title: The A3 adenosine receptor agonist CF502 inhibits the PI3K, PKB/Akt and NF-kappaB signaling pathway in synoviocytes from rheumatoid arthritis patients and in adjuvant-induced arthritis rats.
abstract: The A(3) adenosine receptor (A(3)AR) is over-expressed in inflammatory cells and was defined as a target to combat inflammation. Synthetic agonists to this receptor, such as IB-MECA and Cl-IB-MECA, exert an anti-inflammatory effect in experimental animal models of adjuvant- and collagen-induced arthritis. In this study we present a novel A(3)AR agonist, CF502, with high affinity and selectivity at the human A(3)AR. CF502 induced a dose dependent inhibitory effect on the proliferation of fibroblast-like synoviocytes (FLS) via de-regulation of the nuclear factor-kappa B (NF-kappaB) signaling pathway. Furthermore, CF502 markedly suppressed the clinical and pathological manifestations of adjuvant-induced arthritis (AIA) in a rat experimental model when given orally at a low dose (100 microg/kg). As is typical of other G-protein coupled receptors, the A(3)AR expression level was down-regulated shortly after treatment with agonist CF502 in paw and in peripheral blood mononuclear cells (PBMCs) derived from treated AIA animals. Subsequently, a decrease in the expression levels of protein kinase B/Akt (PKB/Akt), IkappaB kinase (IKK), I kappa B (IkappaB), NF-kappaB and tumor necrosis factor-alpha (TNF-alpha) took place. In addition, the expression levels of glycogen synthase kinase-3 beta (GSK-3beta), beta-catenin, and poly(ADP-ribose)polymerase (PARP), known to control the level and activity of NF-kappaB, were down-regulated upon treatment with CF502. Taken together, CF502 inhibits FLS growth and the inflammatory manifestations of arthritis, supporting the development of A(3)AR agonists for the treatment of rheumatoid arthritis.
authors.affiliation: Can-Fite BioPharma Ltd., Kiryat-Matalon, Petah-Tikva 49170, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Ochaion
authors.forename: S
authors.initials: S
authors.lastname: Bar-Yehuda
authors.forename: S
authors.initials: S
authors.lastname: Cohen
authors.forename: H
authors.initials: H
authors.lastname: Amital
authors.forename: K A
authors.initials: KA
authors.lastname: Jacobson
authors.forename: B V
authors.initials: BV
authors.lastname: Joshi
authors.forename: Z G
authors.initials: ZG
authors.lastname: Gao
authors.forename: F
authors.initials: F
authors.lastname: Barer
authors.forename: R
authors.initials: R
authors.lastname: Patoka
authors.forename: L
authors.initials: L
authors.lastname: Del Valle
authors.forename: G
authors.initials: G
authors.lastname: Perez-Liz
authors.forename: P
authors.initials: P
authors.lastname: Fishman
mesh_terms: D000241:Adenosine / Q000031:analogs & derivatives* / Q000494:pharmacology / Q000627:therapeutic use; D058909:Adenosine A3 Receptor Agonists; D000818:Animals; D001168:Arthritis / Q000139:chemically induced / Q000188:drug therapy / Q000378:metabolism / Q000473:pathology; D001172:Arthritis, Rheumatoid / Q000188:drug therapy* / Q000378:metabolism / Q000473:pathology; D004195:Disease Models, Animal; D006801:Humans; D007249:Inflammation / Q000188:drug therapy; D016328:NF-kappa B / Q000378:metabolism*; D019869:Phosphatidylinositol 3-Kinases / Q000378:metabolism; D011494:Protein Kinases / Q000378:metabolism*; D051057:Proto-Oncogene Proteins c-akt / Q000378:metabolism; D051381:Rats; D015398:Signal Transduction / Q000187:drug effects*; D013583:Synovial Membrane / Q000378:metabolism / Q000473:pathology*
chemical_list: D058909:Adenosine A3 Receptor Agonists; C531153:CF 502; D016328:NF-kappa B; D011494:Protein Kinases; D019869:Phosphatidylinositol 3-Kinases; D051057:Proto-Oncogene Proteins c-akt; D000241:Adenosine