451. Amino Acid Metabolism in Rheumatoid Arthritis: Friend or Foe?
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Roberto Gerli, Maria Teresa Pallotta, Eleonora Panfili, and Ursula Grohmann
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0301 basic medicine ,Serotonin ,Kynurenine pathway ,aryl hydrocarbon receptor (AhR) ,Arginine ,Inflammatory arthritis ,polyamines ,lcsh:QR1-502 ,Arthritis ,Review ,Pharmacology ,Biochemistry ,lcsh:Microbiology ,Arthritis, Rheumatoid ,03 medical and health sciences ,nitric oxide synthase (NOS) ,0302 clinical medicine ,3-dioxygenase 1 (IDO1) ,medicine ,Animals ,Humans ,rheumatoid arthritis (RA) ,ARG1 ,Molecular Biology ,tryptophan metabolism ,Kynurenine ,chemistry.chemical_classification ,Catabolism ,business.industry ,Microbiota ,arginine metabolism ,Tryptophan ,arginase 1 (ARG1) ,medicine.disease ,3. Good health ,Amino acid ,Arginase ,030104 developmental biology ,chemistry ,indoleamine 2,3-dioxygenase 1 (IDO1) ,business ,030217 neurology & neurosurgery ,Indoleamine 2 - Abstract
In mammals, amino acid metabolism has evolved to act as a critical regulator of innate and adaptive immune responses. Rheumatoid arthritis (RA) is the most common form of inflammatory arthropathy sustained by autoimmune responses. We examine here the current knowledge of tryptophan and arginine metabolisms and the main immunoregulatory pathways in amino acid catabolism, in both RA patients and experimental models of arthritis. We found that l-tryptophan (Trp) metabolism and, in particular, the kynurenine pathway would exert protective effects in all experimental models and in some, but not all, RA patients, possibly due to single nucleotide polymorphisms in the gene coding for indoleamine 2,3-dioxygenase 1 (IDO1; the enzyme catalyzing the rate-limiting step of the kynurenine pathway). The function, i.e., either protective or pathogenetic, of the l-arginine (Arg) metabolism in RA was less clear. In fact, although immunoregulatory arginase 1 (ARG1) was highly induced at the synovial level in RA patients, its true functional role is still unknown, possibly because of few available preclinical data. Therefore, our analysis would indicate that amino acid metabolism represents a fruitful area of research for new drug targets for a more effective and safe therapy of RA and that further studies are demanding to pursue such an important objective.
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