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Department of Medicine, Division of Rheumatology, Mayo Clinic and Foundation, Rochester, MN 55905
T lymphocytes are a major component of the inflammatory infiltrate
in rheumatoid synovitis, but their exact role in the disease process is
not understood. Functional activities of synovial T cells were examined
by adoptive transfer experiments in human synovium-SCID mouse chimeras.
Adoptive transfer of tissue-derived autologous CD8+ T cells
induced a marked reduction in the activity of lesional T cells and
macrophages. Injection of CD8+, but not CD4+, T
cells decreased the production of tissue IFN-
, IL-1ß, and TNF-
by >90%. The down-regulatory effect of adoptively transferred
CD8+ T cells was not associated with depletion of synovial
CD3+ T cells or synovial CD68+ macrophages, and
it could be blocked by Abs against IL-16, a CD8+ T
cell-derived cytokine. In the synovial tissue, CD8+ T cells
were the major source of IL-16, a natural ligand of the CD4 molecule
that can anergize CD4-expressing cells. The anti-inflammatory
activity of IL-16 in rheumatoid synovitis was confirmed by treating
synovium-SCID mouse chimeras with IL-16. Therapy for 14 days with
recombinant human IL-16 significantly inhibited the production of
IFN-
, IL-1ß, and TNF-
in the synovium. We propose that
tissue-infiltrating CD8+ T cells in rheumatoid synovitis
have anti-inflammatory activity that is at least partially mediated
by the release of IL-16. Spontaneous production of IL-16 in synovial
lesions impairs the functional activity of CD4+ T cells but
is insufficient to completely abrogate their stimulation. Supplemental
therapy with IL-16 may be a novel and effective treatment for
rheumatoid arthritis.
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