International Journal of Molecular Sciences Article Neuraminidase Inhibitor Zanamivir Ameliorates Collagen-Induced Arthritis Bettina Sehnert 1,*, Juliane Mietz 1, Rita Rzepka 1, Stefanie Buchholz 1, Andrea Maul-Pavicic 1, Sandra Schaffer 1, Falk Nimmerjahn 2 and Reinhard E. Voll 1,* 1 Department of Rheumatology and Clinical Immunology, Medical Center–University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany;
[email protected] (J.M.);
[email protected] (R.R.);
[email protected] (S.B.);
[email protected] (A.M.-P.);
[email protected] (S.S.) 2 Department of Biology, Institute of Genetics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91058 Erlangen, Germany;
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[email protected] (B.S.);
[email protected] (R.E.V.); Tel.: +49-761-270-71021 (B.S.); +49-761-270-34490 (R.E.V.) Abstract: Altered sialylation patterns play a role in chronic autoimmune diseases such as rheumatoid arthritis (RA). Recent studies have shown the pro-inflammatory activities of immunoglobulins (Igs) with desialylated sugar moieties. The role of neuraminidases (NEUs), enzymes which are responsible for the cleavage of terminal sialic acids (SA) from sialoglycoconjugates, is not fully understood in RA. We investigated the impact of zanamivir, an inhibitor of the influenza virus neuraminidase, and mammalian NEU2/3 on clinical outcomes in experimental arthritides studies. The severity of arthritis was monitored and IgG titers were measured by ELISA. (2,6)-linked SA was determined on IgG by ELISA and on cell surfaces by flow cytometry. Zanamivir at a dose of 100 mg/kg (zana- Citation: Sehnert, B.; Mietz, J.; 100) significantly ameliorated collagen-induced arthritis (CIA), whereas zana-100 was ineffective Rzepka, R.; Buchholz, S.; in serum transfer-induced arthritis.