Wong Peter K K, Quinn Julian M W, Sims Natalie A, van Nieuwenhuijze Annemarie, Campbell Ian K, Wicks Ian P
Division of Autoimmunity and Transplantation, The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, Victoria 3050, Australia.
Arthritis Rheum. 2006 Jan;54(1):158-68. doi: 10.1002/art.21537.
OBJECTIVE: To determine the cellular mediators of antigen-induced arthritis (AIA) and the relative contribution of members of the interleukin-6 (IL-6) family and tumor necrosis factor (TNF) in AIA. METHODS: AIA was induced in mice deficient in T and B lymphocytes, IL-6 (IL-6(-/-)), TNF (TNF(-/-)), IL-11 receptor, and oncostatin M receptor, by immunization with methylated bovine serum albumin (mBSA) followed 7 days later by intraarticular injection of mBSA. Arthritis severity was assessed histologically, and T lymphocyte responses were assessed in vitro. Anti-TNF neutralizing antibody was administered to wild-type mice during AIA. Bone marrow osteoclasts were generated in vitro via culture with RANKL and macrophage colony-stimulating factor. RESULTS: AIA was dependent on CD4+ T lymphocytes, but not CD8+ T lymphocytes or B cells. IL-6(-/-) mice had reduced AIA severity and fewer osteoclasts at sites of bone erosion. This protective effect was not seen with a deficiency of other IL-6 family members and was similar to that in TNF(-/-) mice or wild-type mice receiving TNF blockade treatment. IL-6(-/-) CD4+ T lymphocytes from draining lymph nodes had reduced antigen-induced proliferation and produced less IL-17 and less RANKL, relative to osteoprotegerin, than cells from wild-type mice. Bone marrow from IL-6(-/-) mice generated fewer osteoclasts in vitro than bone marrow from either wild-type or TNF(-/-) mice. CONCLUSION: AIA is driven by CD4+ T lymphocytes. IL-6 is an important mediator of bone destruction in AIA because it regulates T lymphocyte production of key osteoclastogenic cytokines and inflammation-induced bone marrow osteoclast differentiation. These findings have implications for reducing bone and joint damage in rheumatoid arthritis.
目的:确定抗原诱导性关节炎(AIA)的细胞介质以及白细胞介素-6(IL-6)家族成员和肿瘤坏死因子(TNF)在AIA中的相对作用。 方法:通过用甲基化牛血清白蛋白(mBSA)免疫,随后在7天后关节内注射mBSA,在缺乏T和B淋巴细胞、IL-6(IL-6-/-)、TNF(TNF-/-)、IL-11受体和抑瘤素M受体的小鼠中诱导AIA。通过组织学评估关节炎严重程度,并在体外评估T淋巴细胞反应。在AIA期间给野生型小鼠施用抗TNF中和抗体。通过与RANKL和巨噬细胞集落刺激因子培养在体外产生骨髓破骨细胞。 结果:AIA依赖于CD4+T淋巴细胞,而非CD8+T淋巴细胞或B细胞。IL-6-/-小鼠的AIA严重程度降低,骨侵蚀部位的破骨细胞减少。其他IL-6家族成员缺乏时未观察到这种保护作用,这与TNF-/-小鼠或接受TNF阻断治疗的野生型小鼠相似。相对于骨保护素,来自引流淋巴结的IL-6-/-CD4+T淋巴细胞的抗原诱导增殖减少,产生的IL-17和RANKL较少,比野生型小鼠的细胞少。IL-6-/-小鼠的骨髓在体外产生的破骨细胞比野生型或TNF-/-小鼠的骨髓少。 结论:AIA由CD4+T淋巴细胞驱动。IL-6是AIA中骨破坏的重要介质,因为它调节关键破骨细胞生成细胞因子的T淋巴细胞产生以及炎症诱导的骨髓破骨细胞分化。这些发现对减少类风湿性关节炎中的骨和关节损伤具有重要意义。
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