Lessons on SpA pathogenesis from animal models

Semin Immunopathol. 2021 Apr;43(2):207-219. doi: 10.1007/s00281-020-00832-x. Epub 2021 Jan 15.

Abstract

Understanding the complex mechanisms underlying a disorder such as spondyloarthritis (SpA) may benefit from studying animal models. Several suitable models have been developed, in particular to investigate the role of genetic factors predisposing to SpA, including HLA-B27, ERAP1, and genes related to the interleukin (IL)-23/IL-17 axis. One of the best examples of such research is the HLA-B27 transgenic rat model that fostered the emergence of original theories regarding HLA-B27 pathogenicity, including dysregulation of innate immunity, contribution of the adaptive immune system to chronic inflammation, and influence of the microbiota on disease development. Very recently, a new model of HLA-B27 transgenic Drosophila helped to expand further some of those theories in an unexpected direction involving the TGFβ/BMP family of mediators. On the other hand, several spontaneous, inducible, and/or genetically modified mouse models-including SKG mouse, TNFΔARE mouse and IL-23-inducible mouse model of SpA-have highlighted the importance of TNFα and IL-23/IL-17 axis in the development of SpA manifestations. Altogether, those animal models afford not only to study disease mechanism but also to investigate putative therapeutic targets.

Keywords: Animal models; Ankylosing spondylitis; HLA-B27; Interleukin-17; Interleukin-23; Spondyloarthritis; TNFα.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aminopeptidases
  • Animals
  • Disease Models, Animal
  • HLA-B27 Antigen / genetics
  • Humans
  • Mice
  • Minor Histocompatibility Antigens
  • Rats
  • Rats, Transgenic
  • Spondylarthritis*

Substances

  • HLA-B27 Antigen
  • Minor Histocompatibility Antigens
  • Aminopeptidases
  • ERAP1 protein, human