Blocking of interleukin-17 during reactivation of experimental arthritis prevents joint inflammation and bone erosion by decreasing RANKL and interleukin-1

MI Koenders, E Lubberts, B Oppers-Walgreen… - The American journal of …, 2005 - Elsevier
MI Koenders, E Lubberts, B Oppers-Walgreen, L van den Bersselaar, MM Helsen…
The American journal of pathology, 2005Elsevier
Rheumatoid arthritis is characterized by an intermittent course of disease with alternate
periods of remission and relapse. T cells, and in particular the T-cell cytokine interleukin-17
(IL-17), are expected to be involved in arthritic flares. Here, we report that neutralizing
endogenous IL-17 during reactivation of antigen-induced arthritis prevents joint
inflammation and bone erosion. Synovial IL-17 mRNA expression was clearly up-regulated
during primary arthritis and was further enhanced after antigen rechallenge. Neutralization …
Rheumatoid arthritis is characterized by an intermittent course of disease with alternate periods of remission and relapse. T cells, and in particular the T-cell cytokine interleukin-17 (IL-17), are expected to be involved in arthritic flares. Here, we report that neutralizing endogenous IL-17 during reactivation of antigen-induced arthritis prevents joint inflammation and bone erosion. Synovial IL-17 mRNA expression was clearly up-regulated during primary arthritis and was further enhanced after antigen rechallenge. Neutralization of IL-17 significantly prevented joint swelling at day 1 of flare and significantly suppressed joint inflammation and cartilage proteoglycan depletion at day 4, as assessed by histology. Blocking IL-17 also clearly reduced bone erosions. Cathepsin K, a marker of osteoclast-like activity, and synovial RANKL mRNA expression were both suppressed. The degree of bone erosions strongly correlated with the severity of joint inflammation, suggesting that anti-IL-17 treatment reduced bone erosion by suppressing joint inflammation. Interestingly, blocking IL-17 suppressed synovial expression of both IL-1β and tumor necrosis factor-α, whereas blocking IL-1 did not affect tumor necrosis factor-α levels. These data indicate that IL-17 is an important upstream mediator in joint pathology during flare-up of experimental arthritis.
Elsevier