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JCI table of contents, December 1 2004

r where immune complexes are formed in the joints and excite an inflammatory response, various genetic, environmental, and infectious agents have been suggested as causes of the disease. IL-1 is a proinflammatory molecule produced by cells of the immune system and cells lining the joints and it has been suggested that IL-1 may have a role in the development of RA. The body also produces a natural inhibitor to IL-1, IL-1 receptor antagonist (IL-1Ra), the levels of which are augmented in patients with autoimmune and inflammatory diseases. Another proinflammatory agent, TNF-a, stimulates IL-1 expression and vice versa.

In the December 1 issue of the Journal of Clinical Investigation, Yoichiro Iwakura and colleagues from the University of Tokyo studied the role of T cells in the development of autoimmune arthritis in mice lacking IL-1Ra. The authors demonstrated that mice deficient in both T cells and IL-1Ra did not develop arthritis. Arthritis development also appeared to be markedly decreased in cases of TNF-alpha deficiency. The authors found that IL-1Ra produced by these T cells act on the T cells themselves to induce TNF-alpha expression and TNF-alpha in turn induces OX40 expression on T cells. As inhibition of TNF-a or OX40, the latter being an activation antigen on T cells, which invade tissues and cause autoimmune destruction was effective in suppressing the development of arthritis, the authors suggest that their study may provide a clue for the development of new therapies for RA.

TITLE: TNF-alpha is crucial for the development of autoimmune arthritis in IL-1 receptor antagonistdeficient mice

AUTHOR CONTACT:
Yoichiro Iwakura
Center for Experimental Medicine
University of Tokyo
Tokyo, Japan
Phone: 81-3-5449-5536
Fax: 81-3-5449-5430
E-mail: iwakura@ims.u-tokyo.ac.jp.
View the PDF of this article at:

Contact: Brooke Grindlinger
press_releases@the-jci.org
212-342-0497
Journal of Clinical Investigation
1-Dec-2004


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