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Published in: Arthritis Research & Therapy 1/2019

Open Access 01-12-2019 | Systemic Sclerosis | Research article

Proposition of a novel animal model of systemic sclerosis induced by type V collagen in C57BL/6 mice that reproduces fibrosis, vasculopathy and autoimmunity

Authors: Walcy Rosolia Teodoro, Zelita Aparecida de Jesus Queiroz, Lais Araujo dos Santos, Sergio Catanozi, Antonio dos Santos Filho, Cleonice Bueno, Margarete B. G. Vendramini, Sandra de Morais Fernezlian, Esmeralda M. Eher, Percival D. Sampaio-Barros, Sandra Gofinet Pasoto, Fernanda Degobbi T. Q. S. Lopes, Ana Paula Pereira Velosa, Vera Luiza Capelozzi

Published in: Arthritis Research & Therapy | Issue 1/2019

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Abstract

Background

Type V collagen (Col V) has the potential to become an autoantigen and has been associated with the pathogenesis of systemic sclerosis (SSc). We characterized serological, functional, and histopathological features of the skin and lung in a novel SSc murine model induced by Col V immunization.

Methods

Female C57BL/6 mice (n = 19, IMU-COLV) were subcutaneously immunized with two doses of Col V (125 μg) emulsified in complete Freund adjuvant, followed by two intramuscular boosters. The control group (n = 19) did not receive Col V. After 120 days, we examined the respiratory mechanics, serum autoantibodies, and vascular manifestations of the mice. The skin and lung inflammatory processes and the collagen gene/protein expressions were analyzed.

Results

Vascular manifestations were characterized by endothelial cell activity and apoptosis, as shown by the increased expression of VEGF, endothelin-1, and caspase-3 in endothelial cells. The IMU-COLV mice presented with increased tissue elastance and a nonspecific interstitial pneumonia (NSIP) histologic pattern in the lung, combined with the thickening of the small and medium intrapulmonary arteries, increased Col V fibers, and increased COL1A1, COL1A2, COL3A1, COL5A1, and COL5A2 gene expression. The skin of the IMU-COLV mice showed thickness, epidermal rectification, decreased papillary dermis, atrophied appendages, and increased collagen, COL5A1, and COL5A2 gene expression. Anti-collagen III and IV and ANA antibodies were detected in the sera of the IMU-COLV mice.

Conclusion

We demonstrated that cutaneous, vascular, and pulmonary remodeling are mimicked in the Col V-induced SSc mouse model, which thus represents a suitable preclinical model to study the mechanisms and therapeutic approaches for SSc.
Literature
3.
go back to reference Tyndall AJ, Bannert B, Vonk M, Airò P, Cozzi F, Carreira PE, et al. Causes and risk factors for death in systemic sclerosis: a study from the EULAR scleroderma trials and research (EUSTAR) database. Ann Rheum Dis. 2010;69(10):1809–15.PubMedCrossRef Tyndall AJ, Bannert B, Vonk M, Airò P, Cozzi F, Carreira PE, et al. Causes and risk factors for death in systemic sclerosis: a study from the EULAR scleroderma trials and research (EUSTAR) database. Ann Rheum Dis. 2010;69(10):1809–15.PubMedCrossRef
4.
go back to reference Sampaio-Barros PD, Bortoluzzo AB, Marangoni RG, Rocha LF, Del Rio APT, Samara AM, et al. Survival, causes of death, and prognostic factors in systemic sclerosis: analysis of 947 Brazilian patients. J Rheumatol. 2012;39(10):1971–8.PubMedCrossRef Sampaio-Barros PD, Bortoluzzo AB, Marangoni RG, Rocha LF, Del Rio APT, Samara AM, et al. Survival, causes of death, and prognostic factors in systemic sclerosis: analysis of 947 Brazilian patients. J Rheumatol. 2012;39(10):1971–8.PubMedCrossRef
5.
go back to reference Manetti M, Guiducci S, Ibba-Manneschi L, Matucci-Cerinic M. Mechanisms in the loss of capillaries in systemic sclerosis: angiogenesis versus vasculogenesis. J Cell Mol Med. 2010;14(6 A):1241–54.PubMedPubMedCentralCrossRef Manetti M, Guiducci S, Ibba-Manneschi L, Matucci-Cerinic M. Mechanisms in the loss of capillaries in systemic sclerosis: angiogenesis versus vasculogenesis. J Cell Mol Med. 2010;14(6 A):1241–54.PubMedPubMedCentralCrossRef
6.
go back to reference Affandi AJ, Radstake TRDJ, Marut W. Update on biomarkers in systemic sclerosis: tools for diagnosis and treatment. Semin Immunopathol. 2015;37(5):475–87 [cited 2019 Aug 22].PubMedPubMedCentralCrossRef Affandi AJ, Radstake TRDJ, Marut W. Update on biomarkers in systemic sclerosis: tools for diagnosis and treatment. Semin Immunopathol. 2015;37(5):475–87 [cited 2019 Aug 22].PubMedPubMedCentralCrossRef
7.
go back to reference Mostmans Y, Cutolo M, Giddelo C, Decuman S, Melsens K, Declercq H, et al. The role of endothelial cells in the vasculopathy of systemic sclerosis: a systematic review. Autoimmun Rev. 2017;16(8):774–86.PubMedCrossRef Mostmans Y, Cutolo M, Giddelo C, Decuman S, Melsens K, Declercq H, et al. The role of endothelial cells in the vasculopathy of systemic sclerosis: a systematic review. Autoimmun Rev. 2017;16(8):774–86.PubMedCrossRef
8.
go back to reference Bonhomme O, André B, Gester F, de Seny D, Moermans C, Struman I, et al. Biomarkers in systemic sclerosis-associated interstitial lung disease: review of the literature. Rheumatology (Oxford). 2019;58(9):1534–46.CrossRef Bonhomme O, André B, Gester F, de Seny D, Moermans C, Struman I, et al. Biomarkers in systemic sclerosis-associated interstitial lung disease: review of the literature. Rheumatology (Oxford). 2019;58(9):1534–46.CrossRef
9.
10.
go back to reference Yu X, Petersen F. A methodological review of induced animal models of autoimmune diseases. Autoimmun Rev. 2018;17(5):473–9.PubMedCrossRef Yu X, Petersen F. A methodological review of induced animal models of autoimmune diseases. Autoimmun Rev. 2018;17(5):473–9.PubMedCrossRef
11.
go back to reference Petersen F, Yue X, Riemekasten G, Yu X. Dysregulated homeostasis of target tissues or autoantigens - a novel principle in autoimmunity. Autoimmun Rev. 2017;16(6):602–11.PubMedCrossRef Petersen F, Yue X, Riemekasten G, Yu X. Dysregulated homeostasis of target tissues or autoantigens - a novel principle in autoimmunity. Autoimmun Rev. 2017;16(6):602–11.PubMedCrossRef
12.
go back to reference Teodoro WR, Velosa AP, Witzel SS, Garippo AL, Farhat C, Parra ER, et al. Architectural remodelling in lungs of rabbits induced by type V collagen immunization: a preliminary morphologic model to study diffuse connective tissue diseases. Pathol Res Pract. 2004;200(10):681–91.PubMedCrossRef Teodoro WR, Velosa AP, Witzel SS, Garippo AL, Farhat C, Parra ER, et al. Architectural remodelling in lungs of rabbits induced by type V collagen immunization: a preliminary morphologic model to study diffuse connective tissue diseases. Pathol Res Pract. 2004;200(10):681–91.PubMedCrossRef
13.
go back to reference Callado MRM, Viana VST, Vendramini MBG, Leon EP, Bueno C, Velosa APP, et al. Autoantibody profile in the experimental model of scleroderma induced by type V human collagen. Immunology. 2007;122(1):38–46.PubMedPubMedCentralCrossRef Callado MRM, Viana VST, Vendramini MBG, Leon EP, Bueno C, Velosa APP, et al. Autoantibody profile in the experimental model of scleroderma induced by type V human collagen. Immunology. 2007;122(1):38–46.PubMedPubMedCentralCrossRef
14.
go back to reference Birk DE, Fitch JM, Babiarz JP, Doane KJ, Linsenmayer TF. Collagen fibrillogenesis in vitro: interaction of types I and V collagen regulates fibril diameter. J Cell Sci. 1990;95(Pt 4):649–57 [cited 2019 Jul 30].PubMed Birk DE, Fitch JM, Babiarz JP, Doane KJ, Linsenmayer TF. Collagen fibrillogenesis in vitro: interaction of types I and V collagen regulates fibril diameter. J Cell Sci. 1990;95(Pt 4):649–57 [cited 2019 Jul 30].PubMed
15.
go back to reference Linsenmayer TF, Gibney E, Igoe F, Gordon MK, Fitch JM, Fessler LI, et al. Type V collagen: molecular structure and fibrillar organization of the chicken α1(V) NH2-terminal domain, a putative regulator of corneal fibrillogenesis. J Cell Biol. 1993;121(5):1181–9.PubMedCrossRef Linsenmayer TF, Gibney E, Igoe F, Gordon MK, Fitch JM, Fessler LI, et al. Type V collagen: molecular structure and fibrillar organization of the chicken α1(V) NH2-terminal domain, a putative regulator of corneal fibrillogenesis. J Cell Biol. 1993;121(5):1181–9.PubMedCrossRef
16.
go back to reference Braun RK, Molitor-Dart M, Wigfield C, Xiang Z, Fain SB, Jankowska-Gan E, et al. Transfer of tolerance to collagen type V suppresses T-helper-cell-17 lymphocyte-mediated acute lung transplant rejection. Transplantation. 2009;88(12):1341–8.PubMedPubMedCentralCrossRef Braun RK, Molitor-Dart M, Wigfield C, Xiang Z, Fain SB, Jankowska-Gan E, et al. Transfer of tolerance to collagen type V suppresses T-helper-cell-17 lymphocyte-mediated acute lung transplant rejection. Transplantation. 2009;88(12):1341–8.PubMedPubMedCentralCrossRef
17.
go back to reference Dart ML, Jankowska-Gan E, Huang G, Roenneburg DA, Keller MR, Torrealba JR, et al. Interleukin-17-dependent autoimmunity to collagen type V in atherosclerosis. Circ Res. 2010;107(9):1106–16.PubMedPubMedCentralCrossRef Dart ML, Jankowska-Gan E, Huang G, Roenneburg DA, Keller MR, Torrealba JR, et al. Interleukin-17-dependent autoimmunity to collagen type V in atherosclerosis. Circ Res. 2010;107(9):1106–16.PubMedPubMedCentralCrossRef
18.
go back to reference Vittal R, Mickler EA, Fisher AJ, Zhang C, Rothhaar K, Gu H, et al. Type V collagen induced tolerance suppresses collagen deposition, TGF-β and associated transcripts in pulmonary fibrosis. PLoS One. 2013;8(10):1–14.CrossRef Vittal R, Mickler EA, Fisher AJ, Zhang C, Rothhaar K, Gu H, et al. Type V collagen induced tolerance suppresses collagen deposition, TGF-β and associated transcripts in pulmonary fibrosis. PLoS One. 2013;8(10):1–14.CrossRef
19.
go back to reference Wilkes DS, Chew T, Flaherty KR, Frye S, Gibson KF, Kaminski N, et al. Oral immunotherapy with type v collagen in idiopathic pulmonary fibrosis. Eur Respir J. 2015;45(5):1393–402.PubMedCrossRef Wilkes DS, Chew T, Flaherty KR, Frye S, Gibson KF, Kaminski N, et al. Oral immunotherapy with type v collagen in idiopathic pulmonary fibrosis. Eur Respir J. 2015;45(5):1393–402.PubMedCrossRef
20.
go back to reference Park AC, Huang G, Jankowska-Gan E, Massoudi D, Kernien JF, Vignali DA, et al. Mucosal administration of collagen V ameliorates the atherosclerotic plaque burden by inducing interleukin 35-dependent tolerance. J Biol Chem. 2016;291(7):3359–70.PubMedCrossRef Park AC, Huang G, Jankowska-Gan E, Massoudi D, Kernien JF, Vignali DA, et al. Mucosal administration of collagen V ameliorates the atherosclerotic plaque burden by inducing interleukin 35-dependent tolerance. J Biol Chem. 2016;291(7):3359–70.PubMedCrossRef
21.
go back to reference Martin P, Teodoro WR, Velosa APP, de Morais J, Carrasco S, Christmann RB, et al. Abnormal collagen V deposition in dermis correlates with skin thickening and disease activity in systemic sclerosis. Autoimmun Rev. 2012;11(11):827–35.PubMedCrossRef Martin P, Teodoro WR, Velosa APP, de Morais J, Carrasco S, Christmann RB, et al. Abnormal collagen V deposition in dermis correlates with skin thickening and disease activity in systemic sclerosis. Autoimmun Rev. 2012;11(11):827–35.PubMedCrossRef
22.
go back to reference Parra ER, Aguiar AC, Teodoro WR, De Souza R, Yoshinari NH, Capelozzi VL. Collagen V and vascular injury promote lung architectural changes in systemic sclerosis. Clin Respir J. 2009;3(3):135–42.PubMedCrossRef Parra ER, Aguiar AC, Teodoro WR, De Souza R, Yoshinari NH, Capelozzi VL. Collagen V and vascular injury promote lung architectural changes in systemic sclerosis. Clin Respir J. 2009;3(3):135–42.PubMedCrossRef
23.
go back to reference Parra ER, Teodoro WR, De Morais J, Katayama MLH, De Souza R, Yoshinari NH, et al. Increased mRNA expression of collagen v gene in pulmonary fibrosis of systemic sclerosis. Eur J Clin Investig. 2010;40(2):110–20.CrossRef Parra ER, Teodoro WR, De Morais J, Katayama MLH, De Souza R, Yoshinari NH, et al. Increased mRNA expression of collagen v gene in pulmonary fibrosis of systemic sclerosis. Eur J Clin Investig. 2010;40(2):110–20.CrossRef
24.
go back to reference Velosa APP, Teodoro WR, dos Anjos DM, Konno R, Oliveira CC, Katayama MLH, et al. Collagen V-induced nasal tolerance downregulates pulmonary collagen mRNA gene and TGF-beta expression in experimental systemic sclerosis. Respir Res. 2010;11(1):1–10.PubMedPubMedCentralCrossRef Velosa APP, Teodoro WR, dos Anjos DM, Konno R, Oliveira CC, Katayama MLH, et al. Collagen V-induced nasal tolerance downregulates pulmonary collagen mRNA gene and TGF-beta expression in experimental systemic sclerosis. Respir Res. 2010;11(1):1–10.PubMedPubMedCentralCrossRef
25.
go back to reference Hantos Z, Daroczy B, Suki B, Nagy S, Fredberg JJ. Input impedance and peripheral inhomogeneity of dog lungs. J Appl Physiol. 1992;72(1):168–78.PubMedCrossRef Hantos Z, Daroczy B, Suki B, Nagy S, Fredberg JJ. Input impedance and peripheral inhomogeneity of dog lungs. J Appl Physiol. 1992;72(1):168–78.PubMedCrossRef
26.
go back to reference Gomes RF, Shen X, Ramchandani R, Tepper RS, Bates JH. Comparative respiratory system mechanics in rodents. J Appl Physiol. 2000;89(3):908–16.PubMedCrossRef Gomes RF, Shen X, Ramchandani R, Tepper RS, Bates JH. Comparative respiratory system mechanics in rodents. J Appl Physiol. 2000;89(3):908–16.PubMedCrossRef
27.
go back to reference Bergman I, Loxley R. Lung tissue hydrolysates: studies of the optimum conditions for the spectrophotometric determination of hydroxyproline. Analyst. 1969;94(120):575–84.PubMedCrossRef Bergman I, Loxley R. Lung tissue hydrolysates: studies of the optimum conditions for the spectrophotometric determination of hydroxyproline. Analyst. 1969;94(120):575–84.PubMedCrossRef
28.
go back to reference Damoiseaux JGMC, Cohen Tervaert JW. From ANA to ENA: how to proceed? Autoimmun Rev. 2006;5(1):10–7.PubMedCrossRef Damoiseaux JGMC, Cohen Tervaert JW. From ANA to ENA: how to proceed? Autoimmun Rev. 2006;5(1):10–7.PubMedCrossRef
29.
go back to reference Hamamdzic D, Kasman LM, LeRoy EC. The role of infectious agents in the pathogenesis of systemic sclerosis. Curr Opin Rheumatol. 2002;14(6):694–8.PubMedCrossRef Hamamdzic D, Kasman LM, LeRoy EC. The role of infectious agents in the pathogenesis of systemic sclerosis. Curr Opin Rheumatol. 2002;14(6):694–8.PubMedCrossRef
30.
go back to reference Abraham D, Distler O. How does endothelial cell injury start? The role of endothelin in systemic sclerosis. Arthritis Res Ther. 2007;9(SUPPL. 2):S2.CrossRef Abraham D, Distler O. How does endothelial cell injury start? The role of endothelin in systemic sclerosis. Arthritis Res Ther. 2007;9(SUPPL. 2):S2.CrossRef
31.
go back to reference Kadler KE, Hill A, Canty-Laird EG. Collagen fibrillogenesis: fibronectin, integrins, and minor collagens as organizers and nucleators. Curr Opin Cell Biol. 2008;20(5):495–501.PubMedPubMedCentralCrossRef Kadler KE, Hill A, Canty-Laird EG. Collagen fibrillogenesis: fibronectin, integrins, and minor collagens as organizers and nucleators. Curr Opin Cell Biol. 2008;20(5):495–501.PubMedPubMedCentralCrossRef
32.
go back to reference Mak KM, Png CYM, Lee DJ. Type V collagen in health, disease, and fibrosis. Anat Rec. 2016;299(5):613–29.CrossRef Mak KM, Png CYM, Lee DJ. Type V collagen in health, disease, and fibrosis. Anat Rec. 2016;299(5):613–29.CrossRef
33.
go back to reference Mackel AM, Delustro F, Harper FE, Roy EC. Antibodies to collagen in scleroderma. Arthritis Rheum. 1982;25(5):522–31.PubMedCrossRef Mackel AM, Delustro F, Harper FE, Roy EC. Antibodies to collagen in scleroderma. Arthritis Rheum. 1982;25(5):522–31.PubMedCrossRef
34.
go back to reference Riente L, Marchini B, Dolcher MP, Puccetti A, Bombardieri S, Migliorini P. Anti-collagen antibodies in systemic sclerosis and in primary Raynaud’s phenomenon. Clin Exp Immunol. 1995;102(2):354–9.PubMedPubMedCentralCrossRef Riente L, Marchini B, Dolcher MP, Puccetti A, Bombardieri S, Migliorini P. Anti-collagen antibodies in systemic sclerosis and in primary Raynaud’s phenomenon. Clin Exp Immunol. 1995;102(2):354–9.PubMedPubMedCentralCrossRef
35.
go back to reference Beon MK, Harley RA, Wessels A, Silver RM, Ludwicka-Bradley A. Myofibroblast induction and microvascular alteration in scleroderma lung fibrosis. Clin Exp Rheumatol. 2004;22(6):733–42.PubMed Beon MK, Harley RA, Wessels A, Silver RM, Ludwicka-Bradley A. Myofibroblast induction and microvascular alteration in scleroderma lung fibrosis. Clin Exp Rheumatol. 2004;22(6):733–42.PubMed
36.
go back to reference Maurer B, Distler A, Suliman YA, Gay RE, Michel BA, Gay S, et al. Vascular endothelial growth factor aggravates fibrosis and vasculopathy in experimental models of systemic sclerosis. Ann Rheum Dis. 2014;73(10):1880–7.PubMedCrossRef Maurer B, Distler A, Suliman YA, Gay RE, Michel BA, Gay S, et al. Vascular endothelial growth factor aggravates fibrosis and vasculopathy in experimental models of systemic sclerosis. Ann Rheum Dis. 2014;73(10):1880–7.PubMedCrossRef
37.
go back to reference Byrne AM, Bouchier-Hayes DJ, Harmey JH. Angiogenic and cell survival functions of vascular endothelial growth factor (VEGF). J Cell Mol Med. 2005;9(4):777–94.PubMedPubMedCentralCrossRef Byrne AM, Bouchier-Hayes DJ, Harmey JH. Angiogenic and cell survival functions of vascular endothelial growth factor (VEGF). J Cell Mol Med. 2005;9(4):777–94.PubMedPubMedCentralCrossRef
38.
go back to reference Kuryliszyn-Moskal A, Klimiuk PA, Sierakowski S. Soluble adhesion molecules (sVCAM-1, sE-selectin), vascular endothelial growth factor (VEGF) and endothelin-1 in patients with systemic sclerosis: relationship to organ systemic involvement. Clin Rheumatol. 2005;24(2):111–6.PubMedCrossRef Kuryliszyn-Moskal A, Klimiuk PA, Sierakowski S. Soluble adhesion molecules (sVCAM-1, sE-selectin), vascular endothelial growth factor (VEGF) and endothelin-1 in patients with systemic sclerosis: relationship to organ systemic involvement. Clin Rheumatol. 2005;24(2):111–6.PubMedCrossRef
39.
go back to reference Hummers LK, Hall A, Wigley FM, Simons M. Abnormalities in the regulators of angiogenesis in patients with scleroderma. J Rheumatol. 2009;36(3):576–82.PubMedPubMedCentralCrossRef Hummers LK, Hall A, Wigley FM, Simons M. Abnormalities in the regulators of angiogenesis in patients with scleroderma. J Rheumatol. 2009;36(3):576–82.PubMedPubMedCentralCrossRef
40.
go back to reference Papaioannou AI, Zakynthinos E, Kostikas K, Kiropoulos T, Koutsokera A, Ziogas A, et al. Serum VEGF levels are related to the presence of pulmonary arterial hypertension in systemic sclerosis. BMC Pulm Med. 2009;9(18):1–8. Papaioannou AI, Zakynthinos E, Kostikas K, Kiropoulos T, Koutsokera A, Ziogas A, et al. Serum VEGF levels are related to the presence of pulmonary arterial hypertension in systemic sclerosis. BMC Pulm Med. 2009;9(18):1–8.
41.
go back to reference Abraham D, Dashwood M. Endothelin - role in vascular disease. Rheumatology (Oxford). 2008;47(SUPPL.5):23–4.CrossRef Abraham D, Dashwood M. Endothelin - role in vascular disease. Rheumatology (Oxford). 2008;47(SUPPL.5):23–4.CrossRef
42.
go back to reference Guidry C, Hook M. Endothelins produced by endothelial cells promote collagen gel contraction by fibroblasts. J Cell Biol. 1991;115(3):873–80.PubMedCrossRef Guidry C, Hook M. Endothelins produced by endothelial cells promote collagen gel contraction by fibroblasts. J Cell Biol. 1991;115(3):873–80.PubMedCrossRef
Metadata
Title
Proposition of a novel animal model of systemic sclerosis induced by type V collagen in C57BL/6 mice that reproduces fibrosis, vasculopathy and autoimmunity
Authors
Walcy Rosolia Teodoro
Zelita Aparecida de Jesus Queiroz
Lais Araujo dos Santos
Sergio Catanozi
Antonio dos Santos Filho
Cleonice Bueno
Margarete B. G. Vendramini
Sandra de Morais Fernezlian
Esmeralda M. Eher
Percival D. Sampaio-Barros
Sandra Gofinet Pasoto
Fernanda Degobbi T. Q. S. Lopes
Ana Paula Pereira Velosa
Vera Luiza Capelozzi
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 1/2019
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/s13075-019-2052-2

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