Methotrexate Disposition, Anti-Folate Activity, and Metabolomic Profiling to Identify Molecular Markers of Disease Activity and Drug Response in the Collagen-Induced Arthritis Mouse Model.

Methotrexate (MTX) is widely used in the treatment of autoimmune arthritis but is limited by its unpredictable and variable response profile. Currently, no biomarkers exist to predict or monitor early therapeutic responses to MTX. Using a collagen-induced arthritis (CIA) mouse model, this study aimed to identify biochemical pathways and biomarkers associated with MTX efficacy in autoimmune arthritis. Following arthritis disease induction, DBA/1J mice were treated with subcutaneous MTX (20 mg/kg/week) and disease activity was assessed based on disease activity scores (DAS) and paw volume (PV) measurements. Red blood cell (RBC) and plasma samples were collected at the end of the study and were assessed for folate and MTX content. Plasma samples were analyzed by semitargeted global metabolomic profiling and analyzed by univariate and multivariate analysis. Treatment with MTX was associated with significant reductions in disease activity based on both DAS ( = 0.0006) and PV ( = 0.0006). MTX therapy resulted in significant reductions in 5-methyltetrahydrofolate (5mTHF) levels in plasma ( = 0.02) and RBCs ( = 0.001). Reductions in both RBC and plasma 5mTHF were associated with lower DAS ( = 0.0007, = 0.01, respectively) and PV ( = 0.001, = 0.005, respectively). Increases in RBC MTX were associated with lower DAS ( = 0.003) but not PV ( = 0.23). Metabolomic analysis identified N-methylisoleucine (NMI) and quinolone as metabolites significantly altered in disease mice, which were corrected towards healthy control levels in mice treated with MTX. Reductions in plasma NMI were associated with lower DAS ( = 0.0002) and PV ( = 9.5 × 10). Increases in plasma quinolone were associated with lower DAS ( = 0.02) and PV ( = 0.01). Receiver-operating characteristic curve analysis identified plasma NMI (AUC = 1.00, = 2.4 × 10), RBC 5mTHF (AUC = 0.99, = 2.4 × 10), and plasma quinolone (AUC = 0.89, = 0.01) as top discriminating metabolites of MTX treatment. Our data support a relationship between MTX efficacy and its effect on circulating folates and identified 5mTHF, NMI, and quinolone as potential therapeutic biomarkers of disease activity and MTX response in the CIA mouse model of autoimmune arthritis.