PMID- 19567627 OWN - NLM STAT- MEDLINE DCOM- 20091008 LR - 20220409 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 36 IP - 8 DP - 2009 Aug TI - The tumor necrosis factor-alpha-blocking agent infliximab inhibits interleukin 1beta (IL-1beta) and IL-6 gene expression in human osteoblastic cells. PG - 1575-9 LID - 10.3899/jrheum.081321 [doi] AB - OBJECTIVE: Tumor necrosis factor-alpha (TNF-alpha) is a proinflammatory cytokine involved in the pathogenesis of several rheumatic diseases, including rheumatoid arthritis (RA), associated with systemic bone loss and subchondral bone erosions. TNF-alpha-blocking agents such as infliximab have been successful in treatment of disease-modifying antirheumatic drug-resistant rheumatic diseases. Infliximab therapy in RA also had beneficial effects on local bone destruction and bone mineral density. We assessed effects of infliximab treatment on the bone tissue compartment and cytokine profile expression in vitro. METHODS: Osteoblast-like cells were exposed for 24 h to sera of RA patients collected at baseline and after 1 month (T1) and 3 years (T2) of infliximab treatment. Total RNA was extracted, and expression of interleukin 1beta (IL-1beta), IL-6, and osteoprotegerin (OPG) was measured by RT-PCR. RESULTS: IL-1beta gene expression was significantly reduced by the T1 serum, and the same decrease was elicited by the T2 serum. IL-6 downregulation was evident with the T2 serum. OPG was unaffected. CONCLUSION: The finding of downregulation of inflammatory cytokines was interesting, particularly IL-6, which plays a crucial role in arthritis-related bone loss due to its involvement in osteoclast recruitment and activation. These results may represent a biological explanation and a link for the clinical observation of the beneficial effects of anti-TNF-alpha agents on the progression of rheumatic diseases at the bone level. FAU - Musacchio, Estella AU - Musacchio E AD - Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Padova, Padova, Italy. FAU - Valvason, Chiara AU - Valvason C FAU - Botsios, Constantin AU - Botsios C FAU - Ostuni, Francesca AU - Ostuni F FAU - Furlan, Antonio AU - Furlan A FAU - Ramonda, Roberta AU - Ramonda R FAU - Modesti, Valentina AU - Modesti V FAU - Sartori, Leonardo AU - Sartori L FAU - Punzi, Leonardo AU - Punzi L LA - eng PT - Journal Article DEP - 20090630 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Blood Proteins) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-18) RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (Osteoprotegerin) RN - 0 (TNFRSF11B protein, human) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) SB - IM MH - Antibodies, Monoclonal/*therapeutic use MH - Antirheumatic Agents/*therapeutic use MH - Blood Proteins/pharmacology MH - Cell Line MH - Gene Expression/drug effects/immunology MH - Humans MH - In Vitro Techniques MH - Infliximab MH - Interleukin-18/genetics MH - Interleukin-1beta/*genetics MH - Interleukin-6/*genetics MH - Osteoblasts/cytology/*physiology MH - Osteoprotegerin/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Serum MH - Tumor Necrosis Factor-alpha/*adverse effects EDAT- 2009/07/02 09:00 MHDA- 2009/10/09 06:00 CRDT- 2009/07/02 09:00 PHST- 2009/07/02 09:00 [entrez] PHST- 2009/07/02 09:00 [pubmed] PHST- 2009/10/09 06:00 [medline] AID - jrheum.081321 [pii] AID - 10.3899/jrheum.081321 [doi] PST - ppublish SO - J Rheumatol. 2009 Aug;36(8):1575-9. doi: 10.3899/jrheum.081321. Epub 2009 Jun 30.