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胆碱能抗炎途径调节抗原诱导性关节炎中的中性粒细胞募集和关节痛觉过敏。

Neutrophil Recruitment and Articular Hyperalgesia in Antigen-Induced Arthritis are Modulated by the Cholinergic Anti-Inflammatory Pathway.

作者信息

Kanashiro Alexandre, Talbot Jhimmy, Peres Raphael S, Pinto Larissa G, Bassi Gabriel S, Cunha Thiago M, Cunha Fernando Q

机构信息

Department of Pharmacology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

Department of Immunology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Basic Clin Pharmacol Toxicol. 2016 Nov;119(5):453-457. doi: 10.1111/bcpt.12611. Epub 2016 May 20.

Abstract

The cholinergic anti-inflammatory pathway (CAP) is a complex neuroimmune mechanism triggered by the central nervous system to regulate peripheral inflammatory responses. Understanding the role of CAP in the pathogenesis of rheumatoid arthritis (RA) could help develop new therapeutic strategies for this disease. Therefore, we investigated the participation of this neuroimmune pathway on the progression of experimental arthritis. Using antigen-induced arthritis (AIA) model, we investigated in mice the effects of vagotomy or the pharmacological treatments with hexamethonium (peripheral nicotinic receptor antagonist), methylatropine (peripheral muscarinic receptor antagonist) or neostigmine (peripheral acetylcholinesterase inhibitor) on AIA progression. Unilateral cervical vagotomy was performed 1 week before the immunization protocol with methylated bovine serum albumin (mBSA), while drug administration was conducted during the period of immunization. On day 21, 6 hr after the challenge with mBSA injection in the femur-tibial joint, the local neutrophil migration and articular mechanical hyperalgesia were assessed. Herein, we observed that vagotomy or blockade of peripheral nicotinic (but not muscarinic) receptors exacerbated the clinical parameters of this disease. Moreover, peripheral acetylcholinesterase inhibition by neostigmine treatment promoted a reduction of neutrophil recruitment in the knee joint and articular hyperalgesia. Our results demonstrated that peripheral activation of CAP modulates experimental arthritis, providing a pre-clinical evidence of a potential therapeutic strategy for RA.

摘要

胆碱能抗炎通路(CAP)是一种由中枢神经系统触发的复杂神经免疫机制,用于调节外周炎症反应。了解CAP在类风湿关节炎(RA)发病机制中的作用有助于开发针对该疾病的新治疗策略。因此,我们研究了这条神经免疫通路在实验性关节炎进展中的参与情况。利用抗原诱导性关节炎(AIA)模型,我们在小鼠中研究了迷走神经切断术或用六甲铵(外周烟碱受体拮抗剂)、甲基阿托品(外周毒蕈碱受体拮抗剂)或新斯的明(外周乙酰胆碱酯酶抑制剂)进行药物治疗对AIA进展的影响。在使用甲基化牛血清白蛋白(mBSA)进行免疫方案前1周进行单侧颈迷走神经切断术,而药物给药在免疫期间进行。在第21天,在股骨-胫骨关节注射mBSA激发6小时后,评估局部中性粒细胞迁移和关节机械性痛觉过敏。在此,我们观察到迷走神经切断术或外周烟碱(而非毒蕈碱)受体阻断加剧了该疾病的临床参数。此外,新斯的明治疗对外周乙酰胆碱酯酶的抑制促进了膝关节中性粒细胞募集的减少和关节痛觉过敏的减轻。我们的结果表明,CAP的外周激活可调节实验性关节炎,为RA潜在治疗策略提供了临床前证据。

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