Inhibition of interleukin-8 synthesis by intraarticular methotrexate therapy in patients with rheumatoid arthritis

被引:17
作者
Gao, IK
Leins, C
Bohlen, H
Heilig, B
Lemmel, EM
机构
[1] Rheumazentrum Baden Baden, D-76530 Baden Baden, Germany
[2] Med Klin 1, D-50924 Cologne, Germany
来源
ZEITSCHRIFT FUR RHEUMATOLOGIE | 1998年 / 57卷 / 02期
关键词
rheumatoid arthritis; methotrexate; intraarticular injection; IL-8;
D O I
10.1007/s003930050066
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
5 Patients with definite RA and knee effusions under constant doses of DMARD therapy were treated with up to 6 intraarticular injections of 10 mg methotrexate (MTX) every 3 to 7 days. A matched randomized control group who received a single i.a. injection of 40 mg triamcinolone hexacetonide (TC) was monitored according to the same protocol. The intraarticular granulocyte counts and IL-8 levels decreased in all MTX treated patients on day 10-13 and stayed low in those patients who could be re-evaluated after 13 weeks. Compared to the IL-8 levels, the other tested cytokine levels showed only minor changes on day 10-13. There was no need for re-injection in the TC group during the 13 week study phase. We conclude that intraarticular MTX therapy results in a strong decrease of SF-granulocyte counts. This effect may be due to the impairment of IL-8 mediated chemotaxis by decreased IL-8 synthesis in synovial fluid mononuclear cells. Clinically, repeated intraarticular MTX therapy results in a worse 13 week outcome than i.a. steroid treatment measured in an intention-to-treat analysis.
引用
收藏
页码:95 / 100
页数:6
相关论文
共 27 条
[1]  
ALVAROGRACIA JM, 1991, J IMMUNOL, V146, P3365
[2]   THE AMERICAN-RHEUMATISM-ASSOCIATION 1987 REVISED CRITERIA FOR THE CLASSIFICATION OF RHEUMATOID-ARTHRITIS [J].
ARNETT, FC ;
EDWORTHY, SM ;
BLOCH, DA ;
MCSHANE, DJ ;
FRIES, JF ;
COOPER, NS ;
HEALEY, LA ;
KAPLAN, SR ;
LIANG, MH ;
LUTHRA, HS ;
MEDSGER, TA ;
MITCHELL, DM ;
NEUSTADT, DH ;
PINALS, RS ;
SCHALLER, JG ;
SHARP, JT ;
WILDER, RL ;
HUNDER, GG .
ARTHRITIS AND RHEUMATISM, 1988, 31 (03) :315-324
[3]   Intra-articular administration of polyclonal immunoglobulin G in rheumatoid arthritis - A double-blind, placebo-controlled pilot study [J].
Bagge, E ;
Geijer, M ;
Tarkowski, A .
SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, 1996, 25 (03) :174-176
[4]  
BERAZZOLO N, 1994, AGENTS A TIONS, V41, P90
[5]   COMPARISON OF INTRA-ARTICULAR METHOTREXATE WITH INTRA-ARTICULAR TRIAMCINOLONE HEXACETONIDE BY THERMOGRAPHY [J].
BIRD, HA ;
RING, EFJ ;
DANIEL, R ;
BACON, PA .
CURRENT MEDICAL RESEARCH AND OPINION, 1977, 5 (02) :141-146
[6]   Intra-articular corticosteroids - Guide to selection and indications for use [J].
Caldwell, JR .
DRUGS, 1996, 52 (04) :507-514
[7]  
CARUSO I, 1992, J INT MED RES, V20, P27
[8]   Molecular therapeutics - Methotrexate and its mechanism of action [J].
Cronstein, BN .
ARTHRITIS AND RHEUMATISM, 1996, 39 (12) :1951-1960
[9]  
CUCHACOVICH M, 1991, J RHEUMATOL, V18, P962
[10]   Shift toward T lymphocytes with a T helper 1 cytokine-secretion profile in the joints of patients with rheumatoid arthritis [J].
Dolhain, RJEM ;
vanderHeiden, AN ;
terHaar, NT ;
Breedveld, FC ;
Miltenburg, AMM .
ARTHRITIS AND RHEUMATISM, 1996, 39 (12) :1961-1969