Vascular cell adhesion molecule-1 (VCAM-1) blockade in collagen-induced arthritis reduces joint involvement and alters B cell trafficking

RA Carter, IK Campbell, KL O'DONNEL… - Clinical & …, 2002 - academic.oup.com
RA Carter, IK Campbell, KL O'DONNEL, IP Wicks
Clinical & Experimental Immunology, 2002academic.oup.com
Vascular cell adhesion molecule-1 (VCAM-1 or CD106) is important in leucocyte trafficking
and its increased expression is associated with a number of chronic inflammatory diseases,
including rheumatoid arthritis (RA). We used a neutralizing monoclonal antibody (M/K-2· 7)
to investigate the role of VCAM-1 in collagen-induced arthritis (CIA), an autoimmune model
of RA. A single injection of M/K-2· 7 (0· 5 mg) into naive mice caused leucocytosis within 20
h, due to increased numbers of circulating B cells and macrophages, as well as neutrophils …
Summary
Vascular cell adhesion molecule-1 (VCAM-1 or CD106) is important in leucocyte trafficking and its increased expression is associated with a number of chronic inflammatory diseases, including rheumatoid arthritis (RA). We used a neutralizing monoclonal antibody (M/K-2·7) to investigate the role of VCAM-1 in collagen-induced arthritis (CIA), an autoimmune model of RA. A single injection of M/K-2·7 (0·5 mg) into naive mice caused leucocytosis within 20 h, due to increased numbers of circulating B cells and macrophages, as well as neutrophils. The most marked effect was on the numbers of immature B cells (B220loIgM+) which were increased approximately fourfold. CIA was elicited in DBA/1 mice by immunization with chick type II collagen (CII) in Freund's complete adjuvant, followed by a repeat injection 21 days later. Repeated M/K-2·7 administration from the time of primary CII immunization reduced the clinical severity, but not the incidence, of CIA compared to isotype-control monoclonal antibody-treated mice. Histological assessment showed fewer arthritic joints in M/K-2·7-treated mice; however, affected joints showed the same range of severity as those of control mice. Anti-CII IgG1 levels were reduced in anti-VCAM-1-treated mice but the cellular immune response to CII was unaffected. In contrast, VCAM-1 blockade from the onset of clinical features of CIA did not prevent disease progression. These results establish a role for VCAM-1 in promoting polyarticular involvement in CIA, most probably via an effect on B cells.
Oxford University Press