PMID- 19225717 OWN - NLM STAT- MEDLINE DCOM- 20091009 LR - 20220409 IS - 1591-9528 (Electronic) IS - 1591-8890 (Linking) VI - 9 IP - 3 DP - 2009 Sep TI - Expression of interleukin-18, IL-18BP, and IL-18R in serum, synovial fluid, and synovial tissue in patients with rheumatoid arthritis. PG - 215-21 LID - 10.1007/s10238-009-0036-2 [doi] AB - Rheumatoid arthritis (RA) is a chronic immunological disease, the invasive monocytes/macrophages and lymphocytes present in synovial cells and synovial tissue produce many cytokines and inflammatory mediators by paracrine signaling and plays a role in the pathological progress in RA patients. Interleukin-18 (IL-18) is a representative proinflammatory factor and displays multiple biological functions. This study was designed to investigate the expression of IL-18 and its receptor (IL-18R) and IL-18 binding protein (IL-18BP) in serum, synovial fluid, and synovial tissue of patients with RA, and to identify the pathological role of IL-18 in RA. Serum, synovial fluid, and synovial tissue were obtained from RA patients. Samples from patients with osteoarthritis and healthy people were obtained as controls. Levels of IL-18, IL-18BP, and PGE2 in serum and synovial fluid were measured by enzyme-linked immunosorbent assay. The biological activity of IL-18 in serum and synovial fluid was detected on the basis of IFN-gamma secretion from IL-18-responding human myelomonocytic KG-1 cells. NO in serum and synovial fluid was detected by Griess reaction. Expression of IL-18, IL-18BP, IL-18R, iNOS, and COX-2 mRNA and protein in synovial tissues was determined by quantitative reverse transcriptase polymerase chain reaction and Western blot. This study shows the expression levels of IL-18, IL-18R, iNOS, COX-2, and the biological activity of IL-18 in both serum and synovial fluid and tissue of patients with RA were significantly increased compared with the corresponding samples from the two control groups. In addition, expression of IL-18BP in patients with RA was decreased compared with samples from the two control groups. In conclusion, the overexpression of IL-18 and IL-18R may play an important role in the pathogenesis of RA. FAU - Shao, Xue-Ting AU - Shao XT AD - State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Institute of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China. FAU - Feng, Lei AU - Feng L FAU - Gu, Li-Juan AU - Gu LJ FAU - Wu, Li-Juan AU - Wu LJ FAU - Feng, Ting-Ting AU - Feng TT FAU - Yang, Yun-Mei AU - Yang YM FAU - Wu, Nan-Ping AU - Wu NP FAU - Yao, Hang-Ping AU - Yao HP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090219 PL - Italy TA - Clin Exp Med JT - Clinical and experimental medicine JID - 100973405 RN - 0 (IL18R1 protein, human) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Interleukin-18) RN - 0 (Interleukin-18 Receptor alpha Subunit) RN - 0 (interleukin-18 binding protein) RN - 82115-62-6 (Interferon-gamma) RN - EC 1.14.13.39 (NOS2 protein, human) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 1.14.99.1 (PTGS2 protein, human) RN - K7Q1JQR04M (Dinoprostone) SB - IM MH - Arthritis, Rheumatoid/*immunology/pathology MH - Blotting, Western MH - Cell Line MH - Cyclooxygenase 2/biosynthesis MH - Dinoprostone/analysis MH - Enzyme-Linked Immunosorbent Assay MH - Humans MH - Intercellular Signaling Peptides and Proteins/*analysis MH - Interferon-gamma/metabolism MH - Interleukin-18/*analysis MH - Interleukin-18 Receptor alpha Subunit/*analysis MH - Monocytes/immunology MH - Nitric Oxide Synthase Type II/biosynthesis MH - Reverse Transcriptase Polymerase Chain Reaction MH - Serum/*chemistry MH - Synovial Fluid/*chemistry EDAT- 2009/02/20 09:00 MHDA- 2009/10/10 06:00 CRDT- 2009/02/20 09:00 PHST- 2008/09/02 00:00 [received] PHST- 2009/01/20 00:00 [accepted] PHST- 2009/02/20 09:00 [entrez] PHST- 2009/02/20 09:00 [pubmed] PHST- 2009/10/10 06:00 [medline] AID - 10.1007/s10238-009-0036-2 [doi] PST - ppublish SO - Clin Exp Med. 2009 Sep;9(3):215-21. doi: 10.1007/s10238-009-0036-2. Epub 2009 Feb 19.