title: Effect of immunostimulatory ribomunyl on the preventive treatment of rat adjuvant arthritis with cyclosporine and methotrexate.
abstract: OBJECTIVE
  To study the effects of ribomunyl, an oral ribosomal immunostimulant frequently used to prevent recurrent oropharyngeal and bronchopulmonary infections in children and adults, on adjuvant arthritis as well as its effect on methotrexate and cyclosporine treatment.
  
  
  METHODS
  Rats with adjuvant induced arthritis were preventively treated orally with the following drugs: cyclosporin A (CSA, 2.5 mg/kg/day); ribomunyl (RIB, 25 mg/kg/day, 4 days a week); methotrexate (MTX, 0.6 mg/kg/week), and the combinations CSA + RIB, MTX + RIB, CSA + MTX, CSA + MTX + RIB for the period of 50 days from adjuvant application. Levels of serum albumin, serum nitrite/nitrate concentrations, hind paw swelling, arthrograms, and bone destruction were measured in rats as variables of the inflammation and destructive arthritis associated changes.
  
  
  RESULTS
  Preventive treatment with low doses of CSA and MTX significantly inhibited both markers of inflammation and arthritis. The combination CSA + MTX was more effective on all evaluated measures than any of its components alone. RIB alone improved arthrogram scores and decreased serum nitrite/nitrate concentrations in arthritic rats. The combination of RIB with the low dose of CSA or MTX enhanced the beneficial effects of these drugs. The best preventive effect was observed with the combination of 3 agents, CSA + MTX + RIB.
  
  
  CONCLUSIONS
  Our results show ribomunyl to have the potential to improve some inflammation and arthritis associated changes in rat adjuvant arthritis and to enhance the preventive effect of MTX and CSA and their combination.
authors.affiliation: National Institute of Rheumatic Diseases, Nabrezie 1, Krasku 4, 921 12 Piestany, Slovak Republic. rovensky@vurch.sk
authors.forename: Jozef
authors.initials: J
authors.lastname: Rovensky
authors.forename: Karol
authors.initials: K
authors.lastname: Svík
authors.forename: Mária
authors.initials: M
authors.lastname: Stancíková
authors.forename: Richard
authors.initials: R
authors.lastname: Istok
mesh_terms: D000284:Administration, Oral; D000818:Animals; D000942:Antigens, Bacterial / Q000494:pharmacology*; D001169:Arthritis, Experimental / Q000188:drug therapy* / Q000276:immunology / Q000517:prevention & control*; D016572:Cyclosporine / Q000494:pharmacology*; D004195:Disease Models, Animal; D004359:Drug Therapy, Combination; D007166:Immunosuppressive Agents / Q000494:pharmacology; D018836:Inflammation Mediators / Q000032:analysis; D008297:Male; D008727:Methotrexate / Q000494:pharmacology*; D011897:Random Allocation; D051381:Rats; D011917:Rats, Inbred Lew; D012016:Reference Values; D012680:Sensitivity and Specificity; D016896:Treatment Outcome
chemical_list: D000942:Antigens, Bacterial; D007166:Immunosuppressive Agents; D018836:Inflammation Mediators; C034206:Ribomunyl; D016572:Cyclosporine; D008727:Methotrexate