IVIG ameliorate inflammation in collagen induced arthritis- projection
for IVIG therapy in rheumatoid arthritis
Abstract
Rheumatoid arthritis (RA) is a systemic inflammatory autoimmune disease
that leads to joint destruction and disability. Despite a significant
progress in administration of biological agents for RA patients, there
is still a need for improved therapy. Intravenous-immunoglobulins (IVIG)
, a pooled polyspecific immunoglobulin-G (IgG) extracted from 20,000
healthy subjects, showed beneficial therapeutic effect in patients with
immune-deficiency, sepsis, and autoimmune diseases. The current study
aim to investigate the beneficial effect of treatment with IVIG in
established collagen induced arthritis in DBA/1j mice. Murine arthritis
was induced in DBA/1j mice. The treatment with IVIG started when the
disease was established. The clinical score was followed twice a week
until day 48. The mice were bled for plasma, the paws were H&E stained.
Cytokine profile in the plasma was analyzed by Luminex technology,
titers of circulating anti-collagen antibodies in the plasma was tested
by ELISA. Our results show that treatment with IVIG in murine,
significantly rreduced the clinical arthritis score (P<0.001).
Moreover, mode of action show that IVIG significantly reduced
circulating level of inflammatory cytokines (IFN, IL-1β, IL-17, IL-6,
TNFα) (P<0.001), inhibit anti-collagen antibodies (P
< 0.001) in the plasma of CIA mice. Importantly,
histopathological examination revealed that IVIG treatment prevented the
migration of inflammatory immune cells into the cartilage and synovium,
reduced the extent of joint damage and preserved joint architecture. Our
results proved for the first time the valuable anti-inflammatory
treatment of IVIG in experimental RA. We propose IVIG therapy for a
subgroup of patients with as rheumatological-related diseases.