title: Lack of immunosuppressive effect of low-dose oral methotrexate on lymphocytes in rheumatoid arthritis.
abstract: Whether methotrexate (MTX) is effective in rheumatoid arthritis (RA) because of immunosuppressive and/or anti-inflammatory mechanisms of action is controversial. Many lines of investigation point to the latter. We evaluated DNA synthesis in peripheral blood lymphocytes (PBL) from 33 RA patients on oral MTX (7.5-15 mg/wk) and in 30 healthy controls by flow cytometric cell cycle analysis (CCA). DNA synthesis was also evaluated with a thymidilate synthetase activity assay (TSA) (3H-deoxyuridine incorporation) in 12 patients and 21 controls (12 on MTX and NSAID, and 9 healthy subjects). The patients had taken MTX for at least 3 months and were in different stages of clinical activity. There were no significant differences in TSA or in the cell cycle phase distributions (especially the S phase) between treated RA patients and controls. These data suggest that low-dose oral MTX does not inhibit DNA synthesis and therefore does not have an immunosuppressive effect on lymphocytes from patients with RA.
authors.affiliation: Department of Medicine, Louisiana State University Medical Center, New Orleans 70112.
authors.forename: P
authors.initials: P
authors.lastname: Martínez-Osuna
authors.forename: J B
authors.initials: JB
authors.lastname: Zwolinska
authors.forename: D H
authors.initials: DH
authors.lastname: Sikes
authors.forename: J G
authors.initials: JG
authors.lastname: Cory
authors.forename: L H
authors.initials: LH
authors.lastname: Silveira
authors.forename: L J
authors.initials: LJ
authors.lastname: Jara
authors.forename: L R
authors.initials: LR
authors.lastname: Espinoza
mesh_terms: D000284:Administration, Oral; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000188:drug therapy / Q000201:enzymology / Q000276:immunology*; D002453:Cell Cycle; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008214:Lymphocytes / Q000187:drug effects* / Q000276:immunology; D008727:Methotrexate / Q000008:administration & dosage* / Q000627:therapeutic use; D008875:Middle Aged; D013940:Thymidylate Synthase / Q000378:metabolism
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007166:Immunosuppressive Agents; D013940:Thymidylate Synthase; D008727:Methotrexate