沈玉先

摘 要：類風(fēng)濕關(guān)節(jié)炎的滑膜細(xì)胞能抵抗內(nèi)質(zhì)網(wǎng)（ER）應(yīng)激誘導(dǎo)的凋亡而獲得“永生性”。ARMET基因是該課題組從3萬個(gè)基因中篩選出的對ER應(yīng)激最敏感的基因，ER應(yīng)激上調(diào)其表達(dá)和分泌，但它與炎癥的關(guān)系未見報(bào)道。研究發(fā)現(xiàn)：在甲基化牛血清白蛋白誘導(dǎo)的兔關(guān)節(jié)炎及大鼠佐劑性關(guān)節(jié)炎模型上，關(guān)節(jié)局部炎癥能誘導(dǎo)ER應(yīng)激，上調(diào)ARMET表達(dá)，并且滑膜組織中表達(dá)ARMET的細(xì)胞類型主要為成纖維樣滑膜細(xì)胞；關(guān)節(jié)炎癥能誘導(dǎo)ARMET分泌，在炎癥不同時(shí)期，外周血中ARMET水平明顯升高，與急性期反應(yīng)蛋白CRP變化呈正相關(guān)；關(guān)節(jié)炎滑膜組織中ARMET水平與關(guān)節(jié)炎癥的發(fā)展呈負(fù)相關(guān)。用ARMET siRNA抑制內(nèi)源性ARMET表達(dá)后，細(xì)胞增殖能力增強(qiáng)，炎癥因子IL-1β21644；TNF-α34920；達(dá)和分泌明顯增加；而重組人ARMET蛋白能劑量依賴性的抑制炎癥滑膜細(xì)胞的增殖，降低IL-1β21644；TNF-α30340；表達(dá)和分泌。此外，ER應(yīng)激誘導(dǎo)劑tunicamycin能誘導(dǎo)滑膜細(xì)胞中ARMET的核轉(zhuǎn)移。上述結(jié)果提示，關(guān)節(jié)局部炎癥可誘導(dǎo)ER應(yīng)激并上調(diào)ARMET表達(dá)，ARMET的誘導(dǎo)表達(dá)對炎性滑膜細(xì)胞的過度激活有抑制作用。

關(guān)鍵詞：ARMET 內(nèi)質(zhì)網(wǎng)應(yīng)激 滑膜細(xì)胞 佐劑性關(guān)節(jié)炎

Abstract： Synovial fibroblasts from arthritis mice were resistant to ER-stress-induced apoptosis and gain "eternal life". Armet （Arginine-Rich， Mutated in Early stage Tumors） gene is a commonly upregulated genes under various forms of ER stress in different cell types using microarray analysis， but relationship between ARMET and inflammation has not explored. In our study，Methylated bovine serum albumin （mBSA） and Freund's complete adjuvant （FCA） were employed to establish antigen-induced rabbit and rat arthritis models.The expression of ARMET was remarkably up-regulated in inflammatory synovial tissue， compared to normal controls. More interestingly， ARMET expression only was induced in a-SMA-positive fibroblasts， but not CD68-positive microphages.We also observed the expressions of ER stress inducible proteins and ARMET in synovial tissue were dynamic during different periods of inflammation：BiP was increased significantly early in primary inflammation response （d2～d7）， then maintained at a high level until d28， then decreased slightly； ARMET was upregulated at the early stage of primary inflammation response and then decreased slightly on d14. CHOP expression increased slowly during inflammation development. Above results suggest that ARMET is most sensitive to the inflammation stimulus than BiP and CHOP. The levels of ARMET in peripheral blood serum of AA rats increased on d2 and up-regulated significantly on d14， while serum CRP also exhibited a similar trend of expression. Correlation analysis revealed that arthritissymptoms， serum IL-1βTNF-αevels were negatively correlated with level of ARMET during second inflammation phase.Inhibition of endogenous ARMET expression can increased cell proliferation， promoted IL-1βnd TNF-αxpression and secretion in AA rats-derived synoviocytes. Similarly， recombinant ARMET protein can dose-dependently inhibited cell proliferation， and reduced IL -1βnd TNF-αxpression and secretion. Intriguingly，ARMET was found expressed in the nucleus of FLS while αMA was activated greatly， and tunicamycin induced ARMET nuclear translocation in FLS.These results suggested that ARMET up-regulation plays a protective role in controlling inflammation through inhibiting synoviocytes proliferation and inflammatory cytokines production， which may be related to nuclear transcription regulation of ARMET.

Key Words： ARMET；ER stress；Synovicytes；Adjuvant arthritis

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