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Decoy Receptor: Potential for Gene Therapy in Human Arthritis and Inflammation1


,
*
Laboratory for Functional and Pharmacogenomics, Hospital for Joint Diseases, New York, NY 10003;
Departments of Pathology and Medicine, New York University Medical Center, New York, NY 10016;
Kaplan Cancer Center, New York, NY 10016; and
Institute for Gene Therapy and Molecular Medicine, Mt. Sinai School of Medicine, New York, NY 10029
Gene expression arrays show that human epithelial cells and human
arthritis-affected cartilage lack detectable amounts of mRNA for IL-1
antagonizing molecules: IL-1Ra and IL-1RII, but constitutively express
IL-1. Functional genomic analysis was performed by reconstituting human
IL-1RII expression in various IL-1RII-deficient cell types to examine
its antagonist role using gene therapy approaches.
Adenovirus-expressing IL-1RII when transduced into human and bovine
chondrocytes, human and rabbit synovial cells, human epithelial cells,
and rodent fibroblasts expressed membrane IL-1RII and spontaneously
released functional soluble IL-1RII. The IL-1RII+ (but not
IL-1RII-) cells were resistant to IL-1
-induced, NO,
PGE2, IL-6, and IL-8 production or decreased proteoglycan
synthesis. IL-1RII inhibited the function of IL-1 in chondrocytes and
IL-1- and TNF-
-induced inflammatory mediators in human synovial and
epithelial cells. IL-1RII+ chondrocytes were more resistant
to induction of NO and PGE2 by IL-1
compared with
IL-1RII- cells incubated with a 10-fold (weight) excess of
soluble type II IL-1R (sIL-1RII) protein. In cocultures,
IL-1RII+ synovial cells released sIL-1RII, which in a
paracrine fashion protected chondrocytes from the effects of IL-1
.
Furthermore, IL-1RII+ (but not IL-1RII-)
chondrocytes when transplanted onto human osteoarthritis-affected
cartilage in vitro, which showed spontaneous release of sIL-1RII for 20
days, inhibited the spontaneous production of NO and PGE2
in cartilage in ex vivo. In summary, reconstitution of IL-1RII in
IL-1RII- cells using gene therapy approaches significantly
protects cells against the autocrine and paracrine effects of IL-1 at
the signaling and transcriptional levels.
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