Sobek Vera, Birkner Nico, Falk Ingrid, Würch Andreas, Kirschning Carsten J, Wagner Hermann, Wallich Reinhard, Lamers Marinus C, Simon Markus M
Department of Cellular Immunology, Max-Planck-Institut für Immunbiologie, Freiburg, Germany.
Arthritis Res Ther. 2004;6(5):R433-46. doi: 10.1186/ar1212. Epub 2004 Jul 19.
The pathogenesis of chronic inflammatory joint diseases such as adult and juvenile rheumatoid arthritis and Lyme arthritis is still poorly understood. Central to the various hypotheses in this respect is the notable involvement of T and B cells. Here we develop the premise that the nominal antigen-independent, polyclonal activation of preactivated T cells via Toll-like receptor (TLR)-2 has a pivotal role in the initiation and perpetuation of pathogen-induced chronic inflammatory joint disease. We support this with the following evidence. Both naive and effector T cells express TLR-2. A prototypic lipoprotein, Lip-OspA, from the etiological agent of Lyme disease, namely Borrelia burgdorferi, but not its delipidated form or lipopolysaccharide, was able to provide direct antigen-nonspecific co-stimulatory signals to both antigen-sensitized naive T cells and cytotoxic T lymphocyte (CTL) lines via TLR-2. Lip-OspA induced the proliferation and interferon (IFN)-gamma secretion of purified, anti-CD3-sensitized, naive T cells from C57BL/6 mice but not from TLR-2-deficient mice. Induction of proliferation and IFN-gamma secretion of CTL lines by Lip-OspA was independent of T cell receptor (TCR) engagement but was considerably enhanced after suboptimal TCR activation and was inhibitable by monoclonal antibodies against TLR-2.
成人及青少年类风湿性关节炎和莱姆关节炎等慢性炎症性关节疾病的发病机制仍未完全明确。在这方面的各种假说中,T细胞和B细胞的显著参与是核心内容。在此,我们提出一个前提,即通过Toll样受体(TLR)-2对预激活的T细胞进行名义上的抗原非依赖性多克隆激活,在病原体诱导的慢性炎症性关节疾病的起始和持续过程中起关键作用。我们有以下证据支持这一观点。幼稚T细胞和效应T细胞均表达TLR-2。莱姆病病原体伯氏疏螺旋体的一种原型脂蛋白Lip-OspA,而非其脱脂形式或脂多糖,能够通过TLR-2向抗原致敏的幼稚T细胞和细胞毒性T淋巴细胞(CTL)系提供直接的抗原非特异性共刺激信号。Lip-OspA可诱导C57BL/6小鼠纯化的、抗CD3致敏的幼稚T细胞增殖并分泌干扰素(IFN)-γ,但对TLR-2缺陷小鼠的此类细胞无此作用。Lip-OspA对CTL系增殖和IFN-γ分泌的诱导不依赖于T细胞受体(TCR)的参与,但在次优TCR激活后显著增强,且可被抗TLR-2单克隆抗体抑制。