Importance of NF-kappa B in rheumatoid synovial tissues: in situ NF-kappa B expression and in vitro study using cultured synovial cells

Objectives-To examine whether inhibition of NF-kappaB induces apoptosis of human synovial cells stimulated by tumour necrosis factor alpha (TNF alpha) , interieukin 1 beta (IL1 beta), and anti-Fas monoclonal antibody (mAb). Methods-The expression of proliferating cell nuclear antigen (PCNA), NF-kap paB, and the presence of apoptotic synovial cells were determined in synovi al tissues. Apoptosis of cultured synovial cells was induced by inhibition of NF-kappaB nuclear translocation by Z-Leu-Leu-Leu-aldehyde (LLL-CHO). The activation of caspase-3 and expression of XIAP and cIAP2 in synovial cells in LLL-CHO induced apoptosis was also examined. Results-Abundant PCNA+ synovial cells were found in rheumatoid arthritis (R A) synovial tissue, though a few apoptotic synovial cells were also detecte d in the RA synovial tissues. Nuclear NF-kappaB was expressed in RA synovia l cells. Electrophoretic mobility shift assay showed that treatment of cell s with TNF alpha or IL1 beta significantly stimulated nuclear NF-kappaB act ivity. A small number of apoptotic synovial cells expressing intracellular active caspase-3 were found after treatment of cells with LLL-CHO. Although treatment of RA synovial cells with TNF alpha or IL1 beta alone did not in duce apoptosis, apoptosis induced by LLL-CHO and caspase-3 activation were clearly enhanced in TNF alpha or IL1 beta stimulated synovial cells compare d with unstimulated synovial cells. Furthermore, induction of apoptosis of synovial cells with caspase-3 activation by anti-Fas mAb was clearly increa sed by LLL-CHO. The expression of cIAP2 and XIAP in synovial cells may not directly influence the sensitivity of synovial cells to apoptosis induced b y LLL-CHO. Conclusion-The results suggest that NF-kappaB inhibition may be a potential ly important therapeutic approach for RA by correcting the imbalance betwee n apoptosis and proliferation of synovial cells in RA synovial tissue.