The inflammatory
cytokine cascade plays a pivotal role in the pathogenesis of
rheumatoid arthritis. Recently, a novel human
cytokine, interleukin-32, was reported to induce
tumor necrosis factor (
TNF)-alpha. Interleukin-32 is expressed primarily in lymphoid tissues and leukocytes, but also in stimulated epithelial cells and synovial fibroblasts. Although the interleukin-32 receptor has not been reported, interleukin-32 can induce other inflammatory
cytokines such as
TNF-alpha,
interleukin-1beta, and
interleukin-6 from monocytes/macrophages in vitro and in vivo, and it synergizes with signals from
pattern-recognition receptors. Notably, in the inflamed synovial tissues from
rheumatoid arthritis patients, interleukin-32 is prominently expressed and correlates with the severity of
arthritis and the expression of other
cytokines, including
TNF-alpha and
interleukin-1. In experimental mice models of
arthritis, joint injection of interleukin-32 induces joint
inflammation, and overexpression of interleukin-32beta in hematopoietic cells exacerbates
collagen-induced arthritis. Interleukin-32 can thus be seen to play an important role in the pathogenesis of
rheumatoid arthritis.