期刊文献+

来氟米特联合甲氨蝶呤对胶原诱导的关节炎大鼠骨破坏因子RANKL和IL-17的影响 被引量:2

Effects of leflunomide and methotrexate on RANKL and IL-17 in collagen-induced arthritis in rats
原文传递
导出
摘要 目的探讨来氟米特(LEF)联合甲氨蝶呤(MTX)治疗大鼠胶原诱导的关节炎(CIA)的骨保护作用。方法建立CIA模型后,大鼠分为模型对照组、LEF组、MTX组、MTX+LEF(联合组);另设立空白对照组。用ELISA分析核因子κB受体活化因子的配体(RANKL)和白细胞介素17(IL-17)水平。结果与空白对照组比较,CIA大鼠模型外周血RANKL、IL-17水平明显升高(P<0.05)。与模型对照组比较,LEF组、MTX组、联合组大鼠模型外周血RANKL及联合组IL-17的水平均明显下降(P<0.05);与MTX组比较,联合组外周血RANKL、IL-17水平明显下降(P<0.05)。结论在成功建立的CIA大鼠模型中,LEF联合MTX对类风湿关节炎有协同骨保护作用,可能与下调外周血RANKL、IL-17水平有关。 Objective To evaluate the effects of combined use of leflunomide and methotrexate on receptor activator of nuclear factor-κB liqand(RANKL) and interleukin-17(IL-17) in collagen-induced arthritis(CIA) in rats.Methods The CIA rat models were established and divided into 4 groups of MC(model control),L(leflunomide treated),M(methotrexate treated) and LM(treated with leflunomide and methotrexate).Serum RANKL and IL-17 were determined by ELISA.The results were compared to those in blank control group(BC).Results Serum levels of RANKL and IL-17 were significantly higher in group MC than those in group BC(P0.05).Compared with group MC,RANKL concentrations in groups of L,M and LM were obviously decreased(P0.05).Compared to group M,serum levels of RANKL and IL-17 in group LM were notably down-regulated(P0.05).Conclusion Combined use of leflunomide and methotrexate has a synergistic protection on CIA through down-regulating the serum level of RANKL and IL-17 in rats model.
出处 《江苏医药》 CAS CSCD 北大核心 2012年第5期509-512,共4页 Jiangsu Medical Journal
基金 江苏省普通高校研究生科研创新计划项目(762) 南京市医学科技发展项目(YKKI1101)
关键词 来氟米特 甲氨蝶呤 类风湿关节炎 核因子κB受体活化因子的配体 白细胞介素17 Leflunomide Methotrxate Rheumatoid arthritis Receptor activator of nuclear factor-κB ligand interleukin-17
  • 相关文献

参考文献8

  • 1Trentham DE,Townes AS,Kang AH.Autoimmunity to typeⅡcollagen an experimental model of arthritis[J].J Exp Med,1977,146(3):857-868.
  • 2周强,吕厚山,栗占国.胶原诱导的关节炎动物模型研究现状及进展[J].中华风湿病学杂志,2003,7(4):227-231. 被引量:46
  • 3American College of Rheumatology Subcommittee on Rheuma-toid Arthritis Guidelines.Guidelines for the management ofruhematoid arthritis[J].Arthrisrheumatology,2002,46(2):326-328.
  • 4祁艳萍,赵伟.来氟米特联合甲氨蝶呤治疗类风湿关节炎的临床疗效[J].中国医药导报,2007,4(06Z):51-52. 被引量:13
  • 5Neumann E,Lefēvre S,Zimmermann B,et al.Rheumatoidarthritis progression mediated by activated synovial fibroblasts[J].Trends Mol Med,2010,16(10):458-468.
  • 6Patel DN,King CA,Bailey SR,et al.Interleukin-17stimulatesC-reactive protein expression in hepatocytes and smoothmuscle cells via p38MAPK and ERK1/2-dependent NF-kappaBand C/EBP2-beta activation[J].J Biol Chem,2007,282(37):27229-27238.
  • 7Ju JH,Cho ML,Jhun JY,et al.Oral administration of type-Ⅱcollagen suppresses IL-17associated RANKL expression ofCD4+T cells in collagen-induced arthritis[J].Immunol Lett,2008,117(1):16-25.
  • 8Schett G,Middleton S,Bolon B,et al.Additive bone-protectiveeffects of anabolic treatment when used in conjunction withRANKL and tumor necrosis factor inhibition in two rat arthri-tis models[J].Arthritis Rheum,2005,52(5):1604-1611.

二级参考文献13

  • 1韩星海,刘彧,施冶青,赵东宝,蔡青,管剑龙,闾坚强.来氟米特的作用机制及临床应用进展[J].药学服务与研究,2004,4(3):243-246. 被引量:13
  • 2Rosloniec EF,Whittington KB,Zaller DM,et al.HLA-DR1(DRβ*0101) and HLA-DR4(DRβ*0401) use the same anchor residues for binding an immunodominnat peptide derived from human typeⅡ collagen[].J Immunol.2002
  • 3Rosloniec EF,Whiffington KB,Brand DD,et al.Identification of MHC class Ⅱ and TCR binding residues in the type Ⅱ collagen immunodominant determinant mediating collagen-induced arthritis[].Cellular Immunology.1996
  • 4Sasai M,Saeki Y,Ohshima S,et al.Delayed onset and reduced severity of collagen-induced arthritis in interleukin6-deficient mice[].Arthritis and Rheumatism.1999
  • 5Boissier MC,Chiocchia G,Bessis N,et al.Biphasic effect of interferon-gamma in murine collagen-induced arthritis[].European Journal of Immunology.1995
  • 6Andersson EC,Hansen BE,Jacobsen H,et al.Definition of MHC and T cell receptor contacts in the HLA-DR4-restricted immunodominant epitope in type Ⅱ collagen and characterization of collagen-induced arthritis in HLA-DR4 and human CD4 transgenic mice[].Proceedings of the National Academy of Sciences of the United States of America.1998
  • 7Fridkis-Hareli M,Rosloniec EF,Fugger L,et al.Synthetic amino acid copolymers that bind to HLA-DR proteins and inhibit type Ⅱ collagen-reactive T cell clones[].Proceedings of the National Academy of Sciences of the United States of America.1998
  • 8Rosloniec EF,Brand DD,Whittington KB,et al.Vaccination with a recombinant VαDomain of TCR prevents the development of collagen-induced arthritis[].J Immunol.1995
  • 9Brand DD,Marion T,Myers LK,et al.Autoantibodies to murine type Ⅱ collagen-induced arthritis.A comparison of susceptible and non-susceptible strains[].J Immunol.1996
  • 10Fugger L,Rothbard JB,Sonderstrup-McDvitt G.Specificity of an HLA-DRB1*0401-restricted T cell response to type Ⅱ collagen[].European Journal of Immunology.1996

共引文献55

同被引文献39

  • 1陈光星,刘良,赵诗哲,刘清平,童娟,简任佑,曾耀英,陈纪藩.青藤碱对胶原诱导型关节大鼠滑膜细胞增殖及凋亡影响的研究[J].中华风湿病学杂志,2005,9(5):284-287. 被引量:55
  • 2钟南山;陆再英.内科学[M]北京:人民卫生出版社,2009848-851.
  • 3McInnes I B,Schett G. The pathogenesis of rheumatoid arthritis[J].New England Journal of Medicine,2011,(23):2205-2219.
  • 4菲尔斯坦.凯利风湿病学[M]北京:北京大学医学出版社,20111185-1206.
  • 5LEADER. Anti-inflammatory mechanism of methotrexate inrheumatoid arthritis[J].Annals of the Rheumatic Diseases,2001.729-735.
  • 6Fiehn C. Rheumatoid arthritis:milestones in classification and treatment[J].Deutsche Medizinische Wochenschrift,2011.203-205.
  • 7Ishaq M,Muhammad JS,Hameed K. Leflunomide or methotrexate:Comparison of clinical efficacy and safety in low socio-economic rheumatoid arthritis patient[J].Mod Rheumatol K,2011,(04):375-380.
  • 8Reddy SV,Wanchu A,Khullar M. Leflunomide reduces nitricoxide production in patients with active rheumatoid arthritis[J].International Journal of Immunopharmacology,2005,(06):1085-1090.
  • 9Larsen A,Kvien TK,Schattenkirchner M. Slowing of disease progression in rheumatoid arthritis during longterm treatment with leflunomide sulfasalazin[J].Scandinavian Journal of Rheumatology,2001,(03):135-142.
  • 10WEINBLATT ME,KREMER JM,COBLYN JS. Pharmaco kinetic,safty,and efficacy of combination treatment with methotrexate and leflunomide in patients with active rheumatoid arthritis[J].Arthritis and Rheumatism,1999.1322-1328.

引证文献2

二级引证文献23

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部