학술논문

Suppression of the inflammatory response in experimental arthritis is mediated via estrogen receptor [alpha] but not estrogen receptor [beta]
Research article
Document Type
Report
Source
Arthritis Research & Therapy. May 24, 2010, Vol. 12, R101
Subject
Netherlands
Language
English
ISSN
1478-6354
Abstract
Authors: John Dulos (corresponding author) [1]; Peter Vijn [1]; Cindy van Doorn [1]; Claudia L Hofstra [1]; Desiree Veening-Griffioen [1]; Jan de Graaf [1]; Fred A Dijcks [1]; Annemieke MH [...]
Introduction The immune modulatory role of estrogens in inflammation is complex. Both pro- and anti-inflammatory effects of estrogens have been described. Estrogens bind both estrogen receptor (ER)[alpha] and [beta]. The contribution of ER[alpha] and ER[beta] to ER-mediated immune modulation was studied in delayed type hypersensitivity (DTH) and in experimental arthritis Methods ER-mediated suppression of rat adjuvant arthritis (AA) was studied using ethinyl-estradiol (EE) and a selective ER[beta] agonist (ERB-79). Arthritis was followed for 2 weeks. Next, effects of ER agonists (ethinyl-estradiol, an ER[alpha] selective agonist (ERA-63) and a selective ER[beta] agonist (ERB-79) on the development of a tetanus toxoid (TT)-specific delayed type hypersensitivity response in wild type (WT) and in ER[alpha] - or ER[beta]-deficient mice were investigated. Finally, EE and ERA-63 were tested for their immune modulating potential in established collagen induced arthritis in DBA/1J mice. Arthritis was followed for three weeks. Joint pathology was examined by histology and radiology. Local synovial cytokine production was analyzed using Luminex technology. Sera were assessed for COMP as a biomarker of cartilage destruction. Results EE was found to suppress clinical signs and symptoms in rat AA. The selective ER[beta] agonist ERB-79 had no effect on arthritis symptoms in this model. In the TT-specific DTH model, EE and the selective ER[alpha] agonist ERA-63 suppressed the TT-specific swelling response in WT and ER[beta]KO mice but not in ER[alpha]KO mice. As seen in the AA model, the selective ER[beta] agonist ERB-79 did not suppress inflammation. Treatment with EE or ERA-63 suppressed clinical signs in collagen induced arthritis (CIA) in WT mice. This was associated with reduced inflammatory infiltrates and decreased levels of proinflammatory cytokines in CIA joints. Conclusions ER[alpha], but not ER[beta], is key in ER-mediated suppression of experimental arthritis. It remains to be investigated how these findings translate to human autoimmune disease.