Cartilage destruction in granulomatosis with polyangiitis (Wegener's granulomatosis) is mediated by human fibroblasts after transplantation into immunodeficient mice.
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Cartilage destruction in granulomatosis with polyangiitis (Wegener's granulomatosis) is mediated by human fibroblasts after transplantation into immunodeficient mice. / Kesel, Nina; Köhler, Dorothee; Herich, Lena; Laudien, Martin; Holl-Ulrich, Konstanze; Jüngel, Astrid; Neidhart, Michel; Gay, Steffen; Gay, Renate E; Csernok, Elena; Lamprecht, Peter; Gross, Wolfgang L; Schumacher, Udo; Ullrich, Sebastian.
In: AM J PATHOL, Vol. 180, No. 5, 5, 2012, p. 2144-2155.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Cartilage destruction in granulomatosis with polyangiitis (Wegener's granulomatosis) is mediated by human fibroblasts after transplantation into immunodeficient mice.
AU - Kesel, Nina
AU - Köhler, Dorothee
AU - Herich, Lena
AU - Laudien, Martin
AU - Holl-Ulrich, Konstanze
AU - Jüngel, Astrid
AU - Neidhart, Michel
AU - Gay, Steffen
AU - Gay, Renate E
AU - Csernok, Elena
AU - Lamprecht, Peter
AU - Gross, Wolfgang L
AU - Schumacher, Udo
AU - Ullrich, Sebastian
PY - 2012
Y1 - 2012
N2 - A key feature of granulomatosis with polyangiitis (GPA; or Wegener's granulomatosis) is the granulomatous inflammation of the upper respiratory tract, which leads to the subsequent destruction of adjacent tissues. The aim of our work was to study the histopathological and cellular components of tissue destruction of human GPA tissue transplanted into immunodeficient mice. Biopsy specimens from patients with active GPA (n = 10) or sinusitis (controls, n = 6) were s.c. co-implanted with healthy allogeneic human nasal cartilage into immunodeficient pfp/rag2(-/-) mice. Transplants were examined for their destructive capability of the allografted human cartilage. In addition, nasal fibroblasts from patients with GPA (n = 8) and control healthy nasal fibroblasts (n = 5) were cultured, and cell proliferation and apoptosis were quantified. mRNA and protein levels of matrix metalloproteinases and cytokines were evaluated at baseline and after proinflammatory stimulation. GPA implants showed massive destruction of the co-implanted human cartilage, whereas cartilage destruction was only marginal in control samples. Destruction was mediated by human fibroblasts and could be inhibited by corticoid treatment. The up-regulated production of matrix metalloproteinases 1, 3, and 13 and cytokines IL-6 and IL-8 was found in vivo and in vitro. Although proliferation of isolated fibroblasts was comparable between GPA and controls, GPA samples showed a significant delay of apoptosis. The destruction of nasal cartilage in GPA is mainly mediated by fibroblasts that can be blocked by corticosteroids, and this tissue destruction is not dependent on the influx of leukocytes.
AB - A key feature of granulomatosis with polyangiitis (GPA; or Wegener's granulomatosis) is the granulomatous inflammation of the upper respiratory tract, which leads to the subsequent destruction of adjacent tissues. The aim of our work was to study the histopathological and cellular components of tissue destruction of human GPA tissue transplanted into immunodeficient mice. Biopsy specimens from patients with active GPA (n = 10) or sinusitis (controls, n = 6) were s.c. co-implanted with healthy allogeneic human nasal cartilage into immunodeficient pfp/rag2(-/-) mice. Transplants were examined for their destructive capability of the allografted human cartilage. In addition, nasal fibroblasts from patients with GPA (n = 8) and control healthy nasal fibroblasts (n = 5) were cultured, and cell proliferation and apoptosis were quantified. mRNA and protein levels of matrix metalloproteinases and cytokines were evaluated at baseline and after proinflammatory stimulation. GPA implants showed massive destruction of the co-implanted human cartilage, whereas cartilage destruction was only marginal in control samples. Destruction was mediated by human fibroblasts and could be inhibited by corticoid treatment. The up-regulated production of matrix metalloproteinases 1, 3, and 13 and cytokines IL-6 and IL-8 was found in vivo and in vitro. Although proliferation of isolated fibroblasts was comparable between GPA and controls, GPA samples showed a significant delay of apoptosis. The destruction of nasal cartilage in GPA is mainly mediated by fibroblasts that can be blocked by corticosteroids, and this tissue destruction is not dependent on the influx of leukocytes.
KW - Adult
KW - Animals
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Young Adult
KW - Cells, Cultured
KW - Mice
KW - Mice, Knockout
KW - Cell Proliferation
KW - Gene Expression Profiling/methods
KW - Real-Time Polymerase Chain Reaction/methods
KW - RNA, Messenger/genetics
KW - Cytokines/biosynthesis
KW - Apoptosis/physiology
KW - Immune Tolerance
KW - Dexamethasone/pharmacology/therapeutic use
KW - Fibroblasts/drug effects/metabolism/physiology
KW - Glucocorticoids/pharmacology/therapeutic use
KW - Matrix Metalloproteinases/biosynthesis
KW - Nasal Cartilages/pathology/transplantation
KW - Nasal Mucosa/pathology/transplantation
KW - Nose Deformities, Acquired/etiology/pathology
KW - Wegener Granulomatosis/complications/drug therapy/pathology
KW - Adult
KW - Animals
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Young Adult
KW - Cells, Cultured
KW - Mice
KW - Mice, Knockout
KW - Cell Proliferation
KW - Gene Expression Profiling/methods
KW - Real-Time Polymerase Chain Reaction/methods
KW - RNA, Messenger/genetics
KW - Cytokines/biosynthesis
KW - Apoptosis/physiology
KW - Immune Tolerance
KW - Dexamethasone/pharmacology/therapeutic use
KW - Fibroblasts/drug effects/metabolism/physiology
KW - Glucocorticoids/pharmacology/therapeutic use
KW - Matrix Metalloproteinases/biosynthesis
KW - Nasal Cartilages/pathology/transplantation
KW - Nasal Mucosa/pathology/transplantation
KW - Nose Deformities, Acquired/etiology/pathology
KW - Wegener Granulomatosis/complications/drug therapy/pathology
M3 - SCORING: Journal article
VL - 180
SP - 2144
EP - 2155
JO - AM J PATHOL
JF - AM J PATHOL
SN - 0002-9440
IS - 5
M1 - 5
ER -