NF-κB inducing kinase is a therapeutic target for systemic lupus erythematosus

Nat Commun. 2018 Jan 12;9(1):179. doi: 10.1038/s41467-017-02672-0.

Abstract

NF-κB-inducing kinase (NIK) mediates non-canonical NF-κB signaling downstream of multiple TNF family members, including BAFF, TWEAK, CD40, and OX40, which are implicated in the pathogenesis of systemic lupus erythematosus (SLE). Here, we show that experimental lupus in NZB/W F1 mice can be treated with a highly selective and potent NIK small molecule inhibitor. Both in vitro as well as in vivo, NIK inhibition recapitulates the pharmacological effects of BAFF blockade, which is clinically efficacious in SLE. Furthermore, NIK inhibition also affects T cell parameters in the spleen and proinflammatory gene expression in the kidney, which may be attributable to inhibition of OX40 and TWEAK signaling, respectively. As a consequence, NIK inhibition results in improved survival, reduced renal pathology, and lower proteinuria scores. Collectively, our data suggest that NIK inhibition is a potential therapeutic approach for SLE.

MeSH terms

  • Animals
  • B-Lymphocytes / drug effects*
  • B-Lymphocytes / immunology
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Cytokine TWEAK / metabolism
  • Dendritic Cells / drug effects
  • Dendritic Cells / immunology
  • Disease Models, Animal
  • Gene Expression / drug effects
  • Humans
  • In Vitro Techniques
  • Inflammation / genetics
  • Interleukin-12 Subunit p40 / drug effects
  • Interleukin-12 Subunit p40 / immunology
  • Kidney / drug effects*
  • Kidney / immunology
  • Kidney / pathology
  • Lupus Erythematosus, Systemic / drug therapy
  • Lupus Erythematosus, Systemic / immunology*
  • Lupus Nephritis / immunology
  • Lupus Nephritis / pathology
  • Mice
  • Mice, Inbred NZB
  • Molecular Targeted Therapy
  • NF-kappaB-Inducing Kinase
  • Protein Kinase Inhibitors / pharmacology*
  • Protein Serine-Threonine Kinases / antagonists & inhibitors*
  • Proteinuria / immunology
  • Receptors, OX40 / metabolism
  • Signal Transduction
  • Spleen / drug effects
  • Spleen / immunology
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology

Substances

  • Cytokine TWEAK
  • Interleukin-12 Subunit p40
  • Protein Kinase Inhibitors
  • Receptors, OX40
  • Tnfrsf4 protein, mouse
  • Tnfsf12 protein, mouse
  • Protein Serine-Threonine Kinases