Tetlow L C, Woolley D E
University Department of Medicine, Manchester Royal Infirmary.
Br J Rheumatol. 1998 Jan;37(1):64-70. doi: 10.1093/rheumatology/37.1.64.
The degradation of fibrillar type II collagen is a major feature of cartilage destruction in rheumatoid arthritis (RA). Since collagenase 3 is produced by chondrocytes and preferentially degrades type II cartilage collagen, it seemed likely that this enzyme would have a prominent role in the destruction of rheumatoid joints. Using immunolocalization techniques, we have examined and compared the production and distributions of collagenase 1 and collagenase 3 in cells and tissues derived from rheumatoid knee arthroplasties. Primary cultures of chondrocytes stimulated with interleukin-1 beta showed that most of the cells produced collagenase 1, whereas only a minority (approximately 5-10%) produced collagenase 3; a few chondrocytes demonstrated the co-ordinate production of both enzymes. Primary cultures of rheumatoid synoviocytes produced collagenase 1, but not collagenase 3. Both enzymes were demonstrated in the rheumatoid lesion. Collagenase 1 was more commonly observed in both synovium and cartilage (22 of the 28 specimens), was especially prominent at cartilage erosion sites, and most of the positive specimens demonstrated extracellular enzyme. By contrast, collagenase 3 was observed less frequently (7/28 specimens) and was produced by relatively few chondrocytes and synovial cells, this usually being much less than that observed for chondrocytes of osteoarthritic cartilage. These observations suggest different regulatory mechanisms for the production of collagenases 1 and 3 in the rheumatoid lesion, and demonstrate that the distribution and production of collagenase 1 are far more prevalent than those for collagenase 3.
纤维状II型胶原蛋白的降解是类风湿性关节炎(RA)中软骨破坏的主要特征。由于胶原酶3由软骨细胞产生,且优先降解II型软骨胶原蛋白,因此这种酶似乎在类风湿关节的破坏中起重要作用。我们使用免疫定位技术,检查并比较了胶原酶1和胶原酶3在类风湿膝关节置换术来源的细胞和组织中的产生及分布情况。用白细胞介素-1β刺激软骨细胞的原代培养物显示,大多数细胞产生胶原酶1,而只有少数(约5-10%)产生胶原酶3;少数软骨细胞同时产生这两种酶。类风湿滑膜细胞的原代培养物产生胶原酶1,但不产生胶原酶3。两种酶在类风湿病变中均有显示。胶原酶1在滑膜和软骨中更常见(28个标本中有22个),在软骨侵蚀部位尤为突出,大多数阳性标本显示细胞外酶。相比之下,胶原酶3较少见(7/28个标本),由相对较少的软骨细胞和滑膜细胞产生,通常比骨关节炎软骨的软骨细胞产生的少得多。这些观察结果表明类风湿病变中胶原酶1和3的产生存在不同的调节机制,并表明胶原酶1的分布和产生远比胶原酶3普遍。