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International Immunology, Vol. 12, No. 2, 187-193, February 2000
© 2000 Japanese Society for Immunology

IL-6 inhibits the proliferation of fibroblastic synovial cells from rheumatoid arthritis patients in the presence of soluble IL-6 receptor

Norihiro Nishimoto, Aie Ito, Mika Ono, Hiromi Tagoh, Tomoshige Matsumoto, Tetsuya Tomita1, Takahiro Ochi1 and Kazuyuki Yoshizaki

Department of Medical Science I, School of Health and Sport Sciences, Osaka University, 2-1 Yamadaoka, Suita-city, Osaka 565-0871, Japan
1 Department of Orthopedics, Osaka University Medical School, Osaka 565-0871, Japan

Correspondence to: K. Yoshizaki

IL-6 and tumor necrosis factor (TNF)-{alpha} have been proven to play an important role in the development of rheumatoid arthritis (RA). It is well known that TNF-{alpha} induces IL-6 production from synovial cells as well as their proliferation. The effect of IL-6 on synovial cells, however, is not clear. An in vitrostudy was performed to determine the effect of IL-6 on the proliferation of synovial cells. Fibroblastic synovial cells isolated from the synovial tissues of eight RA patients were employed after the third to sixth passages. IL-6 in the presence of soluble IL-6 receptor (sIL-6R) inhibited the proliferation of synovial cells in a dose-dependent manner in seven cases without increasing the number of necrotic or apoptotic cells, while TNF-{alpha} increased synovial cell proliferation in all cases. The inhibitory effect of IL-6 was observed only in the presence of sIL-6R although small amounts of IL-6R were detected in these cells by RT-PCR analysis. However, anti-IL-6R or anti-gp130 mAb treatment increased spontaneous growth of synovial cells in all eight cases, suggesting that endogenous IL-6 and a small amount of IL-6R expressed in synovial cells suppressed their growth without exogenous IL-6 or sIL-6R. In addition, the IL-6–sIL-6R complex reduced the TNF-{alpha}-induced proliferation of synovial cells while TNF-{alpha} induced their IL-6 production. These data suggest that IL-6 may act as a negative feedback factor for TNF-{alpha}-induced synovial cell growth.

Keywords: IL-6, rheumatoid arthritis, soluble IL-6 receptor, synovial cell, tumor necrosis factor-{alpha}

Transmitting editor: K. Okumura


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