PMID- 12438440 OWN - NLM STAT- MEDLINE DCOM- 20030131 LR - 20181113 IS - 0021-9738 (Print) IS - 1558-8238 (Electronic) IS - 0021-9738 (Linking) VI - 110 IP - 10 DP - 2002 Nov TI - Osteoclasts are essential for TNF-alpha-mediated joint destruction. PG - 1419-27 AB - The detailed cellular and molecular mechanisms leading to joint destruction in rheumatoid arthritis, a disease driven by proinflammatory cytokines, are still unknown. To address the question of whether osteoclasts play a pivotal role in this process, transgenic mice that express human TNF (hTNFtg) and that develop a severe and destructive arthritis were crossed with osteopetrotic, c-fos-deficient mice (c-fos(-/-)) completely lacking osteoclasts. The resulting mutant mice (c-fos(-/-)hTNFtg) developed a TNF-dependent arthritis in the absence of osteoclasts. All clinical features of arthritis, such as paw swelling and reduction of grip strength, progressed equally in both groups. Histological evaluation of joint sections revealed no difference in the extent of synovial inflammation, its cellular composition (except for the lack of osteoclasts), and the expression of matrix metalloprotein-ase-3 (MMP-3) and MMP-13. In addition, cartilage damage, proteoglycan loss, and MMP-3, -9, and -13 expression in chondrocytes were similar in hTNFtg and c-fos(-/-)hTNFtg mice. However, despite the presence of severe inflammatory changes, c-fos(-/-)hTNFtg mice were fully protected against bone destruction. These data reveal that TNF-dependent bone erosion is mediated by osteoclasts and that the absence of osteoclasts alters TNF-mediated arthritis from a destructive to a nondestructive arthritis. Therefore, in addition to the use of anti-inflammatory therapies, osteoclast inhibition could be beneficial for the treatment of rheumatoid arthritis. FAU - Redlich, Kurt AU - Redlich K AD - Department of Internal Medicine III, Division of Rheumatology, University of Vienna, Vienna, Austria. FAU - Hayer, Silvia AU - Hayer S FAU - Ricci, Romeo AU - Ricci R FAU - David, Jean-Pierre AU - David JP FAU - Tohidast-Akrad, Makiyeh AU - Tohidast-Akrad M FAU - Kollias, George AU - Kollias G FAU - Steiner, Gunter AU - Steiner G FAU - Smolen, Josef S AU - Smolen JS FAU - Wagner, Erwin F AU - Wagner EF FAU - Schett, Georg AU - Schett G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Carrier Proteins) RN - 0 (Membrane Glycoproteins) RN - 0 (RANK Ligand) RN - 0 (Receptor Activator of Nuclear Factor-kappa B) RN - 0 (TNFRSF11A protein, human) RN - 0 (TNFSF11 protein, human) RN - 0 (Tnfrsf11a protein, mouse) RN - 0 (Tnfsf11 protein, mouse) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 3.4.24.- (Collagenases) RN - EC 3.4.24.- (MMP13 protein, human) RN - EC 3.4.24.- (Matrix Metalloproteinase 13) RN - EC 3.4.24.- (Mmp13 protein, mouse) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Animals MH - Arthritis, Rheumatoid/*etiology/pathology/physiopathology/therapy MH - Carrier Proteins/metabolism MH - Collagenases/metabolism MH - Genes, fos MH - Humans MH - Matrix Metalloproteinase 13 MH - Matrix Metalloproteinase 3/metabolism MH - Matrix Metalloproteinase 9/metabolism MH - Membrane Glycoproteins/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Mice, Transgenic MH - Osteoclasts/pathology/*physiology MH - Osteopetrosis/genetics/pathology/physiopathology MH - RANK Ligand MH - Receptor Activator of Nuclear Factor-kappa B MH - Tumor Necrosis Factor-alpha/deficiency/genetics/*physiology PMC - PMC151809 EDAT- 2002/11/20 04:00 MHDA- 2003/02/01 04:00 PMCR- 2002/11/15 CRDT- 2002/11/20 04:00 PHST- 2002/11/20 04:00 [pubmed] PHST- 2003/02/01 04:00 [medline] PHST- 2002/11/20 04:00 [entrez] PHST- 2002/11/15 00:00 [pmc-release] AID - 15582 [pii] AID - 10.1172/JCI15582 [doi] PST - ppublish SO - J Clin Invest. 2002 Nov;110(10):1419-27. doi: 10.1172/JCI15582.