Enhancement of lymphocyte response to PHA by lysosomal enzymes from polymorphonuclear leukocytes of RA joint fluid.

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Insights

Lysosomal proteases from rheumatoid arthritis (RA) joint fluid enhance DNA synthesis in T lymphocytes. This suggests proteases may perpetuate inflammation in RA synovitis.

Area of Science:

  • Immunology
  • Biochemistry
  • Rheumatology

Background:

  • Rheumatoid arthritis (RA) is characterized by chronic joint inflammation.
  • Polymorphonuclear leukocytes (PMNs) are abundant in RA joint fluid and release granule contents.
  • The role of PMN granule components in modulating lymphocyte activity in RA is not fully understood.

Purpose of the Study:

  • To investigate the effect of PMN granule lysates from RA joint fluid on the DNA synthesis of autologous lymphocytes.
  • To identify the components within PMN lysates responsible for modulating lymphocyte activity.

Main Methods:

  • Lymphocytes were isolated from RA joint fluid.
  • Lymphocytes were cultured with or without PMN granule lysates and stimulated with phytohemagglutinin (PHA-M).
  • DNA synthesis was quantified by [3H]thymidine incorporation.

Main Results:

  • PMN granule lysates significantly increased DNA synthesis in PHA-stimulated lymphocytes (from 19,466+/-987 to 44,877+/-1338 cpm).
  • The enhancing effect was abolished by plasma inhibitors and a protease inhibitor (Trasylol).
  • Experiments with separated T and B lymphocytes indicated the effect resulted from T lymphocyte activation.

Conclusions:

  • The enhancing effect of PMN lysates on lymphocyte DNA synthesis is mediated by lysosomal proteases.
  • These proteases likely activate T lymphocytes, contributing to the perpetuation of inflammation in rheumatoid synovitis.

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