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CTLA-4IG suppresses reactive oxygen species by preventing synovial adherent cell-induced inactivation of Rap1, a Ras family GTPASE mediator of oxidative stress in rheumatoid arthritis T cells.

AbstractOBJECTIVE:
Oxidative stress contributes to the inflammatory properties of rheumatoid arthritis (RA) synovial T lymphocytes. This study was undertaken to investigate the mechanisms leading to production of reactive oxygen species (ROS) and oxidative stress in RA synovial T lymphocytes.
METHODS:
ROS production in T lymphocytes from the peripheral blood (PB) of healthy donors and from the PB and synovial fluid (SF) of RA patients was measured by ROS-dependent fluorescence of 6-carboxy-2',7'-dichlorofluorescein. Rap1 GTPase activation was assessed by activation-specific probe precipitation. Proliferation of RA PB and SF T lymphocytes was assayed by 3H-thymidine incorporation. In some experiments, RA PB T cells were preincubated with autologous SF or with PB or SF adherent cells. Experiments were performed in the absence or presence of transwell membranes or CTLA-4Ig fusion proteins. Short- and long-term stimulations of healthy donor PB T lymphocytes were performed with inflammatory cytokines, in the absence or presence of activating anti-CD28 antibodies.
RESULTS:
T lymphocyte ROS production and Rap1 inactivation were mediated by cell-cell contact with RA synovial adherent cells, and this correlated with T cell mitogenic hyporesponsiveness. CTLA4-Ig blockade of synovial adherent cell signaling to CD28 T cells reversed the inhibition of Rap1 activity and prevented induction of ROS. Introduction of active RapV12 into T cells also prevented induction of ROS production. Coincubation of T cells with stimulating anti-CD28 antibodies and inflammatory cytokines synergistically increased T cell ROS production.
CONCLUSION:
Cell-cell contact between T cells and RA synovial adherent cells mediates Rap1 inactivation and subsequent ROS production in T lymphocytes following exposure to inflammatory cytokines. This process can be blocked by CTLA4-Ig fusion protein.
AuthorsP H J Remans, C A Wijbrandts, M E Sanders, R E Toes, F C Breedveld, P P Tak, J M van Laar, K A Reedquist
JournalArthritis and rheumatism (Arthritis Rheum) Vol. 54 Issue 10 Pg. 3135-43 (Oct 2006) ISSN: 0004-3591 [Print] United States
PMID17009234 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antirheumatic Agents
  • CD28 Antigens
  • Immunoconjugates
  • Reactive Oxygen Species
  • Abatacept
  • rap1 GTP-Binding Proteins
  • ras Proteins
Topics
  • Abatacept
  • Antirheumatic Agents (pharmacology)
  • Arthritis, Rheumatoid (genetics, metabolism, pathology, physiopathology)
  • CD28 Antigens (genetics, metabolism)
  • Cell Communication (physiology)
  • Cells, Cultured
  • Female
  • Gene Expression Regulation (drug effects)
  • Humans
  • Immunoconjugates (pharmacology)
  • Male
  • Oxidative Stress (genetics, physiology)
  • Reactive Oxygen Species (metabolism)
  • Signal Transduction (genetics, physiology)
  • Synovial Membrane (drug effects, metabolism, pathology)
  • T-Lymphocytes (immunology, metabolism, pathology)
  • rap1 GTP-Binding Proteins (genetics, metabolism)
  • ras Proteins (genetics, metabolism)

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