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Annals of the Rheumatic Diseases 1999;58:428-434; doi:10.1136/ard.58.7.428
Copyright © 1999 BMJ Publishing Group Ltd & European League Against Rheumatism.
Ann Rheum Dis 1999;58:428-434 ( July )

Extended reports

Anti-inflammatory effects of systemic anti-tumour necrosis factor alpha  treatment in human/murine SCID arthritis Hiltrud Schädlicha, Jörg Ermanna, Maria Biskopb, Werner Falkc, Frauke Sperlinga, Astrid Jüngela, Jörg Lehmannd, Frank Emmricha, Ulrich Sacka

a Institute of Clinical Immunology and Transfusion Medicine, University of Leipzig, Germany, b Private Practice, Leipzig, Germany, c Department of Internal Medicine I, University of Regensburg, Germany, d Immunology Unit, Large Animal Medical Department, University of Leipzig, Germany

Correspondence to: Correspondence to: Dr U Sack, Institute of Clinical Immunology and Transfusion Medicine, University of Leipzig, Linnéstrasse 3, D-04103 Leipzig, Germany.

Accepted for publication 1 March 1999

OBJECTIVES---To evaluate in vivo the contribution of tumour necrosis factor alpha  (TNFalpha ) to the chimeric transfer model of human rheumatoid arthritis synovial membrane into SCID mice (hu/mu SCID arthritis), systemic anti-TNFalpha treatment was performed and the clinical, serological, and histopathological effects of this treatment assessed.
METHODS---Animals were treated with the rat-antimouse TNFalpha monoclonal antibody V1q, starting on day 1 after hu/mu engraftment, twice weekly for 12 weeks. Joint swelling, serum concentrations of human and murine interleukin 6 (IL6), and serum amyloid P (SAP) were measured. Histopathological and immunohistochemical analyses of the joints were also performed at the end of treatment.
RESULTS---Neutralisation of murine TNFalpha induced the following effects: (a) reduction of extent and duration of the acute arthritis phase, with significant reduction of joint swelling at two weeks; (b) decrease of murine SAP concentrations after the first antibody administration; and (c) increase of murine IL6 in the serum. At the end of treatment, there was a significant reduction of the inflammatory infiltration in the engrafted joints. Because of the mild degree of joint erosion, no treatment effects could be demonstrated on the destructive process.
CONCLUSION---In the lymphocyte independent hu/mu SCID arthritis, anti-TNFalpha treatment reduces local and systemic signs of inflammation.


© 1999 by Annals of the Rheumatic Diseases

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