Schminke Boris, Trautmann Sandra, Mai Burkhard, Miosge Nicolai, Blaschke Sabine
Department of Prosthodontics, Tissue Regeneration Work Group, University Medical Center, Goettingen, Germany.
Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany.
Eur J Immunol. 2016 Feb;46(2):440-5. doi: 10.1002/eji.201545910. Epub 2015 Dec 14.
Mesenchymal stem cells are known to exert immunomodulatory effects in inflammatory diseases. Immuneregulatory cells lead to progressive joint destruction in rheumatoid arthritis (RA). Proinflammatory cytokines, such as tumour necrosis factor α (TNF-α) and interleukins (ILs) are the main players. Here, we studied progenitor cells from RA cartilage (RA-CPCs) that are positive for IL-17 receptors to determinate the effects of inflammation on their chondrogenic potenial. IL-17A/F reduced the chondrogenic potential of these cells via the upregulation of RUNX2 protein and enhanced IL-6 protein and MMP3 mRNA levels. Blocking antibodies against IL-17 positively influenced their repair potential. Furthermore, treating the RA-CPCs with the anti-human IL-17 antibody secukinumab or the anti-TNF-α antibody adalimumab reduced the proinflammatory IL-6 protein level and positively influenced the secretion of anti-inflammatory IL-10 protein. Additionally, adalimumab and secukinumab in particular reduced RUNX2 protein to promote chondrogenesis. The amelioration of inflammation, particularly via IL-17 antagonism, might be a new therapeutic approach for enhancing intrinsic cartilage repair mechanisms in RA patients.
已知间充质干细胞在炎症性疾病中发挥免疫调节作用。免疫调节细胞会导致类风湿性关节炎(RA)中关节的渐进性破坏。促炎细胞因子,如肿瘤坏死因子α(TNF-α)和白细胞介素(ILs)是主要因素。在此,我们研究了来自RA软骨的祖细胞(RA-CPCs),这些细胞对IL-17受体呈阳性,以确定炎症对其软骨生成潜能的影响。IL-17A/F通过上调RUNX2蛋白降低了这些细胞的软骨生成潜能,并提高了IL-6蛋白和MMP3 mRNA水平。抗IL-17阻断抗体对其修复潜能有积极影响。此外,用抗人IL-17抗体司库奇尤单抗或抗TNF-α抗体阿达木单抗处理RA-CPCs可降低促炎IL-6蛋白水平,并对抗炎IL-10蛋白的分泌产生积极影响。此外,阿达木单抗和司库奇尤单抗尤其能降低RUNX2蛋白以促进软骨生成。炎症的改善,特别是通过IL-17拮抗作用,可能是增强RA患者内在软骨修复机制的一种新的治疗方法。