类风湿关节炎患者体内B淋巴细胞的耗竭改变了白细胞介素8-抗白细胞介素8自身抗体网络。

Depletion of B lymphocytes in rheumatoid arthritis patients modifies IL-8-anti-IL-8 autoantibody network.

作者信息

Keren Zohar, Braun-Moscovici Yolanda, Markovits Doron, Rozin Alexander, Nahir Menahem, Balbir-Gurman Alexandra, Melamed Doron

机构信息

Technion, Bruce Rappaport Faculty of Medicine, Haifa 31096, Israel.

出版信息

Clin Immunol. 2009 Oct;133(1):108-16. doi: 10.1016/j.clim.2009.07.001. Epub 2009 Jul 25.

Abstract

Cytokines and chemokines are key regulatory molecules involved in rheumatoid arthritis (RA). B-cell depletion therapy improves RA clinically but its mechanism is not completely understood. One possible mechanism for this therapy is the modification of the proinflammatory cytokine homeostasis of RA. We show here that the levels of the proinflammatory chemokine IL-8 in serum samples from RA patients unexpectedly increased by up to 100-fold 8 weeks after the administration of rituximab, despite clinical improvement. We also show that RA patients produced anti-IL-8 autoantibodies and that their levels dropped after RTX treatment. Moreover, we identified antibody-IL-8 immune complexes in the synovial fluid and serum of RA patients, and found that the amount of these complexes decreased after the administration of RTX. Our results indicate that B-cell depletion therapy modifies the cytokine-autoantibody network by reducing the levels of anti-cytokine autoantibodies and, consequentially, the formation of antibody-cytokine immune complexes.

摘要

细胞因子和趋化因子是类风湿性关节炎(RA)中关键的调节分子。B细胞清除疗法在临床上改善了类风湿性关节炎,但其机制尚未完全明确。该疗法的一种可能机制是改变类风湿性关节炎促炎细胞因子的稳态。我们在此表明,尽管临床症状有所改善,但在给予利妥昔单抗8周后,类风湿性关节炎患者血清样本中促炎趋化因子白细胞介素-8(IL-8)的水平意外地升高了多达100倍。我们还表明,类风湿性关节炎患者产生抗IL-8自身抗体,且其水平在利妥昔单抗治疗后下降。此外,我们在类风湿性关节炎患者的滑液和血清中鉴定出抗体-IL-8免疫复合物,并发现给予利妥昔单抗后这些复合物的量减少。我们的结果表明,B细胞清除疗法通过降低抗细胞因子自身抗体水平,进而减少抗体-细胞因子免疫复合物的形成,从而改变细胞因子-自身抗体网络。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索