Yocum D E, Lafyatis R, Remmers E F, Schumacher H R, Wilder R L
Arthritis and Rheumatism Branch, National Institutes of Health, Bethesda, MD 20892.
Am J Pathol. 1988 Jul;132(1):38-48.
It has been suggested that streptococcal cell wall-induced arthritis in LEW/N rats resembles a localized neoplasm consisting of, in part, a proliferative and invasive population of fibroblast-like synoviocytes. To further pursue this concept, the synoviocytes from diseased rats were characterized in situ and in vitro for various parameters of "transformation." The spindle-shaped synoviocytes were found throughout the synovium and were the predominant cell type at sites of invasion of bone and cartilage by synovium. They stained intensely for vimentin, a microfilament prominently expressed in immature and transformed mesenchymal cells. They stained variably for Ia antigens and did not exhibit T cell surface antigens nor did they stain with histochemical stains characteristic of monocytes or granulocytes. Electron microscopy confirmed their fibroblastlike morphology and suggested high grade metabolic activity. In primary culture, the abnormal synoviocytes were adherent, grew rapidly and did not contact inhibit. Moreover, they grew under anchorage-independent conditions. These abnormal growth characteristics were inhibited by all-trans retinoic acid. Finally, explants of the arthritic synovium formed short-lived tumorlike nodules in athymic nude mice. These observations, considered in the context of other data, support the concept that the pathologic process represents a thymic-dependent, nonmalignant, locally invasive inflammatory neoplasm.
有人提出,LEW/N大鼠中链球菌细胞壁诱导的关节炎类似于一种局部肿瘤,部分由成纤维细胞样滑膜细胞的增殖性和侵袭性群体组成。为了进一步探讨这一概念,对患病大鼠的滑膜细胞进行了原位和体外的“转化”各种参数的表征。纺锤形滑膜细胞遍布整个滑膜,是滑膜侵袭骨和软骨部位的主要细胞类型。它们对波形蛋白染色强烈,波形蛋白是在未成熟和转化的间充质细胞中显著表达的微丝。它们对Ia抗原染色不一,不表现T细胞表面抗原,也不被单核细胞或粒细胞的组织化学染色所染色。电子显微镜证实了它们成纤维细胞样的形态,并提示其具有高代谢活性。在原代培养中,异常滑膜细胞贴壁生长迅速,且无接触抑制。此外,它们在非贴壁条件下生长。这些异常生长特性被全反式维甲酸抑制。最后,关节炎滑膜外植体在无胸腺裸鼠中形成了短暂的肿瘤样结节。结合其他数据考虑,这些观察结果支持了这样一种概念,即病理过程代表一种胸腺依赖性、非恶性、局部侵袭性的炎性肿瘤。