Extended report
Importance of NF-
B in rheumatoid synovial tissues: in situ
NF-
B expression and in vitro study using cultured synovial cells
S Yamasakia, A Kawakamia, T Nakashimab, H Nakamuraa, M Kamachia, S Hondaa, Y Hiraia, A Hidaa, H Idaa, K Migitaa, Y Kawabea, T Kojic, I Furuichid, T Aoyagid, K Eguchia
a The First Department
of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan, b Department of Hospital
Pharmacy, Nagasaki University School of Medicine, c Department of Histology and Cell Biology,
Nagasaki University School of Medicine, d Department
of Orthopaedics, National Ureshino Hospital, Saga, Japan
Correspondence to: Professor K Eguchi, The First Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan eguchi{at}net.nagazaki-u.ac.jp
Accepted for publication 15 November
2000
OBJECTIVES
To examine
whether inhibition of NF-
B induces apoptosis of human synovial cells
stimulated by tumour necrosis factor
(TNF
), interleukin 1
(IL1
), and anti-Fas monoclonal antibody (mAb).
METHODS
The
expression of proliferating cell nuclear antigen (PCNA), NF-
B, and
the presence of apoptotic synovial cells were determined in synovial
tissues. Apoptosis of cultured synovial cells was induced by
inhibition of NF-
B nuclear translocation by Z-Leu-Leu-Leu-aldehyde (LLL-CHO). The activation of caspase-3 and expression of XIAP and cIAP2
in synovial cells in LLL-CHO induced apoptosis was also examined.
RESULTS
Abundant PCNA+
synovial cells were found in rheumatoid arthritis (RA) synovial tissue,
though a few apoptotic synovial cells were also detected in the RA
synovial tissues. Nuclear NF-
B was expressed in RA synovial cells.
Electrophoretic mobility shift assay showed that treatment of cells
with TNF
or IL1
significantly stimulated nuclear NF-
B
activity. A small number of apoptotic synovial cells expressing
intracellular active caspase-3 were found after treatment of cells with
LLL-CHO. Although treatment of RA synovial cells with TNF
or IL1
alone did not induce apoptosis, apoptosis induced by LLL-CHO and
caspase-3 activation were clearly enhanced in TNF
or IL1
stimulated synovial cells compared with unstimulated synovial cells.
Furthermore, induction of apoptosis of synovial cells with caspase-3
activation by anti-Fas mAb was clearly increased by LLL-CHO. The
expression of cIAP2 and XIAP in synovial cells may not directly
influence the sensitivity of synovial cells to apoptosis induced by
LLL-CHO.
CONCLUSION
The results
suggest that NF-
B inhibition may be a potentially important
therapeutic approach for RA by correcting the imbalance between
apoptosis and proliferation of synovial cells in RA synovial tissue.
© 2001 by Annals of the Rheumatic Diseases
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