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Suppression of inflammatory arthritis by the parasitic worm product ES-62 is associated with epigenetic changes in synovial fibroblasts
Abstract
ES-62 is the major secreted protein of the parasitic filarial nematode, Acanthocheilonema viteae. The molecule exists as a large tetramer (MW, ~240kD), which possesses immunomodulatory properties by virtue of multiple phosphorylcholine (PC) moieties attached to N-type glycans. By suppressing inflammatory immune responses, ES-62 can prevent disease development in certain mouse models of allergic and autoimmune conditions, including joint pathology in collagen-induced arthritis (CIA), a model of rheumatoid arthritis (RA). Such protection is associated with functional suppression of “pathogenic” hyper-responsive synovial fibroblasts (SFs), which exhibit an aggressive inflammatory and bone-damaging phenotype induced by their epigenetic rewiring in response to the inflammatory microenvironment of the arthritic joint. Critically, exposure to ES-62 in vivo induces a stably-imprinted CIA-SF phenotype that exhibits functional responses more typical of healthy, Naïve-SFs. Consistent with this, ES-62 “rewiring” of SFs away from the hyper-responsive phenotype is associated with suppression of ERK activation, STAT3 activation and miR-155 upregulation, signals widely associated with SF pathogenesis. Surprisingly however, DNA methylome analysis of Naïve-, CIA- and ES-62-CIA-SF cohorts reveals that rather than simply preventing pathogenic rewiring of SFs, ES-62 induces further changes in DNA methylation under the inflammatory conditions pertaining in the inflamed joint, including targeting genes associated with ciliogenesis, to programme a novel “resolving” CIA-SF phenotype. In addition to introducing a previously unsuspected aspect of ES-62’s mechanism of action, such unique behaviour signposts the potential for developing DNA methylation signatures predictive of pathogenesis and its resolution and hence, candidate mechanisms by which novel therapeutic interventions could prevent SFs from perpetuating joint inflammation and destruction in RA. Pertinent to these translational aspects of ES-62-behavior, small molecule analogues (SMAs) based on ES-62’s active PC-moieties mimic the rewiring of SFs as well as the protection against joint disease in CIA afforded by the parasitic worm product.
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![Fig 1 CIA induces a “hyper-responsive” SF phenotype that is counteracted by ES-62. SFs from Naïve, CIA and ES-62-CIA (ES-62) mice were incubated overnight in (A) medium or medium containing (B) IL-17, (C) IL-1β, (D) LPS or (E) BLP, and IL-6 release measured. Data are mean (of means of triplicates) values ± SEM of n = 3 cultures representative of 3–7 cultures. The pooled data revealed that CIA-SFs showed 1.486 ± 0.180-fold (n = 7, p<0.05) and ES-62-SFs, 0.873 ± 0.099-fold (n = 4) basal IL-6 release relative to Naïve-SFs and IL-17-stimulated CIA-SFs exhibited x2.29 ± 0.57-fold (n = 3, p<0.05) release compared to Naïve-IL-17 controls, whilst treatment with ES-62 reduced this hyper-production (x 1.87 ± 0.62-fold, n = 3). SFs were analysed for mRNA levels of MMP9 and MMP13 (F and G) or for SOCS1 and SOCS3 (H and I), following incubation overnight in medium (None) or where indicated, medium containing IL-17. Data are from single experiments representative of at least two and presented as mean (of means of triplicates) values ± SEM of n = 3 cultures, assayed by qRT-PCR. (J) Joint pathology showing representative sections from mice, with articular scores of the joint examined [indicated]. Arrows show the cartilage erosion and cellular infiltration in CIA sections. (K) Flow cytometric analysis of the hypoxic status of joint SFs determined by pimonidazole in vivo. (L) Representative images of joint vascular leakage (Evan’s Blue), where articular score for individual paws and [total mouse score] are from one experiment representative of two independent models. Throughout, SFs were pooled from individual mice to generate representative explant cohorts with articular scores: (A-E, and I) CIA, 3.17 ± 1.38, n = 6; ES-62, 0.5 ± 0.22, n = 6; (F-H) CIA, 3.66 ± 1.5, n = 6; ES-62, 1.5 ± 1.15, n = 6; (K) CIA, 4.667 ±1.99, n = 6; ES-62, 0.8 ± 0.8, n = 5. In all panels, *p<0.05; **p<0.01; ***p<0.001 relative to CIA SFs.](/paper-figures/2528ce8d498f4b0896133ee29790673f/suppression-of-inflammatory-arthritis-by-the-parasitic-worm-product-es-62-is-figure-1.jpg)








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“This molecule reduces inflammatory responses and has potential for managing conditions such as asthma and rheumatoid arthritis”
From Parasites and allergies: a complex bidirectional relationship from evolutionary origins to modern therapeutics (2026) · cites this paper as Corbet et al. 2021
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Packi, K., Świerczewski, D., Klimczak, S., Ochab, D., Gałęziewska, J., Gromek, P., Kruczkowska, W., Płuciennik, E., Kałuzińska-Kołat, Ż., & Kołat, D. (2026) · Antonie van Leeuwenhoek · doi:10.1007/s10482-026-02425-4
Metadata
- Authors
- Corbet, M., Pineda, M. A., Yang, K., Tarafdar, A., McGrath, S., Nakagawa, R., Lumb, F. E., Suckling, C. J., Harnett, W., & Harnett, M. M.
- Venue
- PLOS Pathogens
- Publisher
- Public Library of Science (PLoS)
- Published
- 2021-11-08
- Volume
- 17
- Issue
- 11
- Pages
- e1010069
- ISSN
- 1553-7374
- PMC
- PMC8601611
- Cited by
- 22
- References
- 7
- Language
- en
- Update notices
- new_version (2021-11-18)
- Funders
- Wellcome Trust (086852, Phd studentship)
- Versus Arthritis (21133, 21221)
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