Chevrel G, Granet C, Miossec P
Departments of Immunology and Rheumatology and INSERM Unit 403, Hôpital E, Herriot, Lyon, France.
Ann Rheum Dis. 2005 Sep;64(9):1257-62. doi: 10.1136/ard.2004.032359. Epub 2005 Feb 24.
To evaluate the effect of tumour necrosis factor alpha (TNFalpha), interleukin (IL) 1beta, and their respective inhibitors the p75 TNFalpha soluble receptor (sTNFR) and the type II sIL1betaR (sIL1RII) on whole muscle and isolated myoblast activation.
Normal muscle samples were stimulated for 7 days with TNFalpha alone or in combination with IL1beta, and myoblasts from these samples for 48 hours. IL6 production was measured by ELISA. Nuclear translocation of NF-kappaB was analysed by immunofluorescent staining and class I MHC expression by FACS.
TNFalpha and IL1beta induced IL6 production by normal muscle samples and myoblasts, the action of TNFalpha being more potent on muscle samples. Their soluble receptors (1 microg/ml) decreased this production. Suboptimal concentrations of TNFalpha and IL1beta induced NF-kappaB translocation. sTNFR markedly down regulated TNFalpha-induced translocation while sIL1RII was less potent on IL1beta-induced activation. NF-kappaB translocation induced by the combination of optimal concentrations of TNFalpha and IL1beta was completely inhibited by their soluble receptors. TNFalpha and to a lesser extent IL1beta induced class I MHC expression by myoblasts and this effect was completely inhibited by their respective soluble receptors.
These results suggest that TNFalpha and IL1beta should be targeted for myositis treatment.
评估肿瘤坏死因子α(TNFα)、白细胞介素(IL)1β及其各自的抑制剂p75 TNFα可溶性受体(sTNFR)和II型可溶性IL1β受体(sIL1RII)对整块肌肉和分离的成肌细胞激活的影响。
用TNFα单独或与IL1β联合刺激正常肌肉样本7天,并用这些样本中的成肌细胞刺激48小时。通过ELISA测定IL6的产生。通过免疫荧光染色分析NF-κB的核转位,通过流式细胞术分析I类MHC的表达。
TNFα和IL1β可诱导正常肌肉样本和成肌细胞产生IL6,TNFα对肌肉样本的作用更强。它们的可溶性受体(1微克/毫升)可降低这种产生。次优浓度的TNFα和IL1β可诱导NF-κB转位。sTNFR显著下调TNFα诱导的转位,而sIL1RII对IL1β诱导的激活作用较弱。最佳浓度的TNFα和IL1β联合诱导的NF-κB转位被它们的可溶性受体完全抑制。TNFα以及在较小程度上IL1β可诱导成肌细胞表达I类MHC,这种作用被它们各自的可溶性受体完全抑制。
这些结果表明,TNFα和IL1β应作为治疗肌炎的靶点。