Evidence map›Paper›PMID 39501398›Full record

ArticleArthritis research & therapy2024

Engineered self-regulating macrophages for targeted anti-inflammatory drug delivery.

Molly Klimak, Amanda Cimino, Kristin L Lenz, Luke E Springer, Kelsey H Collins, Natalia S Harasymowicz, Nathan Xu, Christine T N Pham, Farshid Guilak

Abstract read
In one paragraph

Article in Arthritis research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Programmable chronogenetic gene circuits for self-regulated circadian delivery of biologic drugs.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Molly KlimakDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, 63110, USA.
Amanda CiminoDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, 63110, USA.
Kristin L LenzDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, 63110, USA.
Luke E SpringerCenter of Regenerative Medicine, Washington University in St. Louis, Campus Box 8233, Couch Biomedical Research Bldg., Room 3121, St. Louis, MO, 63110, USA.
Kelsey H CollinsDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, 63110, USA.
Natalia S HarasymowiczDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, 63110, USA.
Nathan XuDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, 63105, USA.
Christine T N PhamCenter of Regenerative Medicine, Washington University in St. Louis, Campus Box 8233, Couch Biomedical Research Bldg., Room 3121, St. Louis, MO, 63110, USA.
Farshid GuilakDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, 63110, USA. guilak@wustl.edu.

Funding

VISCOELASTIC PROPERTIES OF NORMAL AND OA CHONDRONSR01AG015768 · NIA · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID · 1998 to 2022
$7.7M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Megan Anne Cooper · 2018 to 2026
$7.6M
Genetically-engineered stem cells for self-regulating arthritis therapyR01AR080902 · NIAMS · WASHINGTON UNIVERSITY · PI Farshid Guilak, Christine T. Pham · 2022 to 2026
$3.7M
OBESITY, BIOMECHANICS, AND INFLAMMATION IN OSTEOARTHRITISR01AG046927 · NIA · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID · 2013 to 2023
$3.2M
Deconstructing Cartilage Mechanotransduction by Piezo ChannelsR01AR072999 · NIAMS · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID · 2020 to 2024
$2.9M
Unraveling Fundamental Mechanisms of Interorgan Crosstalk in OsteoarthritisDP2AG093209 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLINS, KELSEY HELEN-MARIE · 2024 to 2024
$1.5M
The Role of Fat in OsteoarthritisR00AR078949 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLINS, KELSEY HELEN-MARIE · 2023 to 2025
$715k
The Role of Fat in OsteoarthritisK99AR078949 · NIAMS · WASHINGTON UNIVERSITY · PI COLLINS, KELSEY HELEN-MARIE · 2022 to 2023
$98k
NIAMS NIH HHS AR073752NIAMS NIH HHS AR078949NIAMS NIH HHS K99 AR078949NIAMS NIH HHS P30 AR073752NIAMS NIH HHS R00 AR078949NIAMS NIH HHS R01 AR072999NIAMS NIH HHS R01 AR080902NIA NIH HHS DP2 AG093209NIA NIH HHS R01 AG015768NIA NIH HHS R01 AG046927NIH HHS AG15786
6 · The paper itself

Abstract

backgroundRheumatoid arthritis (RA) is a systemic autoimmune disease characterized by increased levels of inflammation that primarily manifests in the joints. Macrophages act as key drivers for the progression of RA, contributing to the perpetuation of chronic inflammation and dysregulation of pro-inflammatory cytokines such as interleukin 1 (IL-1). The goal of this study was to develop a macrophage-based cell therapy for biologic drug delivery in an autoregulated manner.

methodsFor proof-of-concept, we developed "smart" macrophages to mitigate the effects of IL-1 by delivering its inhibitor, IL-1 receptor antagonist (IL-1Ra). Bone marrow-derived macrophages were lentivirally transduced with a synthetic gene circuit that uses an NF-κB inducible promoter upstream of either the Il1rn or firefly luciferase transgenes. Two types of joint like cells were utilized to examine therapeutic protection in vitro, miPSCs derived cartilage and isolated primary mouse synovial fibroblasts while the K/BxN mouse model of RA was utilized to examine in vivo therapeutic protection.

resultsThese engineered macrophages were able to repeatably produce therapeutic levels of IL-1Ra that could successfully mitigate inflammatory activation in co-culture with both tissue-engineered cartilage constructs and synovial fibroblasts. Following injection in vivo, macrophages homed to sites of inflammation and mitigated disease severity in the K/BxN mouse model of RA.

conclusionThese findings demonstrate the successful development of engineered macrophages that possess the ability for controlled, autoregulated production of IL-1 based on inflammatory signaling such as via the NF-κB pathway to mitigate the effects of this cytokine for applications in RA or other inflammatory diseases. This system provides proof of concept for applications in other immune cell types as self-regulating delivery systems for therapeutic applications in a range of diseases.

Indexed as

Anti-Inflammatory AgentsArthritis, RheumatoidDrug Delivery SystemsMacrophagesAnimalsArthritis, ExperimentalCells, CulturedHumansInterleukin 1 Receptor Antagonist ProteinMiceMice, Inbred C57BLAnti-Inflammatory AgentsInterleukin 1 Receptor Antagonist ProteinCell therapyDesigner cellRheumatoid arthritisSynthetic biology

Identifiers

PMID39501398
PMCPMC11539832

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.