title: Production of interleukin-6 and interleukin-8 by nurse-like cells from rheumatoid arthritis patients after stimulation with monocytes.
abstract: It has been reported that nurse-like cells (NLCs) play a critical role in the pathogenesis of rheumatoid arthritis (RA). The interaction between NLCs established from RA patients (RA-NLCs), and freshly isolated blood monocytes was analyzed to further elucidate the pathogenesis of RA. RA-NLC lines were established from the synovium of RA patients. The RA-NLCs were cultured with monocytes freshly isolated from peripheral blood of healthy donors, and induction of interleukin (IL)-6 and IL-8 as well as the mRNA expression of these cytokines was examined. The levels of IL-6 were over 400 times higher in the supernatant from coculture of RA-NLCs and monocytes than in those from cultures of RA-NLCs alone. Anti-tumor necrosis factor (TNF)-alpha monoclonal antibody inhibited the induction of both cytokine in a dose-dependent fashion, although there was no detectable level of TNF-alpha in the supernatant from coculture. In addition, coculture of RA-NLCs and monocytes without direct cell contact did not induce cytokine production. To determine IL-6 producing cells, RA-NLCs and monocytes were separated into each fraction after coculture for 24 h. Cocultured RA-NLCs contained approximately 80 times higher IL-6 mRNA than the RA-NLCs cultured alone. The levels of IL-8 were also much higher (about 900 times) in the supernatant from coculture than in those from cultures of RA-NLCs alone. Cocultured RA-NLCs expressed IL-8 mRNA about 620 times higher than those cultured alone. These results indicate that NLCs produce high levels of IL-6 and IL-8 after cell-cell interaction with monocytes/macrophages via membrane-bound TNF-alpha, and that activation of NLCs by monocytes/macrophages may be involved in the pathogenesis of RA through maintenance of synovial inflammation.
authors.affiliation: Department of Rheumatology and Clinical Immunology, Clinical Research Center for Rheumatology and Allergy, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Sagamihara, 228-8522, Japan.
authors.forename: Konagi
authors.initials: K
authors.lastname: Tanaka
authors.forename: Toshihito
authors.initials: T
authors.lastname: Mori
authors.forename: Takuo
authors.initials: T
authors.lastname: Juji
authors.forename: Satsuki
authors.initials: S
authors.lastname: Suzuki
authors.forename: Junko
authors.initials: J
authors.lastname: Watanabe
authors.forename: Akihito
authors.initials: A
authors.lastname: Goto
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Shiobara
authors.forename: Shoji
authors.initials: S
authors.lastname: Yamane
authors.forename: Naoshi
authors.initials: N
authors.lastname: Fukui
authors.forename: Ryuji
authors.initials: R
authors.lastname: Suzuki
authors.forename: Takahiro
authors.initials: T
authors.lastname: Ochi