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Infection of human fibroblast-like synovial cells with Chlamydia trachomatis results in persistent infection and interleukin-6 production.

Abstract
Recent studies have shown that the urogenital pathogen Chlamydia trachomatis to be a major bacterium triggering reactive arthritis (ReA), and is able to induce interleukin-6 (IL-6) production in human fibroblast-like synovial cells (FSC) in vitro. In the present study, we examined the correlation between IL-6 production and multiplication of chlamydia in FSC. All FSC from five patients secreted highly increased quantities of IL-6 in a dose-dependent and time-dependent fashion. Heat and UV inactivated chlamydia failed to enhance production of IL-6. When azithromycin was added to infected cultures of FSC at 0 or 48 h after infection, the level of IL-6 production was very low. Transmission electron microscopy of such infected cultures revealed many abnormal forms of chlamydia within the inclusions in FSC. From one step-growth curve experiments, it was suggested that C. trachomatis hardly multiplied in FSC. In contrast, in C. trachomatis infected HeLa 229 cells, chlamydia multiplied as usual, but little IL-6 production were found. These observations indicated that live chlamydia and the persistence of chlamydia may be essential for stimulating the synthesis of IL-6 in FSC.
AuthorsHirofumi Hanada, Yurika Ikeda-Dantsuji, Masatoshi Naito, Ariaki Nagayama
JournalMicrobial pathogenesis (Microb Pathog) Vol. 34 Issue 2 Pg. 57-63 (Feb 2003) ISSN: 0882-4010 [Print] England
PMID12623273 (Publication Type: Journal Article)
Chemical References
  • Interleukin-6
  • PHB2 protein, human
  • Prohibitins
  • Azithromycin
Topics
  • Adult
  • Azithromycin (pharmacology)
  • Chlamydia Infections (immunology)
  • Chlamydia trachomatis (growth & development, physiology, radiation effects, ultrastructure)
  • Female
  • Fibroblasts (cytology, microbiology)
  • HeLa Cells
  • Hot Temperature
  • Humans
  • Interleukin-6 (analysis, biosynthesis)
  • Male
  • Prohibitins
  • Synovial Membrane (cytology, immunology, microbiology)
  • Ultraviolet Rays

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