Thorbecke G J, Shah R, Leu C H, Kuruvilla A P, Hardison A M, Palladino M A
Department of Pathology, New York University School of Medicine, NY 10016.
Proc Natl Acad Sci U S A. 1992 Aug 15;89(16):7375-9. doi: 10.1073/pnas.89.16.7375.
Both tumor necrosis factor alpha (TNF-alpha) and transforming growth factor beta (TGF-beta) are found in synovial fluid from arthritic joints of humans and of rodents with experimental arthritis. The role of endogenously produced TGF-beta and TNF in the pathogenesis of collagen type II-induced arthritis (CIA) in DBA/1 mice was examined by determining the effect of neutralizing monoclonal antibodies to these factors on the course of the disease. Endogenously produced as well as systemically administered TGF-beta 1 and TNF-alpha had opposite effects, since TGF-beta 1 and anti-TNF protected against CIA, whereas anti-TGF-beta and TNF-alpha increased CIA incidence and/or severity. Intraperitoneally injected TGF-beta 1 at a dose of 2 micrograms per day for 14 days significantly ameliorated arthritis, even when started at the time of arthritis development, although it did not reverse established disease. The resistance to CIA induction caused by a prior intravenous injection of collagen type II was not significantly influenced by the simultaneous injection of TGF-beta 1, TNF-alpha, or interleukin 1 alpha. It is concluded that the endogenous production of TNF and TGF-beta is important in determining the course of CIA.
肿瘤坏死因子α(TNF-α)和转化生长因子β(TGF-β)在人类关节炎关节以及实验性关节炎啮齿动物的滑液中均有发现。通过测定针对这些因子的中和单克隆抗体对疾病进程的影响,研究了内源性产生的TGF-β和TNF在DBA/1小鼠II型胶原诱导性关节炎(CIA)发病机制中的作用。内源性产生的以及全身给药的TGF-β1和TNF-α具有相反的作用,因为TGF-β1和抗TNF可预防CIA,而抗TGF-β和TNF-α则增加CIA的发病率和/或严重程度。每天腹腔注射2微克TGF-β1,持续14天,即使在关节炎发病时开始注射,也能显著改善关节炎,尽管它不能逆转已有的疾病。预先静脉注射II型胶原对CIA诱导的抗性,不会因同时注射TGF-β1、TNF-α或白细胞介素1α而受到显著影响。得出的结论是,TNF和TGF-β的内源性产生在决定CIA的进程中很重要。