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Superantigen can reactivate bacterial cell wall-induced arthritis
Journal article   Peer reviewed

Superantigen can reactivate bacterial cell wall-induced arthritis

John H Schwab, Roger R Brown, Sonia K Anderle and Patrick M Schlievert
The Journal of immunology (1950), Vol.150(9), pp.4151-4159
05/01/1993
DOI: 10.4049/jimmunol.150.9.4151
PMID: 8473753

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Abstract

Intravenous injection of toxic shock syndrome toxin-1 (TSST-1) produced by Staphylococcus aureus, can reactivate arthritis in a rat ankle joint that has been previously inflamed by injection of peptidoglycanpolysaccharide polymers isolated from the cell walls of group A streptococci. The severity and chronicity of this renewed arthritis is dose dependent and at higher doses (125 micrograms/kg) a prolonged joint inflammation with pannus formation and marginal erosion of cartilage and bone is induced after a single injection of TSST-1. Only modest synovial hyperplasia is induced in control ankle joints by systemic injection of TSST-1. Another superantigen, streptococcal pyrogenic exotoxin induces a much weaker, acute reactivation of arthritis that resolves by 2 days. Repeated injections of TSST-1 at 7-day intervals give the same undiminished pattern of joint response, but the joint swelling persists at a higher level with each succeeding injection. Cyclosporin A suppresses all phases of the recurrent arthritis, indicating that TSST-1 could be functioning through its property of a superantigen activating T lymphocytes. II-1 receptor antagonist and anti-TNF-alpha neutralizing antibody, which reduce reactivation of arthritis by peptidoglycan-polysaccharide polymers, have no effect on reactivation by TSST-1. This experimental model provides a means to examine in vivo the possible role of superantigens in rheumatoid arthritis and related diseases, and to analyze the cellular and molecular pathways induced by this family of microbial products.
Recurrence T-Lymphocytes - physiology Cyclosporine - pharmacology Exotoxins - immunology Antigens, Bacterial - immunology Rats, Inbred Lew Polysaccharides, Bacterial - immunology Rats Arthritis, Infectious - pathology Bacterial Proteins Membrane Proteins Animals Enterotoxins - immunology Bacterial Toxins Sialoglycoproteins - pharmacology Arthritis, Infectious - etiology Superantigens Female Interleukin 1 Receptor Antagonist Protein Staphylococcus aureus - immunology

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