Imunofarmacologia, Departamento de Bioquímica e Imunologia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Br J Pharmacol. 2011 Jan;162(1):72-83. doi: 10.1111/j.1476-5381.2010.00895.x.
BACKGROUND AND PURPOSE; Chronic joint inflammation and pain are the hallmarks of disease in patients with inflammatory arthritis, notably rheumatoid arthritis. The aim of the present study was to investigate the relative contribution of tumour necrosis factor (TNF)-α, interleukin (IL)-1β and neutrophil influx for joint inflammation and nociception in a novel murine model of antigen-induced arthritis (AIA).
AIA was induced by administration of antigen into knee joint of previously immunized mice. Neutrophil accumulation was determined by counting neutrophils in the joints and assessing myeloperoxidase activity in tissues surrounding the joints. TNF-α, IL-1β and CXCL-1 were measured by elisa. Mechanical hypernociception was assessed in parallel, using an electronic pressure meter.
Hypernociception was dependent on antigen dose and the time after its administration; it was prevented by treatment with morphine and associated with neutrophil infiltration and local production of TNF-α, IL-1β and CXCL-1. Administration of a chimeric monoclonal antibody to TNF-α (infliximab) or IL-1receptor antagonist prevented neutrophil influx and hypernociception, and this was comparable to the effects of dexamethasone. Treatment with fucoidin (a leucocyte adhesion inhibitor) greatly suppressed neutrophil influx and local production of TNF-α and IL-1β, and hypernociception.
In conclusion, the present study describes a new model that allows for the concomitant evaluation of articular hypernociception and inflammation. Using this system, we demonstrated that a positive feedback loop involving neutrophil influx and the pro-inflammatory cytokines TNF-α and IL-1β is necessary for articular hypernociception after antigen challenge of immunized mice.
背景和目的;慢性关节炎症和疼痛是炎症性关节炎患者(尤其是类风湿关节炎患者)疾病的特征。本研究的目的是在新型抗原诱导关节炎(AIA)小鼠模型中研究肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β和中性粒细胞浸润对关节炎症和痛觉过敏的相对贡献。
通过将抗原注入先前免疫的小鼠膝关节中诱导 AIA。通过计数关节中的中性粒细胞并评估关节周围组织中的髓过氧化物酶活性来确定中性粒细胞的积累。通过 ELISA 测定 TNF-α、IL-1β 和 CXCL-1。同时使用电子压力计评估机械性超敏反应。
超敏反应取决于抗原剂量和给药后的时间;吗啡治疗可预防超敏反应,与中性粒细胞浸润和局部 TNF-α、IL-1β 和 CXCL-1 的产生有关。给予 TNF-α(英夫利昔单抗)或 IL-1 受体拮抗剂嵌合单克隆抗体可预防中性粒细胞浸润和超敏反应,这与地塞米松的作用相当。给予岩藻多糖(白细胞黏附抑制剂)可显著抑制中性粒细胞浸润和局部 TNF-α 和 IL-1β 的产生,并减轻超敏反应。
总之,本研究描述了一种新的模型,可同时评估关节超敏反应和炎症。使用该系统,我们证明了在免疫小鼠的抗原挑战后,涉及中性粒细胞浸润和促炎细胞因子 TNF-α 和 IL-1β 的正反馈回路是关节超敏反应所必需的。