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Annals of the Rheumatic Diseases 2001;60:678-684; doi:10.1136/ard.60.7.678
Copyright © 2001 BMJ Publishing Group Ltd & European League Against Rheumatism.
Ann Rheum Dis 2001;60:678-684 ( July )

Extended report

Importance of NF-kappa B in rheumatoid synovial tissues: in situ NF-kappa 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-kappa B induces apoptosis of human synovial cells stimulated by tumour necrosis factor alpha  (TNFalpha ), interleukin 1beta (IL1beta ), and anti-Fas monoclonal antibody (mAb).
METHODS---The expression of proliferating cell nuclear antigen (PCNA), NF-kappa B, and the presence of apoptotic synovial cells were determined in synovial tissues. Apoptosis of cultured synovial cells was induced by inhibition of NF-kappa 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-kappa B was expressed in RA synovial cells. Electrophoretic mobility shift assay showed that treatment of cells with TNFalpha or IL1beta significantly stimulated nuclear NF-kappa 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 TNFalpha or IL1beta alone did not induce apoptosis, apoptosis induced by LLL-CHO and caspase-3 activation were clearly enhanced in TNFalpha or IL1beta 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-kappa 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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