A9.17 Targeting the Expression of miR-146a in Mouse Inflammatory Ly6C<sup>high</sup>Monocyte Subset for Therapeutic Intervention in Arthritis
Authors: M Ammari, I Duroux-Richard, J Presumey, C Roubert, V Escriou, C Jorgensen, F Apparailly
Journal: Annals of the Rheumatic Diseases (2013)

<h3>Background and Objectives</h3> Monocytes can give rise to different cell types including osteoclasts (OC), which play an important role in maintaining bone homeostasis by resorbing bone matrix. Circulating monocytes consist of at least two main functional subsets of immune cells, Ly6C<sup>high</sup> and Ly6C<sup>low</sup> monocytes, arising from a common progenitor in the bone marrow. Excessive and prolonged activation of inflammatory LyC6<sup>high</sup> monocytes is a hallmark of many inflammatory diseases including arthritis. Among key molecular rheostats, micro (mi) RNAs are a class of regulatory RNAs that control basic biological functions and orchestrate inflammatory responses. Among master miRNAs of innate immunity, miR-146a exerts a negative retro-control on inflammation transduction signals and inhibits osteoclastogenesis. Despite aberrant increased expression in rheumatoid arthritis (RA), miR-146a is unable to properly down regulate inflammation, leading to prolonged TNF production and increased OC, two arthritis hallmarks. Here, we investigated whether miR-146a was differentially regulated in both Ly6C<sup>high</sup> and Ly6C<sup>low</sup> monocyte subsets in healthy and arthritic conditions. Moreover, we developed techniques to deliver siRNA to LyC6<sup>high</sup> monocytes in vivo and thus determined the specific impact of miR-146a overexpression in this particular monocyte subset on inflammation and osteoclastogenesis, in the context of arthritis. <h3>Materials and Methods</h3> Subset monocytes were isolated from peripheral blood of arthritic and healthy mice by FACS sorting following membrane stainings. Transcriptomic analyses for miRNA expression were performed (n = 6) and differential miRNA expression levels were validated on individual samples using multiplex RT-qPCR (n = 13). Collagen-induced arthritic (CIA) mice were injected intravenously at disease onset with lipoplex containing either control or miR-146a mimic (0.5 mg/kg). Arthritis severity was monitored and OC differentiation was performed by stimulating bone marrow-derived monocytes (BMDM) with M-CSF and RANK-L miR-146a expression levels measured during OC differentiation. TRAP activity, OC numbers and nuclei per OC were quantified. <h3>Results</h3> Transcriptomic analyses showed higher expression of miR-146a in Ly6C<sup>low</sup> monocytes when compared to Ly6C<sup>high</sup> monocytes, in both healthy and arthritis mice. In arthritis mice, expression of miR-146a in Ly6C<sup>high</sup> monocytes is down-regulated as compared to healthy controls. During differentiation of BMDM into OC, miR-146a expression levels are down-regulated on day 2. Enforced expression of miR-146a in Ly6C<sup>high</sup> monocytes upon intravenous injection of miR-146a-containing lipoplex leads to decreased bone erosion in mouse CIA. This effect was associated with a decreased number of mature OC and TRAP activity, as well as a reduced number of nuclei per OC. <h3>Conclusions</h3> Overall, our results show that specific over-expression of miR-146a in Ly6C<sup>high</sup> monocytes alters OC differentiation and decreased bone erosion in mouse CIA. These data also suggest that Ly6C<sup>high</sup> monocytes might be the monocyte subset precursor of OC, and that targeting this specific monocyte subset might represent a therapeutic option in the context of arthritis to inhibit bone loss.