Frey B, Gaipl U S, Sarter K, Zaiss M M, Stillkrieg W, Rödel F, Schett G, Herrmann M, Fietkau R, Keilholz L
Department of Radiation Oncology, University of Erlangen-Nuremberg, D-91054, Erlangen, Germany.
Autoimmunity. 2009 May;42(4):346-8. doi: 10.1080/08916930902831738.
Rheumatoid arthritis (RA) displays a chronic inflammatory joint disease, accompanied by symmetric polyarthritis (PA) which evokes synovial inflammation, cartilage damage, and bone erosion. Patients with RA are routinely treated by immunosuppressive drugs. The therapy of inflammatory diseases and degenerative disorders with Low-dose radiotherapy (LD-RT) (single doses from 0.3 to 1.0 Gy) represents a low cost therapy with low toxicity, and is able to substitute at least in part treatment with drugs. The efficiency of LD-RT has already been proven in several animal models of inducible arthritis. In the present study we used a human TNF transgenic mouse model to examine the effects of LD-RT on PA. We observed a significant temporal improvement of the clinical progression of disease when mice were irradiated at the beginning of the disease. These data emphasize the role of LD-RT in clinical settings to treat patients with chronic and degenerative disorders and diseases.
类风湿性关节炎(RA)是一种慢性炎症性关节疾病,伴有对称性多关节炎(PA),可引发滑膜炎、软骨损伤和骨质侵蚀。类风湿性关节炎患者通常采用免疫抑制药物进行治疗。低剂量放疗(LD-RT)(单次剂量为0.3至1.0 Gy)用于治疗炎症性疾病和退行性疾病,是一种低成本、低毒性的治疗方法,并且至少能够部分替代药物治疗。LD-RT的疗效已在多种诱导性关节炎动物模型中得到证实。在本研究中,我们使用人类肿瘤坏死因子(TNF)转基因小鼠模型来研究LD-RT对PA的影响。我们观察到,在疾病初期对小鼠进行照射时,疾病的临床进展有显著的时间性改善。这些数据强调了LD-RT在临床环境中治疗慢性和退行性疾病患者的作用。