Rheumatology Advance Access originally published online on June 12, 2006
Rheumatology 2007 46(1):57-64; doi:10.1093/rheumatology/kel159
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Up-regulation of IL-23p19 expression in rheumatoid arthritis synovial fibroblasts by IL-17 through PI3-kinase-, NF-
B- and p38 MAPK-dependent signalling pathways
1Department of Internal Medicine, School of Medicine, Konkuk University, Seoul and 2Rheumatism Research Center, Catholic Institutes of Medical Science, The Catholic University of Korea, Seoul and 3Graduate School of Biology and Information Technology, Institute of Genetic Engineering, Hankyung National University, Ansung, Kyonggi-Do, Korea.
Correspondence to: Ho-Youn Kim, MD, PhD, Department of Internal Medicine, Kangnam St., Mary's Hospital, The Catholic University of Korea, Banpo-Dong 505, Seocho-Gu, Seoul, Korea. E-mail: ho{at}catholic.ac.kr
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Objective. To investigate the expression of interleukin (IL)-23p19 in human rheumatoid arthritis (RA) synovial fibroblasts and its up-regulation by IL-17 stimulation, and to define the signal pathways involved in the regulation of IL-23p19 expression in RA synovial fibroblasts.
Methods. Synovial fluid (SF) and serum levels of IL-23p19 in RA were determined by enzyme-linked immunosorbent assays. The levels of IL-23p19 mRNA and protein were measured after the RA synovial fibroblasts were treated with recombinant human IL-17 and various inhibitors of intracellular signal pathway molecules using reverse transcription (RT) polymerase chain reaction (PCR), real-time PCR and western blotting.
Results. Levels of IL-23p19 in the sera and SF were much higher in RA patients than in osteoarthritis patients or healthy controls. The expression of IL-23p19 mRNA and protein was enhanced in RA synovial fibroblasts by IL-17 stimulation. Such effects of IL-17 were completely blocked by inhibitors of phosphatidylinositol (PI)-kinase/Akt, nuclear factor (NF)-
B and p38 mitogen-activated protein kinase (MAPK). In accordance with the expression of IL-23p19, the phosphorylation of I
B, Akt and p38 MAPK in synovial fibroblasts also increased after IL-17 stimulation.
Conclusion. IL-23p19 is over-expressed in RA synovial fibroblasts and IL-17 appears to up-regulate the expression of IL-23p19 in RA synovial fibroblasts via PI3-kinase/Akt, NF-
B- and p38-MAPK-mediated pathways. These results suggest that a disruption of interaction between IL-17 and IL-23p19 may provide a new therapeutic approach in the treatment of RA.
KEY WORDS: Rheumatoid arthritis, Synovial fibroblast, IL-23, IL-17
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