PMID- 11696432 OWN - NLM STAT- MEDLINE DCOM- 20011207 LR - 20220311 IS - 0002-9440 (Print) IS - 1525-2191 (Electronic) IS - 0002-9440 (Linking) VI - 159 IP - 5 DP - 2001 Nov TI - Anti-inflammatory and chondroprotective effect of TSG-6 (tumor necrosis factor-alpha-stimulated gene-6) in murine models of experimental arthritis. PG - 1711-21 AB - Tumor necrosis factor-alpha (TNF-alpha)-stimulated gene-6 (TSG-6) is up-regulated by various cytokines and growth factors. TSG-6 binds to hyaluronan in inflamed synovial tissue and forms a complex with a serine protease inter-alpha-trypsin inhibitor (IalphaI), increasing the protease inhibitory effect of IalphaI >100-fold. The TSG-6/IalphaI complex then blocks serine proteases, including the plasminogen-plasmin activation, probably the most important component in the activation processes of matrix metalloproteinases. To gain insight into the mechanisms of TSG-6 action in arthritis, we have used an autoimmune murine model (proteoglycan-induced arthritis) for systemic, and a monoarticular form of arthritis (antigen-induced arthritis) for local treatment of arthritis with recombinant mouse TSG-6 (rmTSG-6). Intravenous injection of rmTSG-6 induced a dramatic reduction of edema in acutely inflamed joints by immobilizing CD44-bound hyaluronan and, in long-term treatment, protected cartilage from degradation and blocked subchondral and periosteal bone erosion in inflamed joints. The intra-articular injection of a single dose (100 microg) of rmTSG-6 exhibited a strong chondroprotective effect for up to 5 to 7 days, preventing cartilage proteoglycan from metalloproteinase-induced degradation. In contrast, rmTSG-6 did not postpone the onset, nor reduce the incidence of arthritis. We were unable to detect any significant differences between control and rmTSG-6-treated animals when various serum markers (including pro- and anti-inflammatory cytokines, auto- and heteroantibody productions) or antigen-specific T-cell responses were compared, nor when the expressions of numerous cell surface receptors or adhesion molecules were measured. TSG-6 seems to play a critical negative regulatory feed-back function in inflammation, especially in arthritic processes. FAU - Bardos, T AU - Bardos T AD - Department of Orthopedic Surgery, Section of Biochemistry and Molecular Biology, Rush University, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA. FAU - Kamath, R V AU - Kamath RV FAU - Mikecz, K AU - Mikecz K FAU - Glant, T T AU - Glant TT LA - eng GR - AR45652/AR/NIAMS NIH HHS/United States GR - R01 AR040310/AR/NIAMS NIH HHS/United States GR - AR40310/AR/NIAMS NIH HHS/United States GR - P01 AR045652/AR/NIAMS NIH HHS/United States GR - AR47135/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antigens) RN - 0 (Biomarkers) RN - 0 (Cell Adhesion Molecules) RN - 0 (Proteoglycans) RN - 0 (Recombinant Proteins) RN - 0 (Tnfaip6 protein, mouse) RN - 9004-61-9 (Hyaluronic Acid) SB - IM EIN - Am J Pathol 2002 Mar;160(3):1193 MH - Animals MH - Anti-Inflammatory Agents/*therapeutic use MH - Antigens/immunology MH - Arthritis/complications/*drug therapy/immunology/*pathology MH - Autoimmune Diseases/immunology/physiopathology MH - Binding Sites MH - Binding, Competitive MH - Biomarkers MH - Cartilage, Articular/*drug effects/*pathology MH - Cell Adhesion Molecules/metabolism/*therapeutic use MH - Edema/etiology/pathology MH - Hyaluronic Acid/metabolism MH - Knee Joint/drug effects/pathology MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Preventive Medicine/methods MH - Proteoglycans/immunology MH - Recombinant Proteins/metabolism/therapeutic use MH - Time Factors PMC - PMC1867074 EDAT- 2001/11/07 10:00 MHDA- 2002/01/05 10:01 PMCR- 2002/05/01 CRDT- 2001/11/07 10:00 PHST- 2001/11/07 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/11/07 10:00 [entrez] PHST- 2002/05/01 00:00 [pmc-release] AID - S0002-9440(10)63018-0 [pii] AID - 2906 [pii] AID - 10.1016/s0002-9440(10)63018-0 [doi] PST - ppublish SO - Am J Pathol. 2001 Nov;159(5):1711-21. doi: 10.1016/s0002-9440(10)63018-0.