can exacerbate disease. To learn more about the effects of
estrogen on the regulation of autoreactive B cells and the production
of autoantibodies, Dr. Grimaldi has been treating mice with estrogen.
The resultant data have shown that an increase in estrogen induces
a lupus-like disease in treated mice, indicating that elevations
in estrogen levels are sufficient to alter the regulation of autoreactive
B cells.
Results from these studies have important clinical implications
since selective estrogen receptor modulators can be developed that
specifically antagonize the estrogen receptor identified as being
important for disease progression. Such clinically focused therapies
may prove to be beneficial for treating patients with an estrogen
responsive form of SLE.
Molecular Pathways May hold Key to Understanding Immune System
Koichi Kobayashi, M.D., Ph.D., Harvard University Dana-Farber Cancer
Institute, Boston, MA
Role of AHNAK in calcium signaling in T lymphocytes
Current treatments for autoimmune diseases such as rheumatoid arthritis
or lupus are based on regulation of an uncontrolled immune system
by immunosuppressive drugs. However, these drugs are often toxic
with undesirable side effects. The development of more advanced
drugs, with strong immunosuppression, low toxicity and few side
effects is necessary.
Many immunosuppressive drugs like Cyclosporine A or FK506 (tacrolimus)
affect calcium signaling in T lymphocytes. The function of calcium
channels on T cell membranes, which transport calcium into the cell,
is poorly understood. Dr. Koichi Kobayashi recently found that a
large molecule, called AHNAK, is interacting with calcium channels
in T lymphocytes and is required for normal calcium signaling. His
study will reveal the mechanism of calcium regulation by AHNAK using
a mouse model which is lacking the AHNAK gene. These studies should
significantly contribute to the understanding of calcium signaling
in T cells, which is critical to develop better pharmacological
agents to treat autoimmune diseases.
The Arthritis National Research Foundation (ANRF), based in Long
Beach, California, funds promising young scientists at the beginning
of their careers to pursue cutting-edge research for the treatment,
cure and eventual end to the suffering of over 66 million Americans
with arthritis and its related diseases.
The ANRF funds highly qualified researchers associated with non-profit
research facilities, universities and hospitals throughout the country.
ANRF grant recipients are seeking new knowledge for the prevention,
treatment and cure of osteoarthritis, rheumatoid arthritis, and
other rheumatic and related autoimmune diseases. For more information
on the Arthritis National Research Foundation, call 800-588-2873,
e-mail, anrf@ix.netcom.com, or visit the website, www.curearthritis.org
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