Ebihara Shin, Date Fumiko, Dong Yupeng, Ono Masao
Department of Pathology, Tohoku University Graduate School of Medicine , Sendai , Japan and.
Autoimmunity. 2015 Jun;48(4):259-66. doi: 10.3109/08916934.2014.976630. Epub 2014 Oct 29.
Ankylosis is a major pathological manifestation of spondyloarthropathy. The aim of this study was to evaluate the effects of anti-IL-17 therapy on spontaneous ankylosing enthesitis in mice. In this study, we used male DBA/1 mice as a spontaneous ankylosis model. Serum IL-17 concentrations were determined using enzyme-linked immunosorbent assay. Male DBA/1 mice from different litters were mixed and caged together preceding the treatment at 10 weeks (wk) of age (prophylaxis) or 21 wk of age (intervention). Treatment with anti-IL-17 antibodies or saline was initiated after caging in groups of mice and administered weekly. The onset of tarsal ankylosis was assessed by ankle swelling and histopathological examination. Pathological changes and mRNA expression levels were assessed in joints and ears obtained at the experimental end-point. We found that circulating IL-17 increased with the onset of ankylosis in male DBA/1 mice, coinciding with the onset of dermatitis. The symptoms of dermatitis corresponded to the pathological characteristics of psoriasis: acanthosis with mild hyperkeratosis, scaling, epidermal microabscess formation and augmented expression of K16, S100A8 and S100A9. Prophylactic administration of anti-IL-17 antibodies significantly prevented the development of both ankylosis and dermatitis in male DBA/1 mice caged together. On the other hand, administration of anti-IL-17 antibodies after disease onset had a lesser but significant effect on ankylosis progression but did not affect dermatitis progression. In conclusion, IL-17 is a key mediator in the pathogenic process of tarsal ankylosis and psoriasis-like dermatitis in male DBA/1 mice caged together. Thus, IL-17 is a potential therapeutic target in ankylosing enthesitis and psoriasis in humans.
关节强硬是脊柱关节炎的主要病理表现。本研究的目的是评估抗白细胞介素-17(IL-17)疗法对小鼠自发性强直性附着点炎的影响。在本研究中,我们使用雄性DBA/1小鼠作为自发性关节强硬模型。采用酶联免疫吸附测定法测定血清IL-17浓度。在10周龄(预防)或21周龄(干预)进行治疗前,将来自不同窝的雄性DBA/1小鼠混合并关在同一笼中。将小鼠分组关笼后开始用抗IL-17抗体或生理盐水进行治疗,每周给药一次。通过踝关节肿胀和组织病理学检查评估跗关节强硬的发病情况。在实验终点获取的关节和耳部评估病理变化和mRNA表达水平。我们发现,雄性DBA/1小鼠中,随着关节强硬的发病,循环中的IL-17增加,这与皮炎的发病同时出现。皮炎症状与银屑病的病理特征相符:棘层肥厚伴轻度角化过度、脱屑、表皮微脓肿形成以及角蛋白16(K16)、钙结合蛋白A8(S100A8)和钙结合蛋白A9(S100A9)表达增加。预防性给予抗IL-17抗体可显著预防关在一起的雄性DBA/1小鼠发生关节强硬和皮炎。另一方面,在疾病发作后给予抗IL-17抗体对关节强硬进展的影响较小但具有显著作用,但不影响皮炎进展。总之,IL-17是关在一起的雄性DBA/1小鼠跗关节强硬和银屑病样皮炎致病过程中的关键介质。因此,IL-17是人类强直性附着点炎和银屑病的潜在治疗靶点。