Neurotransmitter modulation of interleukin 6 (IL-6) and IL-8 secretion of synovial fibroblasts in patients with rheumatoid arthritis compared to osteoarthritis

Raap, T. and Justen, H. P. and Miller, L. E. and Cutolo, M. and Schoelmerich, Juergen and Straub, Rainer H. (2000) Neurotransmitter modulation of interleukin 6 (IL-6) and IL-8 secretion of synovial fibroblasts in patients with rheumatoid arthritis compared to osteoarthritis. JOURNAL OF RHEUMATOLOGY, 27 (11). pp. 2558-2565. ISSN 0315-162X

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Abstract

Objective. The sensory nervous system with the 2 neurotransmitters substance P (SP) and calcitonin gene related peptide (CGRP) is proinflammatory in experimental models of arthritis. The role of the sympathetic nervous system with norepinephrine (NE), adenosine, beta -endorphin, and methionine enkephalin (MENK) is not clearly understood. We studied the influence of these neurotransmitters; on secretion of interleukin 6 (IL-6) and IL-8 in primary cultures of synovial fibroblasts of patients with rheumatoid arthritis (RA) compared to osteoarthritis (OA). Methods. Fibroblasts were isolated using fresh synovial tissue of 5 patients with RA and 5 with OA who underwent knee joint replacement surgery. Modulation of spontaneous secretion of IL-6 and IL-8 was investigated in vitro using the neurotransmitters noted above. Results. In RA fibroblasts, CGRP increased IL-6 and IL-8 secretion at 10(-10) to 10(-8) M (p at least < 0.01), which was not observed in OA fibroblasts. SP had no effect on either cytokine in RA fibroblasts but stimulated IL-8 secretion at 10(-8) M in OA fibroblasts (p < 0.01). In RA fibroblasts, adenosine and NE inhibited secretion of both cytokines at low concentrations (10(-8) M: p < 0.01). However, in OA fibroblasts there was a NE induced increase of IL-8 and IL-6 secretion at 10(-7) and 10(-6) M (p < 0.01), but no inhibition at lower concentrations (10(-8) M: p = NS). In RA fibroblasts. beta -endorphin and MENK inhibited IL-8 secretion at 10(-9) to 10(-7) M (p < 0.01), whereas in OA fibroblasts the dose response curve was shifted to lower concentrations (10(-12) M, 10(-11) M; p < 0.01). Conclusion. In OA fibroblasts, the sympathetic neurotransmitters were stimulatory at higher concentrations. CGRP was the most potent stimulatory neurotransmitter in RA fibroblasts: whereas the sympathetic adenosine, NE, beta -endorphin. and MENK were inhibitory. This indicates a dualism of action of sympathetic and sensory neurotransmitters, with inhibitory and stimulatory effects on cytokine secretion of RA fibroblasts.

Item Type: Article
Uncontrolled Keywords: GENE-RELATED PEPTIDE; TUMOR-NECROSIS-FACTOR; SUBSTANCE-P; HUMAN-MONOCYTES; OPIOID PEPTIDE; FACTOR-ALPHA; RECEPTOR; INFLAMMATION; STIMULATION; EXPRESSION; rheumatoid arthritis; osteoarthritis; neurotransmitter; fibroblast; interleukin 6; interleukin 8
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 21 Mar 2022 07:18
Last Modified: 21 Mar 2022 07:18
URI: https://pred.uni-regensburg.de/id/eprint/42103

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