Basis for defective responses of rheumatoid arthritis synovial fluid lymphocytes to anti-CD3 (T3) antibodies

J Clin Invest. 1986 Sep;78(3):713-21. doi: 10.1172/JCI112631.

Abstract

Synovial fluid mononuclear cells (SFMC) from patients with active rheumatoid arthritis characteristically respond poorly to mitogens. In this study, mitogenic antibodies reactive with the CD3(T3) antigen on human T lymphocytes were used to analyze the basis for the deficiency. OKT3-induced proliferation and release of interleukin 1 (IL-1) and interleukin 2 (IL-2) from SFMC were depressed in all patients. Purified IL-1 or recombinant IL-2 restored proliferative responses in SFMC and increased IL-2 receptor density. Exogenous IL-1 also enhanced IL-2 release. Fractionation of SFMC supernatants on phosphocellulose columns revealed the presence of IL-1 and a potent IL-1 inhibitor. The monocyte-derived IL-1 inhibitor blocked IL-1-dependent responses of normal peripheral blood lymphocytes to OKT3, but had no effect on IL-2-dependent events. These results suggest that IL-1 inhibitor(s) in SFMC impair(s) OKT3-induced mitogenesis by interfering with the effects of IL-1 on T lymphocytes. The net result is deficient IL-2 secretion, IL-2 receptor expression, and impaired cellular proliferation. This novel inhibitory circuit provides a rational explanation for the diminished function of synovial fluid T lymphocytes in rheumatoid arthritis patients.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Antibodies / immunology*
  • Antibodies, Monoclonal / physiology
  • Antigens, Surface / immunology*
  • Arthritis, Rheumatoid / immunology*
  • Cells, Cultured
  • Female
  • Humans
  • Indomethacin / pharmacology
  • Interleukin-1 / physiology
  • Interleukin-2 / physiology
  • Lymphocyte Activation / drug effects
  • Male
  • Middle Aged
  • Monocytes / immunology
  • Receptors, Immunologic / metabolism
  • Receptors, Interleukin-2
  • Synovial Fluid / immunology*
  • T-Lymphocytes / immunology*

Substances

  • Antibodies
  • Antibodies, Monoclonal
  • Antigens, Surface
  • Interleukin-1
  • Interleukin-2
  • Receptors, Immunologic
  • Receptors, Interleukin-2
  • Indomethacin