CTLA4-Ig Directly Inhibits Osteoclastogenesis by Interfering With Intracellular Calcium Oscillations in Bone Marrow Macrophages

J Bone Miner Res. 2019 Sep;34(9):1744-1752. doi: 10.1002/jbmr.3754. Epub 2019 Jul 16.

Abstract

CTLA4-Ig (cytotoxic T-lymphocyte antigen 4-immunoglobulin; Abatacept) is a biologic drug for rheumatoid arthritis. CTLA4 binds to the CD80/86 complex of antigen-presenting cells and blocks the activation of T cells. Although previous reports showed that CTLA4-Ig directly inhibited osteoclast differentiation, the whole inhibitory mechanism of CTLA4-Ig for osteoclast differentiation is unclear. Bone marrow macrophages (BMMs) from WT mice were cultured with M-CSF and RANKL with or without the recombinant mouse chimera CTLA4-Ig. Intracellular calcium oscillations of BMMs with RANKL were detected by staining with calcium indicator fura-2 immediately after administration of CTLA4-Ig or after one day of treatment. Calcium oscillations were analyzed using Fc receptor gamma- (FcRγ-) deficient BMMs. CTLA4-Ig inhibited osteoclast differentiation and reduced the expression of the nuclear factor of activated T cells NFATc1 in BMMs in vitro. Calcium oscillations in BMMs were suppressed by CTLA4-Ig both immediately after administration and after one day of treatment. CTLA4-Ig did not affect osteoclastogenesis and did not cause remarkable changes in calcium oscillations in FcRγ-deficient BMMs. Finally, to analyze the effect of CTLA4-Ig in vivo, we used an LPS-induced osteolysis model. CTLA4-Ig suppressed LPS-induced bone resorption in WT mice, not in FcRγ-deficient mice. In conclusion, CTLA4-Ig inhibits intracellular calcium oscillations depending on FcRγ and downregulates NFATc1 expression in BMMs. © 2019 American Society for Bone and Mineral Research.

Keywords: ABATACEPT; CALCIUM OSCILLATION; CTLA4; OSTEOCLAST DIFFERENTIATION.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abatacept / administration & dosage
  • Abatacept / pharmacology*
  • Animals
  • Bone Marrow / pathology*
  • Calcium Signaling / drug effects*
  • Female
  • Intracellular Space / metabolism*
  • Lipopolysaccharides / pharmacology
  • Macrophages / drug effects
  • Macrophages / metabolism*
  • Mice, Inbred C57BL
  • Models, Biological
  • NFATC Transcription Factors / metabolism
  • Osteogenesis / drug effects*
  • Osteolysis / metabolism
  • Osteolysis / pathology
  • Receptors, IgG / metabolism
  • Skull / pathology
  • Stem Cells / drug effects
  • Stem Cells / metabolism

Substances

  • Lipopolysaccharides
  • NFATC Transcription Factors
  • Receptors, IgG
  • Abatacept