Evidence map›Paper›PMID 41611908›Full record

ArticleCellular & molecular immunology2026

TWEAK receptor (Fn14) exacerbates TNF-α-induced inflammation in rheumatoid arthritis synovial fibroblasts and influences response to anti-TNF-α therapy.

Farheen S Shaikh, Meena A Shanta, Anil K Singh, Alexis M Daniels, Sadik A Khuder, Geoffrey M Thiele, George W Reed, Joel M Kremer, Dimitrios A Pappas, Jeffrey R Curtis and 4 more

Abstract read
In one paragraph

Article in Cellular & molecular immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Farheen S ShaikhDepartment of Pharmaceutical Sciences, Washington State University College of Pharmacy and Pharmaceutical Sciences, Spokane, WA, USA.ORCID 0000-0001-7181-638X
Meena A ShantaDepartment of Pharmaceutical Sciences, Washington State University College of Pharmacy and Pharmaceutical Sciences, Spokane, WA, USA.
Anil K SinghDepartment of Pharmaceutical Sciences, Washington State University College of Pharmacy and Pharmaceutical Sciences, Spokane, WA, USA.ORCID 0000-0002-4102-2420
Alexis M DanielsDepartment of Pharmaceutical Sciences, Washington State University College of Pharmacy and Pharmaceutical Sciences, Spokane, WA, USA.
Sadik A KhuderDepartment of Medicine and Public Health, University of Toledo, Toledo, OH, USA.
Geoffrey M ThieleDivision of Rheumatology, University of Nebraska Medical Center, Omaha, NE, USA.
George W ReedCorEvitas LLC, Waltham, MA, USA.
Joel M KremerCorEvitas LLC, Waltham, MA, USA.
Dimitrios A PappasCorEvitas LLC, Waltham, MA, USA.
Jeffrey R CurtisDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA.
James R O'DellDivision of Rheumatology, University of Nebraska Medical Center, Omaha, NE, USA.
Madhu M OusephDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
David A FoxDepartment of Medicine, Division of Rheumatology and Clinical Autoimmunity Center of Excellence, University of Michigan Medical System, Ann Arbor, MI, USA.
Salahuddin AhmedDepartment of Pharmaceutical Sciences, Washington State University College of Pharmacy and Pharmaceutical Sciences, Spokane, WA, USA. salah.ahmed@wsu.edu.ORCID 0000-0003-2526-8110

Funding

MicroRNA-based therapy for rheumatoid arthritisR01AR072615 · NIAMS · WASHINGTON STATE UNIVERSITY · PI AHMED, SALAH-UDDIN · 2018 to 2022
$1.9M
NIAMS NIH HHS R01 AR072615Rheumatology Research Foundation Graduate Student PreceptorshipRheumatology Research Foundation Preceptership AwardU.S. Department of Health & Human Services | NIH | National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) R01 AR-072615
6 · The paper itself

Abstract

The use of TNF inhibitors (TNFis) has revolutionized the management of rheumatoid arthritis (RA) and other autoimmune conditions, but some patients remain resistant to TNFis, for which the molecular mechanisms remain elusive. Our study reveals novel molecular crosstalk between TWEAK/Fn14 and TNF-α signaling and its potential implications for therapy resistance. Elevated Fn14 expression was observed in human synovial tissues and joint homogenates from adjuvant-induced arthritis rats. Low doses of TNF-α and TWEAK synergistically induced inflammation in human RA synovial fibroblasts (RASFs). Furthermore, increased expression of the TWEAK receptor (Fn14) was sufficient for TNF-α to synergistically induce RANTES/CCL5 and MMP-1. In contrast, Fn14 knockdown suppressed the expression of TNF-α-induced adhesion molecules (PDPN, ICAM-1, VCAM-1, and cadherin-11) and inflammatory chemokines (MCP-1/CCL2, RANTES/CCL5, IL-8/CXCL8, and ITAC/CXCL11). Blocking Fn14 with an antagonist (L524-0366) suppressed TNF-α-induced phosphorylation of the kinases JNK, p38, and PKCδ and consequently decreased MCP-1/CCL2, RANTES/CCL5, ITAC/CXCL11, and MMP-1 production. RNA-sequencing analysis revealed >200 differentially expressed genes significantly affected by Fn14 knockdown in TNF-α-activated RASFs. Gene set enrichment analysis (GSEA) revealed significant enrichment of IFN-α and IFN-γ pathway responses in the NC siRNA/TNF-α group compared with the Fn14 siRNA/TNF-α group. Administration of L524-0366 (10 mg/kg) intraperitoneally daily from the onset of disease ameliorated collagen antibody-induced arthritis in mice. These findings reveal that TNF-α utilizes the TWEAK/Fn14 axis to induce inflammation, suggesting the potential benefits of targeting TWEAK/Fn14 as an adjunct therapy with TNF inhibitors.

Indexed as

Arthritis, RheumatoidFibroblastsInflammationSynovial MembraneTumor Necrosis Factor-alphaTWEAK ReceptorAnimalsArthritis, ExperimentalCytokine TWEAKHumansMaleRatsSignal TransductionCytokine TWEAKTumor Necrosis Factor-alphaTWEAK ReceptorFn14Rheumatoid arthritisSynovial fibroblastsTNF-αTNF-α biologicsTWEAK

Identifiers

PMID41611908
PMCPMC12949009

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.