Cited by 104Pain Mechanisms and TreatmentsIon Channels and ReceptorsRheumatoid Arthritis Research and Therapies

Cartilage-binding antibodies induce pain through immune complex–mediated activation of neurons

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Bersellini Farinotti, Alex, Wigerblad, Gustaf, Nascimento, Diana, Bas, Duygu B., Morado Urbina, Carlos, Nandakumar, Kutty Selva, Sandor, Katalin, Xu, Bingze +23 more·2019·Journal of Experimental Medicine

Abstract

Rheumatoid arthritis–associated joint pain is frequently observed independent of disease activity, suggesting unidentified pain mechanisms. We demonstrate that antibodies binding to cartilage, specific for collagen type II (CII) or cartilage oligomeric matrix protein (COMP), elicit mechanical hypersensitivity in mice, uncoupled from visual, histological and molecular indications of inflammation. Cartilage antibody–induced pain-like behavior does not depend on complement activation or joint inflammation, but instead on tissue antigen recognition and local immune complex (IC) formation. smFISH and IHC suggest that neuronal Fcgr1 and Fcgr2b mRNA are transported to peripheral ends of primary afferents. CII-ICs directly activate cultured WT but not FcRγ chain–deficient DRG neurons. In line with this observation, CII-IC does not induce mechanical hypersensitivity in FcRγ chain–deficient mice. Furthermore, injection of CII antibodies does not generate pain-like behavior in FcRγ chain–deficient mice or mice lacking activating FcγRs in neurons. In summary, this study defines functional coupling between autoantibodies and pain transmission that may facilitate the development of new disease-relevant pain therapeutics.

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Sorted by citations

Authors
Bersellini Farinotti, A., Wigerblad, G., Nascimento, D., Bas, D. B., Morado Urbina, C., Nandakumar, K. S., Sandor, K., Xu, B., Abdelmoaty, S., Hunt, M. A., Ängeby Möller, K., Baharpoor, A., Sinclair, J., Jardemark, K., Lanner, J. T., Khmaladze, I., Borm, L. E., Zhang, L., Wermeling, F., Cragg, M. S., Lengqvist, J., Chabot-Doré, A.-J., Diatchenko, L., Belfer, I., Collin, M., Kultima, K., Heyman, B., Jimenez-Andrade, J. M., Codeluppi, S., Holmdahl, R., & Svensson, C. I.
Affiliations
  • Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden 1
  • Karolinska Institutet (SE)
  • Uppsala University (SE)
  • Karolinska University Hospital (SE)
  • Southampton General Hospital (GB)
  • Alan Edwards Centre for Research on Pain, McGill University, Montréal, Quebec, Canada 8
  • McGill University (CA)
  • National Institutes of Health (US)
  • Lund University (SE)
  • Department of Unidad Academica Multidisciplinaria Reynosa Aztlan, Universidad Autonoma de Tamaulipas, Reynosa, Tamaulipas, Mexico 12
Corresponding author
  • Holmdahl, Rikard
  • Svensson, Camilla I.
Venue
Journal of Experimental Medicine
Published
2019-06-13
Volume
216
Issue
8
Pages
1904-1924
ISSN
  • 0022-1007 (ISSN-L)
  • 1540-9538
OpenAlex
W2997764258
Cited by
104
References
0
Citations by year
2026: 11 · 2025: 14 · 2024: 13 · 2023: 10 · 2022: 13 · 2021: 17 · 2020: 17 · 2019: 9
FWCI
9.60
Type
journal article
Language
en
Open access
Locations
  • The Journal of Experimental Medicine (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (acceptedVersion)
  • arXiv (Cornell University) (submittedVersion)
  • Lund University Publications (Lund University) (submittedVersion, other-oa)
  • Diva portal (Dalarna University Library) (submittedVersion, other-oa)
  • Uppsala University Publications (Uppsala University) (submittedVersion, other-oa)
  • arXiv (Cornell University)
Funders
  • Swedish Research Council
  • Swedish Foundation for Strategic Research
  • Knut och Alice Wallenberg Foundation
  • Ragnar Söderberg Foundation
  • Torsten Söderberg Foundation
  • Åke Wiberg Foundation
  • Alfred Österlund Foundation
  • Gyllenstierna-Krapperup Foundation
  • Konung Gustaf V’s 80-year foundation
  • Swedish Arthritis Association
  • Hansa Medical AB
  • Royal Physiographic Society
  • Karolinska Institutet
  • Canadian Institutes of Health Research (G237818/CERC09/CIHR)
  • Government of Guangdong Province (201001Y04675344)
Topics
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Keywords
rheumatoid arthritis, joint pain, type II collagen, cartilage oligomeric matrix protein, immune complexes, mechanical hypersensitivity, Fc gamma receptor, FcRγ chain, dorsal root ganglion neurons, autoantibodies, pain transmission, Fc gamma receptor IIb
MeSH terms
Animals, Antibodies, Monoclonal, Antigen-Antibody Complex, Arthritis, Rheumatoid, Autoantibodies, Behavior, Animal, Cartilage, Disease Models, Animal, Female, Male, Mice, Inbred BALB C, Mice, Inbred CBA, Mice, Inbred C57BL, Mice, Transgenic, Neurons, Receptors, IgG, Arthralgia, Collagen Type II, Mice, Cartilage Oligomeric Matrix Protein

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