title: Fibroblast growth factor-2 determines severity of joint disease in adjuvant-induced arthritis in rats.
abstract: Rheumatoid arthritis (RA), a systemic inflammatory disease of unknown etiology, mainly affects synovial joints. Although angiogenic growth factors, including fibroblast growth factor-2 (FGF-2) and vascular endothelial growth factor (VEGF), may play a critical role in the development and progression of RA joint disease, little information is now available regarding their exact role in initiation and/or progression of RA. In this study, we show that both polypeptides were up-regulated in the rat joint synovial tissue of an adjuvant-induced model of arthritis (AIA), as well as human subjects with RA. FGF-2 overexpression via Sendai virus-mediated gene transfer significantly worsened clinical symptoms and signs of rat AIA, including hind paw swelling and radiological bone destruction, as well as histological findings based on inflammatory reaction, synovial angiogenesis, pannus formation, and osteocartilaginous destruction, associated with up-regulation of endogenous VEGF. FGF-2 gene transfer to non-AIA joints was without effect. These findings suggested that FGF-2 modulated disease progression, but did not affect initiation. Reverse experiments using anti-FGF-2-neutralizing rabbit IgG attenuated clinical symptoms and histopathological abnormalities of AIA joints. To our knowledge, this is the first report indicating direct in vivo evidence of disease-modulatory effects of FGF-2 in AIA, as probably associated with endogenous VEGF function. FGF-2 may prove to be a possible therapeutic target to treat subjects with RA.
authors.affiliation: Division of Pathophysiological and Experimental Pathology, Department of Pathology, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
authors.forename: Akihisa
authors.initials: A
authors.lastname: Yamashita
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yonemitsu
authors.forename: Shinji
authors.initials: S
authors.lastname: Okano
authors.forename: Kazunori
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nakashima
authors.forename: Takahiko
authors.initials: T
authors.lastname: Irisa
authors.forename: Yukihide
authors.initials: Y
authors.lastname: Iwamoto
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nagai
authors.forename: Mamoru
authors.initials: M
authors.lastname: Hasegawa
authors.forename: Katsuo
authors.initials: K
authors.lastname: Sueishi
mesh_terms: D000276:Adjuvants, Immunologic; D000818:Animals; D000843:Ankle Joint / Q000000981:diagnostic imaging; D000906:Antibodies / Q000494:pharmacology; D001169:Arthritis, Experimental / Q000209:etiology* / Q000378:metabolism / Q000473:pathology; D001172:Arthritis, Rheumatoid / Q000209:etiology* / Q000378:metabolism / Q000473:pathology; D018450:Disease Progression; D016228:Endothelial Growth Factors / Q000378:metabolism; D016222:Fibroblast Growth Factor 2 / Q000037:antagonists & inhibitors / Q000235:genetics / Q000502:physiology*; D018014:Gene Transfer Techniques; D017930:Genes, Reporter; D005822:Genetic Vectors; D006801:Humans; D007958:Leukocyte Count; D008222:Lymphokines / Q000378:metabolism; D008297:Male; D009389:Neovascularization, Pathologic; D011859:Radiography; D051381:Rats; D011917:Rats, Inbred Lew; D029082:Sendai virus / Q000235:genetics; D013582:Synovial Fluid / Q000378:metabolism; D013583:Synovial Membrane; D042461:Vascular Endothelial Growth Factor A; D042442:Vascular Endothelial Growth Factors
chemical_list: D000276:Adjuvants, Immunologic; D000906:Antibodies; D016228:Endothelial Growth Factors; D008222:Lymphokines; D042461:Vascular Endothelial Growth Factor A; D042442:Vascular Endothelial Growth Factors; D016222:Fibroblast Growth Factor 2