Zhao Rong, Chen Ni-Nan, Zhou Xiao-Wei, Miao Ping, Hu Chao-Ying, Qian Liu, Yu Qi-Wen, Zhang Ji-Ying, Nie Hong, Chen Xue-hua, Li Pu, Xu Rong, Xiao Lian-Bo, Zhang Xin, Liu Jian-Ren, Zhang Dong-Qing
Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Shanghai Institute of Immunology, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
J Transl Med. 2014 Dec 10;12:330. doi: 10.1186/s12967-014-0330-y.
Although a variety of drugs have been used to treat the symptoms of rheumatoid arthritis (RA), none of them are able to cure the disease. Interferon β (IFN-β) has pleiotropic effects on RA, but whether it can be used to treat RA remains globally controversial. Thus, in this study we tested the effects of IFN-β on RA patients and on collagen antibody-induced arthritis (CAIA) model mice.
The cytokine and auto-antibody expression profiles in the serum and synovial fluid (SF) from RA patients were assessed using enzyme-linked immunosorbent assay (ELISA) and compared with the results from osteoarthritis (OA) patients. Exogenous IFN-β was administered to RA patients and CAIA model mice, and the therapeutic effects were evaluated. Endogenous IFN-β expression in the joint bones of CAIA model mice was evaluated by quantitative real-time PCR (qRT-PCR). The effects of exogenous IFN-β on CAIA model mice were assessed using a clinical scoring system, hematoxylin eosin and safranin-O with fast green counterstain histology, molybdenum target X-ray, and tartrate-resistant acid phosphatase (TRAP) staining. The RANKL-RANK signaling pathway was analyzed using qRT-PCR. The RAW 264.7 cell line was differentiated into osteoclasts with RANKL stimulation and then treated with exogenous IFN-β.
The expression of inflammatory cytokines (IFN-γ, IL-17, MMP-3, and RANKL) and auto-antibodies (CII antibodies, RF-IgM, and anti-CCP/GPI) were significantly higher in RA compared with OA patients. After IFN-β intervention, some clinical symptoms in RA patients were partially alleviated, and the expression of IFN-γ, IL-17, MMP-3, and OPG) returned to normal levels. In the CAIA model, the expression of endogenous IFN-β in the joint bones was decreased. After IFN-β administration, the arthritis scores were decreased; synovial inflammation, cartilage, and bone destruction were clearly attenuated; and the expression of c-Fos and NFATc1 were reduced, while RANKL and TRAF6 expression was unchanged. In addition, exogenous IFN-β directly inhibited RANKL-induced osteoclastogenesis.
Exogenous IFN-β administration immunomodulates CAIA, may reduce joint inflammation and, perhaps more importantly, bone destruction by inhibiting the RANKL-c-Fos signaling pathway. Exogenous IFN-β intervention should be selectively used on RA patients because it may only be useful for RA patients with low endogenous IFN-β expression.
尽管已使用多种药物治疗类风湿关节炎(RA)的症状,但尚无一种药物能够治愈该疾病。干扰素β(IFN-β)对RA具有多效性作用,但它是否可用于治疗RA在全球范围内仍存在争议。因此,在本研究中,我们测试了IFN-β对RA患者和胶原抗体诱导的关节炎(CAIA)模型小鼠的影响。
采用酶联免疫吸附测定(ELISA)评估RA患者血清和滑液(SF)中的细胞因子和自身抗体表达谱,并与骨关节炎(OA)患者的结果进行比较。对RA患者和CAIA模型小鼠给予外源性IFN-β,并评估其治疗效果。通过定量实时PCR(qRT-PCR)评估CAIA模型小鼠关节骨中内源性IFN-β的表达。使用临床评分系统、苏木精伊红和番红O-固绿复染组织学、钼靶X射线和抗酒石酸酸性磷酸酶(TRAP)染色评估外源性IFN-β对CAIA模型小鼠的影响。使用qRT-PCR分析RANKL-RANK信号通路。用RANKL刺激RAW 264.7细胞系分化为破骨细胞,然后用外源性IFN-β处理。
与OA患者相比,RA患者血清中炎性细胞因子(IFN-γ、IL-17、MMP-3和RANKL)和自身抗体(CII抗体、RF-IgM和抗CCP/GPI)的表达显著更高。IFN-β干预后,RA患者的一些临床症状得到部分缓解,IFN-γ、IL-17、MMP-3和OPG的表达恢复到正常水平。在CAIA模型中,关节骨中内源性IFN-β的表达降低。给予IFN-β后,关节炎评分降低;滑膜炎症、软骨和骨破坏明显减轻;c-Fos和NFATc1的表达降低,而RANKL和TRAF6的表达不变。此外,外源性IFN-β直接抑制RANKL诱导的破骨细胞生成。
给予外源性IFN-β可免疫调节CAIA,可能通过抑制RANKL-c-Fos信号通路减轻关节炎症,或许更重要的是减轻骨破坏。外源性IFN-β干预应选择性用于RA患者,因为它可能仅对内源性IFN-β表达低的RA患者有用。