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Article
Nature Medicine  10, 617 - 624 (2004)
Published online: 23 May 2004; | doi:10.1038/nm1054

Selective inhibition of NF-kappaB blocks osteoclastogenesis and prevents inflammatory bone destruction in vivo

Eijiro Jimi1, 5, Kazuhiro Aoki2, Hiroaki Saito2, Fulvio D'Acquisto1, Michael J May1, 6, Ichiro Nakamura3, Testuo Sudo4, Takefumi Kojima2, Fujio Okamoto5, Hidefumi Fukushima5, Koji Okabe5, Keiichi Ohya2 & Sankar Ghosh1

1  Section of Immunobiology and Department of Molecular Biophysics and Biochemistry, Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut 06520, USA.

2  Section of Pharmacology, Department of Hard Tissue Engineering, Graduate School, Tokyo Medical and Dental University, Tokyo 113-8549, Japan.

3  Department of Orthopedic Surgery, Yugawara Kosei-nenkin Hospital, Kanagawa 259-0314, Japan.

4  Basic Research Laboratories, Toray Industries, Incorporated, Kamakura 248-0036, Japan.

5  Section of Cellular Physiology, Department of Physiological Science and Molecular Biology, Fukuoka Dental College, Fukuoka 814-0193, Japan.

6  Present address: Department of Animal Biology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

Correspondence should be addressed to Sankar Ghosh sankar.ghosh@yale.edu
Bone destruction is a pathological hallmark of several chronic inflammatory diseases, including rheumatoid arthritis and periodontitis. Inflammation-induced bone loss of this sort results from elevated numbers of bone-resorbing osteoclasts. Gene targeting studies have shown that the transcription factor nuclear factor-kappaB (NF-kappaB) has a crucial role in osteoclast differentiation, and blocking NF-kappaB is a potential strategy for preventing inflammatory bone resorption. We tested this approach using a cell-permeable peptide inhibitor of the IkappaB-kinase complex, a crucial component of signal transduction pathways to NF-kappaB. The peptide inhibited RANKL-stimulated NF-kappaB activation and osteoclastogenesis both in vitro and in vivo. In addition, this peptide significantly reduced the severity of collagen-induced arthritis in mice by reducing levels of tumor necrosis factor-alpha and interleukin-1beta, abrogating joint swelling and reducing destruction of bone and cartilage. Therefore, selective inhibition of NF-kappaB activation offers an effective therapeutic approach for inhibiting chronic inflammatory diseases involving bone resorption.

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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