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G-protein coupled receptor kinase 2 mediates rheumatoid arthritis-induced depression-like behaviors via the hippocampal CRHR1 signaling pathway

Qian Meng1, Meng-hui Guo1, Rui Zhang1, Jing Wei1, Qian Chen1, Xue-chun Zhao1, Cai-qi Xu1, Yao-yao Wu1, Jia-jie Kuai1, Jie-min Zhao1, Yu-jing Wu1, Chong-huan Ye1, Hong-rui Wei2, Xia Zhu2, Yan Jin2, Zhi Zhang2,3, Wei Wei1
1 Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Anhui Medical University, Key laboratory of Anti-Inflammatory and Immune Medicine (Anhui Medical University), Ministry of Education, Anhui Collaborative Innovation Center of Anti-Inflammatory and Immune Medicine, Hefei 230032, China
2 CAS Key Laboratory of Brain Function and Disease, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China
3 Department of Anatomy, School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
Correspondence to: Qian Meng: mengqian@ahmu.edu.cn, Zhi Zhang: zhizhang@ustc.edu.cn, Wei Wei: wwei@ahmu.edu.cn,
DOI: 10.1038/s41401-025-01621-8
Received: 16 October 2024
Accepted: 23 June 2025
Advance online: 21 July 2025

Abstract

Rheumatoid arthritis with depressive symptoms is frequently encountered in clinic. In this study, we investigated the molecular mechanisms responsible for comorbid depression with rheumatoid arthritis in collagen-induced arthritis (CIA) model mice. We showed that depression-like behaviors were developed at 5 weeks after establishing CIA model. Furthermore, we found that in the hippocampus of CIA mice, G-protein coupled receptor kinase 2 (GRK2) was significantly upregulated, while the expression of its target, corticotropin releasing hormone receptor 1 (CRHR1) was notably decreased, as was the downstream cAMP/PKA/CREB/BDNF signaling. We demonstrated that GRK2 could directly interact with CRHR1, suppressing CRHR1-dependent signaling. Knockdown of hippocampal GRK2 or pharmacological inhibition with CP-25 (35 mg·kg−1·d−1, i.g. for 21 days) could alleviate the depression-like behaviors in CIA mice, whereas GRK2 overexpression induced depression-like behaviors in naive mice. Our study identifies hippocampal GRK2 as a regulator of depression-like behaviors associated with rheumatoid arthritis in CIA model mice, suggesting both a therapeutic target and potential treatment strategy.
Keywords: depression-like behaviors; rheumatoid arthritis; GRK2; hippocampus; neuroinflammation; CP-25

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