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DBA/1小鼠慢性复发性同源胶原诱导性关节炎作为测试疾病改善和缓解诱导疗法的模型。

Chronic relapsing homologous collagen-induced arthritis in DBA/1 mice as a model for testing disease-modifying and remission-inducing therapies.

作者信息

Malfait A M, Williams R O, Malik A S, Maini R N, Feldmann M

机构信息

Kennedy Institute of Rheumatology, Imperial College School of Medicine, London, UK.

出版信息

Arthritis Rheum. 2001 May;44(5):1215-24. doi: 10.1002/1529-0131(200105)44:5<1215::AID-ANR206>3.0.CO;2-#.

Abstract

OBJECTIVE

To test whether the chronic relapsing arthritis induced by immunizing DBA/1 mice with homologous type II collagen is a valuable model for testing disease-modifying antiarthritic drugs.

METHODS

Six-week-old male DBA/1 mice were immunized with murine type II collagen in Freund's complete adjuvant, resulting in a chronic relapsing polyarthritis in >80% of the mice 4 weeks after immunization. At the onset of clinical arthritis, mice were treated for 4 weeks with different treatments, including anti-tumor necrosis factor (anti-TNF) and antiinterleukin-12 (anti-IL-12) antibodies, salbutamol, or indomethacin. Alternatively, treatment was administered as a pulse at the beginning of clinical arthritis. Pulse treatments tested included anti-CD3 in combination with anti-TNF, anti-TNF alone, and anti-CD4, either alone or in combination with anti-TNF. After 4 weeks of arthritis, mice were killed and hind paws were assessed histologically for joint damage.

RESULTS

Anti-TNF and salbutamol both suppressed clinical arthritis more effectively than indomethacin and, moreover, protected the joints from damage, whereas indomethacin did not. Anti-IL-12 treatment initiated after the onset of clinical symptoms accelerated disease. Pulse therapy with anti-CD3 plus anti-TNF was found to induce remission, clinically as well as histologically, whereas a pulse with either anti-CD4, anti-TNF, or the combination of anti-CD4 plus anti-TNF was less effective.

CONCLUSION

Chronic relapsing homologous collagen-induced arthritis is a valuable model for identifying remission-inducing antiarthritic drugs and has predictive value with respect to their joint-protective potency.

摘要

目的

测试用同源II型胶原蛋白免疫DBA/1小鼠诱导的慢性复发性关节炎是否是一种用于测试改善病情抗风湿药物的有价值模型。

方法

六周龄雄性DBA/1小鼠用弗氏完全佐剂中的鼠II型胶原蛋白进行免疫,免疫后4周,超过80%的小鼠出现慢性复发性多关节炎。在临床关节炎发作时,用不同的治疗方法对小鼠进行4周治疗,包括抗肿瘤坏死因子(抗TNF)和抗白细胞介素-12(抗IL-12)抗体、沙丁胺醇或吲哚美辛。或者,在临床关节炎开始时进行脉冲治疗。测试的脉冲治疗包括抗CD3与抗TNF联合、单独使用抗TNF以及单独或与抗TNF联合使用的抗CD4。关节炎4周后,处死小鼠,对后爪进行组织学评估以确定关节损伤情况。

结果

抗TNF和沙丁胺醇在抑制临床关节炎方面均比吲哚美辛更有效,而且能保护关节免受损伤,而吲哚美辛则不能。临床症状出现后开始的抗IL-12治疗加速了疾病进展。发现抗CD3加抗TNF的脉冲疗法在临床和组织学上均能诱导缓解,而单独使用抗CD4、抗TNF或抗CD4加抗TNF的联合脉冲疗法效果较差。

结论

慢性复发性同源胶原蛋白诱导的关节炎是一种用于鉴定诱导缓解的抗风湿药物的有价值模型,并且在其关节保护效力方面具有预测价值。

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