The
colchicine-derived
CT20126 compound has recently been shown to exert an immune regulatory effect and prolong the survival of allograft skins. In this study, we explored the anti-inflammatory and anti-arthritic effects of
CT20126 in vivo and in vitro as well as investigated its underlying action mechanism.
CT20126 suppressed the expression of
inducible nitric oxide synthase (iNOS),
cyclooxygenase-2,
tumor necrosis factor-alpha, and
interleukin-1beta as well as the production of
nitric oxide and
prostaglandin E(2) in
lipopolysaccharide (LPS)-treated macrophages as well as LPS-administered mice. This
drug also inhibited the production of
nitric oxide,
prostaglandin E(2), and the
chemokines,
RANTES, GROalpha, and ENA-78, in
cytokine-stimulated human synoviocytes.
CT20126 suppressed
NF-kappaB activation and iNOS promoter activity, which correlated with its inhibitory effect on phosphorylation-dependent
IkappaB kinase activation, IkappaB phosphorylation and degradation, and
NF-kappaB nuclear translocation, in LPS-stimulated macrophages. This compound also inhibited LPS-induced
NF-kappaB-inducing kinase (NIK) and Akt phosphorylation, which are upstream of
NF-kappaB activation. Furthermore,
CT20126 significantly decreased the incidence and severity of
arthritis as well as inhibited the expression of inflammatory
cytokines,
chemokines, iNOS, and
cyclooxygenase-2 in the paws of
collagen-induced arthritic mice. These findings indicate that
CT20126 exerts an anti-inflammatory effect through
NF-kappaB-responsive inflammatory gene expression by inhibiting the NIK- and Akt-dependent canonical
NF-kappaB pathway and can be used as a therapeutic agent for
rheumatoid arthritis related to chronic
inflammation.