title: Intra-articular adenoviral-mediated gene transfer of trail induces apoptosis of arthritic rabbit synovium.
abstract: Rheumatoid arthritis (RA) is an inflammatory autoimmune disease that primarily affects joints. In rheumatoid joints there is extensive synovial proliferation with diseased synovium becoming highly aggressive, attaching to the articular cartilage and bone to form what is termed a pannus. The formation of active pannus is central to erosive disease and resulting joint destruction. In this study, we examined the ability to eliminate the hyperplastic synovium by adenoviral-mediated gene transfer of human TNF-related apoptosis-inducing ligand (TRAIL), a member of the TNF family that is able to induce apoptosis through interaction with receptors containing death domains, DR4 and DR5. Infection of synovial cells derived from RA patients with Ad.TRAIL resulted in significant apoptosis in three out of five lines. Moreover, primary rabbit synovial fibroblasts were also sensitive to Ad.TRAIL-mediated gene transfer. In a rabbit model of arthritis, intra-articular gene transfer of TRAIL induced apoptosis in cells within the synovial lining, reduced leukocytic infiltration and stimulated new matrix synthesis by cartilage. These results demonstrate that TRAIL can affect the viability of the cells populating the activated synovium in arthritic joints and suggest that the delivery of TRAIL to arthritic joints may represent a non-invasive mechanism for inducing pannus regression.
authors.affiliation: Department of Molecular Genetics and Biochemistry, University of Pittsburgh School of Medicine, W1246 Biomedical Science Tower, Pittsburgh, PA 15261, USA.
authors.forename: Q
authors.initials: Q
authors.lastname: Yao
authors.forename: S
authors.initials: S
authors.lastname: Wang
authors.forename: A
authors.initials: A
authors.lastname: Gambotto
authors.forename: J C
authors.initials: JC
authors.lastname: Glorioso
authors.forename: C H
authors.initials: CH
authors.lastname: Evans
authors.forename: P D
authors.initials: PD
authors.lastname: Robbins
authors.forename: S C
authors.initials: SC
authors.lastname: Ghivizzani
authors.forename: T J
authors.initials: TJ
authors.lastname: Oligino
mesh_terms: D000256:Adenoviridae / Q000235:genetics; D000818:Animals; D017209:Apoptosis; D051017:Apoptosis Regulatory Proteins; D001169:Arthritis, Experimental / Q000473:pathology / Q000628:therapy*; D001172:Arthritis, Rheumatoid / Q000473:pathology; D002460:Cell Line; D018014:Gene Transfer Techniques; D015316:Genetic Therapy / Q000379:methods*; D005822:Genetic Vectors; D006801:Humans; D006965:Hyperplasia; D007270:Injections, Intra-Articular; D008562:Membrane Glycoproteins / Q000235:genetics* / Q000502:physiology; D011817:Rabbits; D013583:Synovial Membrane / Q000473:pathology*; D053221:TNF-Related Apoptosis-Inducing Ligand; D014409:Tumor Necrosis Factor-alpha / Q000235:genetics* / Q000502:physiology
chemical_list: D051017:Apoptosis Regulatory Proteins; D008562:Membrane Glycoproteins; D053221:TNF-Related Apoptosis-Inducing Ligand; C505653:TNFSF10 protein, human; D014409:Tumor Necrosis Factor-alpha