we showed that the total levels of particles were increased compared to those of BALB/c control mice and that the number of particles that stained with an anti IgG reagent was also increased. Furthermore, they demonstrate that microparticles can form immune complexes and that at least some of the immune complexes in the blood in SLE contain particles.
Rapid and transient signaling and functional responses of cells to TNF a, such as activation of NF gB and MAPKs, are well known. The acute inflammatory response to TNF a subsided after several hours and was followed by an IFN response characterized by sustained expression of STAT1 and downstream target genes.
Concomitantly TNF a induced a state of macrophage resistance to the homeostatic cytokines IL 10 and IL 27. Subsequently and surprisingly, TNF a induced a tolerant state in macrophages, with diminished cytokine production on lipopolysaccharide challenge and protection from LPS induced lethality.
TNF a induced cross tolerization was mediated by coordinate action of two inhibitory mechanisms, NSCLC suppression of LPS induced signaling and chromatin remodeling. This homeostatic mechanism may be compromised during RA synovitis, possibly by hypomorphic alleles of TNFAIP3 or by cytokines that suppress A20 expression or antagonize its function.
These data suggest that augmenting homeostatic functions and signals and thereby rebalancing the pro versus anti inflammatory profile of TNF a may represent an efficacious alternative therapeutic approach to suppress chronic inflammation.Background: Synovial fibroblasts are key players in the pathogenesis of Rheumatoid Arthritis and potentially attractive treatment targets.
Upon activation within the joints inflammatory milieu, mGluR they gain a transformed phenotype and produce pro inflammatory cytokines and tissue destructive enzymes. Materials and methods: Synovial fibroblasts were isolated via enzymatic processing from synovial tissues obtained from patients with RA or Osteoarthritis. Synovial fibroblasts were stimulated with TNF a only on day 1. Results: In Mj it was observed a rapid induction of TNF a target genes that was restrained back to the baseline within a few hours. In stark contrast, synovial fibroblasts displayed a remarkably more sustained response to TNF a.
The levels of IL 6 mRNA induced by TNF a in synovial fibroblasts were substantially higher compared to human Mj, suggesting that within the joint microenvironment, synovial fibroblasts and not Mj are the main source of IL 6. A similar pattern of sustained expression was observed for other TNF a target genes including IL 1b, IL 8 and MMPs.
Interestingly, there was no difference between OA and RA derived synovial fibroblasts in their response to TNF a. Interleukin 6 is a multifunctional cytokine that regulates immune response, inflammation, and hematopoiesis. Although IL 6 plays several important physiological roles, deregulated overproduction of IL 6 causes various clinical symptoms and laboratory abnormalities.
Various therapeutic antibodies targeting IL 6 have been developed, and tocilizumab, an anti IL 6 receptor antibody, precedes the others in clinical use. TCZ more significantly reduced radiological progression in patients with risk factors for rapid progression than those without the risk factors.
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