Abstract
Background. Progesterone receptor (PR) affects immunomodulation, and lack of PR in osteoprogenitor cells primarily affects pathways associated with immunomodulation, especially in the males. In this study, we selectively deleted PR from osteoprogenitor cells using Prx1-Cre to evaluate the tissue-specific effects of PR on inflammatory arthritis (IA). Methods. Collagen-induced arthritis (CIA) was used as an IA animal model, which we induced in PR D Prx1 mice and their wild type (WT) littermates were immunized with collagen II (CII) emulsified incomplete Freund's adjuvant ( CFA ) in both sexes. Joint erosion, inflammation, and cartilage damages were assessed using a semiquantitative histologic scoring system. Bone volume and erosions in knee and ankle joints were quantitated using microCT. We found that knee and paw joint erosions developed in 37.5% and 41.7% of the WT and PR D Prx1 female mice, respectively, and in 45.4 and 100%, respectively, of the male mice. Also, both knee and ankle joint inflammation scores, joint damage scores, and subchondral bone erosions were significantly more severe in male PRcKO mice than in male WT mice. Although of lower severity than in male mice, female PR D Prx1 mice also developed higher inflammation scores and bone erosions than the KO-normal or WT-CIA females. Immunohistochemistry staining of the NLRP3 inflammasome revealed the male PR D Prx1 mice had significantly higher expression of NLRP3 inflammasome in the knee joints. Conclusion. Our observations indicate that the presence of PR in osteoprogenitor cells counteracts the development of collagen-induced arthritis and might help to explain the sex differences observed in human inflammatory arthritis.