PMID- 19890701 OWN - NLM STAT- MEDLINE DCOM- 20100903 LR - 20211020 IS - 1573-2592 (Electronic) IS - 0271-9142 (Linking) VI - 30 IP - 2 DP - 2010 Mar TI - The vagus nerve and nicotinic receptors involve inhibition of HMGB1 release and early pro-inflammatory cytokines function in collagen-induced arthritis. PG - 213-20 LID - 10.1007/s10875-009-9346-0 [doi] AB - OBJECTIVES: The cholinergic anti-inflammatory pathway, a vagus nerve-dependent mechanism, inhibits cytokine releases in models of acute inflammatory disease. We investigated the efficacy and elucidated the possible mechanism of the cholinergic anti-inflammatory pathway on collagen-induced arthritis (CIA) in mice. METHODS: Fifty-six male DBA/1 mice were divided into four groups: control mice (sham vagotomy + phosphate-buffered saline; shamVGX+PBS), model mice (shamVGX+PBS+CIA), vagotomy mice (VGX+PBS+CIA), and nicotine (Nic) mice (shamVGX+Nic+CIA). We subjected mice to left-side cervical vagotomy 4 days before induction of arthritis. Mice in the nicotine group were injected with nicotine (250 microg/kg per day) 4 days before arthritis induction. Arthritis score was measured and histopathologic assessment of joint sections carried out. The concentration of tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-10 in serum were evaluated by ELISA. Expression of high-mobility group box chromosomal protein 1(HMGB1) was evaluated by immunohistochemical staining of joints. RESULTS: Vagotomy exaggerated, whereas nicotine attenuated, clinical arthritis. Histopathologic findings confirmed that nicotine reduced infiltration of inflammatory cell and bone destruction. Expression of TNF-alpha and IL-6 decreased in nicotine-pretreated mice compared with model and vagotomy mice; IL-10 levels were not significantly different between the model group and nicotine group. Nicotine reduced the expression and translocation of HMGB1 in the inflamed joints of CIA mice. CONCLUSIONS: The cholinergic anti-inflammatory pathway has an anti-inflammatory role in the pathophysiology of rheumatoid arthritis (RA) via inhibiting HMGB1 release and early pro-inflammatory cytokines function. Study of this pathway could be used for RA therapy. FAU - Li, Tong AU - Li T AD - Department of Rheumatology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China. FAU - Zuo, Xiaoxia AU - Zuo X FAU - Zhou, Yaou AU - Zhou Y FAU - Wang, Yanping AU - Wang Y FAU - Zhuang, Hanping AU - Zhuang H FAU - Zhang, Lingli AU - Zhang L FAU - Zhang, Huali AU - Zhang H FAU - Xiao, Xianzhong AU - Xiao X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091105 PL - Netherlands TA - J Clin Immunol JT - Journal of clinical immunology JID - 8102137 RN - 0 (Cholinergic Agents) RN - 0 (Collagen Type II) RN - 0 (Cytokines) RN - 0 (HMGB1 Protein) RN - 0 (Receptors, Nicotinic) RN - 6M3C89ZY6R (Nicotine) SB - IM MH - Animals MH - Arthritis, Experimental/blood/chemically induced/*immunology/physiopathology MH - Cattle MH - Cholinergic Agents/administration & dosage MH - Collagen Type II/administration & dosage MH - Cytokines/antagonists & inhibitors/blood MH - Disease Progression MH - HMGB1 Protein/*antagonists & inhibitors MH - Inflammation MH - Male MH - Mice MH - Mice, Inbred DBA MH - Nicotine/*administration & dosage MH - Receptors, Nicotinic/*metabolism MH - Synovial Membrane/pathology MH - Vagotomy MH - Vagus Nerve/drug effects/*immunology/surgery EDAT- 2009/11/06 06:00 MHDA- 2010/09/04 06:00 CRDT- 2009/11/06 06:00 PHST- 2009/09/05 00:00 [received] PHST- 2009/10/22 00:00 [accepted] PHST- 2009/11/06 06:00 [entrez] PHST- 2009/11/06 06:00 [pubmed] PHST- 2010/09/04 06:00 [medline] AID - 10.1007/s10875-009-9346-0 [doi] PST - ppublish SO - J Clin Immunol. 2010 Mar;30(2):213-20. doi: 10.1007/s10875-009-9346-0. Epub 2009 Nov 5.