Cigarette smoke condensate extracts augment collagen-induced arthritis in mice
Research Highlights
► Cigarette smoke condensate administered into mice with the antigen or before immunization augmented the induction and clinical development of arthritis in the mouse model of collagen type II-induced arthritis ►These results support the etiological role of cigarette smoking in RA.
Introduction
Rheumatoid arthritis (RA) is a systemic disease associated with a chronic inflammatory condition in multiple joints. The disease is characterized by proliferation of synoviocytes in inflamed synovia, formation of pannus and production of proinflammatory cytokines and chemokines by synoviocytes [1]. These cytokines contribute to the disease by production of proteases and reactive oxygen intermediates, induction of proliferation of synovial fibroblasts, cartilage degradation, infiltration of inflammatory cells and angiogenesis [2], [3]. Fibroblast-like synoviocytes as well as synovial tissue-infiltrating macrophages are major cells producing the proinflammatory cytokines. Fibroblast-like synoviocytes or transformed cell clones derived from RA patients secrete, constitutively or in response to interleukin-1 (IL-1) or tumor necrosis factor α (TNFα), proinflammatory cytokines, including IL-1α, IL-1β, IL-6 and IL-8 [4], [5]. The critical role of these proinflammatory cytokines in RA has been verified in both RA patients and animal models of arthritis. An improvement of synovial inflammation and decreased joint destruction in RA patients have been reported following treatment with neutralizing anti-TNFα antibody [6], soluble TNF receptor [7], IL-1 receptor antagonist (IL-1ra) [8] or neutralizing anti-IL-6 antibody [9]. However, the etiology and the mechanisms responsible for the cytokine induction and subsequent development of arthritis remain unknown.
Epidemiological studies indicate an association of cigarette smoking with disease outcome in patients with early inflammatory polyarthritis [10], the increase of rheumatoid factor and nodule formation in patients with RA [11], and a strong association between heavy cigarette smoking and RA, particularly in patients without a family history of RA [12]. Especially the risk of smoking for the disease is quite high in individuals, either men or women, with shared epitope (SE) in HLA-DRB1 [13]. In addition, maternal smoking in pregnancy is a determinable factor of infant rheumatoid arthritis and other inflammatory polyarthritis [14]. However, the scientific basis supporting the epidemiological studies has not been provided.
Polycyclic aromatic hydrocarbons (PAHs) such as 3-methylcholanthrene (3-MC), benzo[a]pyrene (B[a]P) and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) are much contained in tobacco smoke. We have previously reported that 3-MC, B[a]P and TCDD up-regulated IL-1β mRNA in RA patient-derived SV40 T antigen-transformed human fibroblast-like synoviocyte line MH7A [15], which has similar characteristics as parental synoviocytes [16], [17]. We also reported that cigarette smoke condensate (CSC), either mainstream or sidestream, also induced IL-1α, IL-1β, IL-6 and IL-8 at both mRNA and protein levels in the cells [18]. As proinflammatory cytokines produced by synovial cells are critical for RA, in this study we determined the effects of CSC on induction and clinical development of arthritis in the mouse model of collagen type II-induced arthritis (CIA), an experimental model of human chronic rheumatoid arthritis.
Section snippets
Reagents
Polymyxin B was purchased from SIGMA-ALDRICH Co. (St. Louis, MO, USA). Bovine type II collagen was from KOKEN Co. Ltd. (Tokyo, Japan). Incomplete Freund adjuvant (ICFA) and Mycobacterium butyricum were from BD (Tokyo, Japan). Endotoxin test kit, Endospecy ES-24S Kit was from SEIKAGAKU BIOBUSINESS CORPORATION (Tokyo, Japan). Detection limit was 0.001 EU/ml, where one EU indicates 0.1 ng/ml of Escherichia coli 055:B5-derived endotoxin.
Preparation of cigarette smoke condensate (CSC)
CSC was prepared as described previously [19]. A common American
Mainstream CSC augments induction and clinical development of arthritis in older mouse
In order to examine the effect of CSC on collagen-induced arthritis, mice were immunized with antigen emulsified with ICFA or CFA with or without mainstream CSC (200 μg per mouse) on day 0, boosted with the antigen alone on day 21, and then the development of arthritis was measured. Male mice aged 27 weeks were used for the experiment because male and older mice are prone to develop arthritis as compared to female and young mice. As shown in Fig. 1A, none of the mice immunized with antigen in
Discussion
In this study we showed for the first time that mainstream CSC or sidestream CSC augmented the induction and clinical development of arthritis in collagen-induced arthritis. In this study we used DBA1J male mice for the experiment because male and older mice are prone to develop arthritis as compared to female and young mice. First, mainstream CSC appeared to augment the induction and severity of arthritis in older mice. In human onset of RA is most frequent in 40 to 50 years. However, younger
Acknowledgments
We gratefully acknowledge the invaluable aid of Drs. Yuka Itoh, Saotomo Itoh, Ryosuke Yokoyama, Kunihiko Akita, Toshiaki Makino, Hajime Mizukami and Satoshi Kanazawa of Nagoya City University. This work was supported in part by Grant-in-Aids for Scientific Research (C) from Japan Society for the Promotion of Science, Grant-in-Aid for Research in Nagoya City University and a grant from the Smoking Research Foundation.
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