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Overexpression of A3 adenosine receptor in peripheral blood mononuclear cells in rheumatoid arthritis: involvement of nuclear factor-kappaB in mediating receptor level.

AbstractOBJECTIVE:
A3 adenosine receptor (A3AR) upregulation has been found in cells of synovial tissue and in peripheral blood mononuclear cells (PBMC) of rats with adjuvant-induced arthritis. We investigated A3AR levels in PBMC of patients with rheumatoid arthritis (RA) and in mitogen-activated PBMC from healthy subjects. We examined the role of nuclear factor-kappaB (NF-kappaB), a transcription factor present in the A3AR promoter, in mediating receptor upregulation.
METHODS:
A3AR and NF-kappaB protein levels were evaluated in PBMC of RA patients (n = 23) and healthy subjects by Western blot. A3AR and NF-kappaB levels were also analyzed in phytohemagglutinin (PHA) and lipopolysaccharide (LPS)-stimulated PBMC in the presence and absence of antibodies against interleukin 2 (IL-2) and tumor necrosis factor-alpha (TNF-alpha). Reverse transcription-polymerase chain reaction was performed in PHA-stimulated PBMC of healthy subjects to determine A3AR expression.
RESULTS:
A3AR was overexpressed in PBMC of RA patients compared to healthy subjects and was directly correlated to an increase in NF-kappaB. Similar findings were observed in PHA and LPS-stimulated PBMC from healthy subjects. Antibodies against IL-2 or TNF-alpha prevented the increase in A3AR and NF-kappaB expression.
CONCLUSION:
Overexpression of A3AR was found in PBMC of RA patients. Receptor upregulation was induced by inflammatory cytokines controlling the expression of the A3AR transcription factor NF-kappaB.
AuthorsLea Madi, Shira Cohen, Avivit Ochayin, Sara Bar-Yehuda, Faina Barer, Pnina Fishman
JournalThe Journal of rheumatology (J Rheumatol) Vol. 34 Issue 1 Pg. 20-6 (Jan 2007) ISSN: 0315-162X [Print] Canada
PMID17216675 (Publication Type: Journal Article)
Chemical References
  • Interleukin-2
  • Mitogens
  • NF-kappa B
  • Receptor, Adenosine A3
  • Tumor Necrosis Factor-alpha
  • N(6)-(3-iodobenzyl)-5'-N-methylcarboxamidoadenosine
  • Adenosine
Topics
  • Adenosine (analogs & derivatives, pharmacology)
  • Arthritis, Rheumatoid (blood, metabolism)
  • Gene Expression Regulation
  • Humans
  • Interleukin-2 (antagonists & inhibitors)
  • Leukocytes, Mononuclear (metabolism, pathology)
  • Middle Aged
  • Mitogens (physiology)
  • NF-kappa B (physiology)
  • Promoter Regions, Genetic (genetics, physiology)
  • Receptor, Adenosine A3 (blood, metabolism)
  • Tumor Necrosis Factor-alpha (antagonists & inhibitors)

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