Krug H E
Department of Veterans Affairs Medical Center, Minneapolis, MN 55417, USA.
J Investig Med. 1998 Apr;46(4):134-9.
Murine progressive ankylosis (MPA) is a spontaneous arthropathy that produces ankylosis of peripheral and spinal joints in mice homozygous for the gene ank. This animal model bears a striking resemblance clinically, radiographically, and histologically to ankylosing spondylitis. Phosphocitrate (PC) is the only treatment known to significantly delay disease progression in MPA. Transforming growth factor-beta (TGF-beta) is important for both developmental bone formation and fracture healing, and has been detected in biopsy specimens from sacroiliac joints of patient with ankylosing spondylitis. We hypothesized that TGF-beta might be involved in the pathogenesis of MPA.
We compared the proliferative response of resting fibroblasts from normal and MPA mice to TGF-beta 1 as measured by 3H-thymidine incorporation and the effect of PC on that response. Cells were cultured with 10% serum as a positive control. The mouse fibroblast cell line, BALB/3T3, controlled for culture conditions.
MPA and normal fibroblasts responded similarly to serum. MPA fibroblasts proliferated significantly better in TGF-beta 1 than the poorly responsive normal mouse fibroblasts. PC, at 10(-3) mol/L, inhibited the TGF-beta 1-induced proliferation of MPA and 3T3 cells, but had no effect on normal fibroblasts.
MPA fibroblasts proliferate excessively to TGF beta 1 in vitro. This effect could be caused by altered TGF receptors, changes in signal transduction, or impaired inhibition of the TGF-beta signal. This excessive response is blocked by PC. These results give further clues as to how PC inhibits the progression of ankylosis in MPA.
小鼠进行性关节强硬(MPA)是一种自发性关节病,在ank基因纯合的小鼠中可导致外周和脊柱关节的关节强硬。该动物模型在临床、影像学和组织学上与强直性脊柱炎极为相似。磷酸柠檬酸(PC)是已知唯一能显著延缓MPA疾病进展的治疗方法。转化生长因子-β(TGF-β)对发育性骨形成和骨折愈合都很重要,并且已在强直性脊柱炎患者骶髂关节的活检标本中检测到。我们推测TGF-β可能参与了MPA的发病机制。
我们通过³H-胸腺嘧啶核苷掺入法比较了正常小鼠和MPA小鼠静息成纤维细胞对TGF-β1的增殖反应,以及PC对该反应的影响。细胞在含10%血清的培养基中培养作为阳性对照。使用小鼠成纤维细胞系BALB/3T3来控制培养条件。
MPA成纤维细胞和正常成纤维细胞对血清的反应相似。MPA成纤维细胞在TGF-β1刺激下的增殖明显优于反应较差的正常小鼠成纤维细胞。10⁻³mol/L的PC可抑制TGF-β1诱导的MPA成纤维细胞和3T3细胞的增殖,但对正常成纤维细胞无影响。
MPA成纤维细胞在体外对TGF-β1过度增殖。这种效应可能是由TGF受体改变、信号转导变化或TGF-β信号抑制受损引起的。PC可阻断这种过度反应。这些结果为PC如何抑制MPA中关节强硬的进展提供了进一步线索。