Lubberts Erik, van den Bersselaar Liduine, Oppers-Walgreen Birgitte, Schwarzenberger Paul, Coenen-de Roo Christina J J, Kolls Jay K, Joosten Leo A B, van den Berg Wim B
Rheumatology and Advanced Therapeutics, University Medical Center Nijmegen, Nijmegen, The Netherlands.
J Immunol. 2003 Mar 1;170(5):2655-62. doi: 10.4049/jimmunol.170.5.2655.
IL-17 is a T cell-derived proinflammatory cytokine in experimental arthritis and is a stimulator of osteoclastogenesis in vitro. In this study, we report the effects of IL-17 overexpression (AdIL-17) in the knee joint of type II collagen-immunized mice on bone erosion and synovial receptor activator of NF-kappa B ligand (RANKL)/receptor activator of NF-kappa B/osteoprotegerin (OPG) expression. Local IL-17 promoted osteoclastic bone destruction, which was accompanied with marked tartrate-resistant acid phosphatase activity at sites of bone erosion in cortical, subchondral, and trabecular bone. Accelerated expression of RANKL and its receptor, receptor activator of NF-kappa B, was found in the synovial infiltrate and at sites of focal bone erosion, using specific immunohistochemistry. Interestingly, AdIL-17 not only enhanced RANKL expression but also strongly up-regulated the RANKL/OPG ratio in the synovium. Comparison of arthritic mice from the AdIL-17 collagen-induced arthritis group with full-blown collagen-arthritic mice having similar clinical scores for joint inflammation revealed lower RANKL/OPG ratio and tartrate-resistant acid phosphatase activity in the latter group. Interestingly, systemic OPG treatment prevented joint damage induced by local AdIL-17 gene transfer in type II collagen-immunized mice. These findings suggest T cell IL-17 to be an important inducer of RANKL expression leading to loss of the RANKL/OPG balance, stimulating osteoclastogenesis and bone erosion in arthritis.
白细胞介素-17是实验性关节炎中一种由T细胞衍生的促炎细胞因子,并且在体外是破骨细胞生成的刺激因子。在本研究中,我们报告了白细胞介素-17过表达(腺病毒介导的白细胞介素-17,AdIL-17)在II型胶原免疫小鼠膝关节中对骨侵蚀以及滑膜核因子κB受体活化因子配体(RANKL)/核因子κB受体活化因子/骨保护素(OPG)表达的影响。局部白细胞介素-17促进破骨性骨破坏,这伴随着在皮质骨、软骨下骨和小梁骨的骨侵蚀部位有显著的抗酒石酸酸性磷酸酶活性。使用特异性免疫组织化学方法发现,在滑膜浸润处和局灶性骨侵蚀部位,RANKL及其受体核因子κB受体活化因子的表达加速。有趣的是,AdIL-17不仅增强RANKL表达,还强烈上调滑膜中RANKL/OPG比值。将AdIL-17胶原诱导性关节炎组的关节炎小鼠与具有相似关节炎症临床评分的完全发展的胶原性关节炎小鼠进行比较,发现后一组的RANKL/OPG比值和抗酒石酸酸性磷酸酶活性较低。有趣的是,全身性OPG治疗可预防II型胶原免疫小鼠中由局部AdIL-17基因转移诱导的关节损伤。这些发现提示T细胞白细胞介素-17是RANKL表达的重要诱导剂,导致RANKL/OPG平衡丧失,刺激关节炎中的破骨细胞生成和骨侵蚀。
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