Purpose. The transplantation of retinal pigment epithelial (RPE) cells is a
possible therapy for degenerative diseases of the retina. However, the imm
une response and the subsequent rejection of the allografts are major probl
ems in this field. We investigated the effect of pro-inflammatory factors o
n the cytokine and chemokine mRNA expression of human RPE cells during long
-term observations in vitro.
Methods. Human RPE cells were cultured in the presence of tumor necrosis fa
ctor-alpha (TNF-alpha, 10 ng/ml), interferon-gamma (IFN-gamma, 1000 U/ml) o
r with a combination of both up to 96 hours. Cells were harvested and total
RNA was isolated. The changes in expression of mRNA coding for RANTES, the
interleukines (IL)-6, 8, 10, 15, IFN-gamma, monocyte chemotactic protein-1
(MCP-1) and transforming growth factor-beta 1 (TGF-beta 1) during the stim
ulation were investigated using the ribonuclease protection assay.
Results. IL-10 and IFN-gamma mRNA were detected in neither unstimulated nor
stimulated cells. Human RPE cells constitutively express the mRNA for IL-6
, MCP-1, IL-8, IL-15, TGF-beta 1 and, at very low levels, for RANTES. The T
GF-beta 1 mRNA expression was not influenced by either stimulation. The mRN
A of the other factors was up-regulated for 24-48 h dependent on the stimul
ation.
Conclusions. Human RPE cells are able to increase their mRNA expression for
the detected cytokines in response to the pro-inflammatory factors which a
re detectable in the rejection process. These up-regulated cytokines themse
lves are known to be involved in several inflammatory and immunological pro
cesses, suggesting their role in the rejection of transplanted RPE allograf
ts.