Joosten Leo A B, Netea Mihai G, Fantuzzi Giamila, Koenders Marije I, Helsen Monique M A, Sparrer Helmut, Pham Christine T, van der Meer Jos W M, Dinarello Charles A, van den Berg Wim B
Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Arthritis Rheum. 2009 Dec;60(12):3651-62. doi: 10.1002/art.25006.
Caspase 1, a known cysteine protease, is a critical component of the inflammasome. Both caspase 1 and neutrophil serine proteases such as proteinase 3 (PR3) can process pro-interleukin-1beta (proIL-1beta), a crucial cytokine linked to the pathogenesis of rheumatoid arthritis. This study was undertaken to establish the relative importance of caspase 1 and serine proteases in mouse models of acute and chronic inflammatory arthritis.
Acute and chronic arthritis were induced in caspase 1-/- mice, and the lack of caspase 1 was investigated for its effects on joint swelling, cartilage metabolism, and histopathologic features. In addition, caspase 1 activity was inhibited in mice lacking active cysteine proteases, and the effects of dual blockade of caspase 1 and serine proteases on arthritis severity and histopathologic features were evaluated.
Surprisingly, caspase 1-/- mice, in a model of acute (neutrophil-dominated) arthritis, developed joint swelling to an extent similar to that in wild-type control mice. Joint fluid concentrations of bioactive IL-1beta were comparable in caspase 1-/- mice and controls. In contrast, induction of chronic arthritis (characterized by minimal numbers of neutrophils) in caspase 1-/- mice led to reduced joint inflammation and less cartilage damage, implying a caspase 1-dependent role in this process. In mice lacking neutrophil serine PR3, inhibition of caspase 1 activity resulted in decreased bioactive IL-1beta concentrations in the synovial tissue and less suppression of chondrocyte anabolic function. In addition, dual blockade of both PR3 and caspase 1 led to protection against cartilage and bone destruction.
Caspase 1 deficiency does not affect neutrophil-dominated joint inflammation, whereas in chronic arthritis, the lack of caspase 1 results in reduced joint inflammation and cartilage destruction. These findings suggest that inhibitors of caspase 1 are not able to interfere with the whole spectrum of IL-1beta production, and therefore such inhibitors may be of therapeutic value only in inflammatory conditions in which limited numbers of neutrophils are present.
半胱天冬酶1是一种已知的半胱氨酸蛋白酶,是炎性小体的关键组成部分。半胱天冬酶1和中性粒细胞丝氨酸蛋白酶如蛋白酶3(PR3)均可加工前白细胞介素-1β(proIL-1β),proIL-1β是一种与类风湿关节炎发病机制相关的关键细胞因子。本研究旨在确定半胱天冬酶1和丝氨酸蛋白酶在急性和慢性炎性关节炎小鼠模型中的相对重要性。
在半胱天冬酶1基因敲除小鼠中诱导急性和慢性关节炎,并研究半胱天冬酶1缺乏对关节肿胀、软骨代谢和组织病理学特征的影响。此外,在缺乏活性半胱氨酸蛋白酶的小鼠中抑制半胱天冬酶1活性,并评估半胱天冬酶1和丝氨酸蛋白酶双重阻断对关节炎严重程度和组织病理学特征的影响。
令人惊讶的是,在急性(以中性粒细胞为主)关节炎模型中,半胱天冬酶1基因敲除小鼠的关节肿胀程度与野生型对照小鼠相似。半胱天冬酶1基因敲除小鼠和对照小鼠关节液中生物活性IL-1β的浓度相当。相反,在半胱天冬酶1基因敲除小鼠中诱导慢性关节炎(以极少量中性粒细胞为特征)导致关节炎症减轻和软骨损伤减少,这意味着半胱天冬酶1在这一过程中起依赖作用。在缺乏中性粒细胞丝氨酸PR3的小鼠中,抑制半胱天冬酶1活性导致滑膜组织中生物活性IL-1β浓度降低,对软骨细胞合成代谢功能的抑制作用减弱。此外,PR3和半胱天冬酶1的双重阻断可防止软骨和骨破坏。
半胱天冬酶1缺乏不影响以中性粒细胞为主的关节炎症,而在慢性关节炎中,半胱天冬酶1缺乏导致关节炎症减轻和软骨破坏。这些发现表明,半胱天冬酶1抑制剂不能干扰IL-1β产生的整个过程,因此,此类抑制剂可能仅在存在少量中性粒细胞的炎性疾病中具有治疗价值。