Abstract
IntroductionTo investigate whether monosodium urate (MSU) crystals induce the production of CCL2 (monocyte chemoattractant protein-1; MCP-1) in human fibroblast-like synoviocytes (FLS) and whether this mechanism would be affected by high-density lipoproteins (HDL).MethodsHuman FLS isolated from synovial tissue explants were stimulated with MSU crystals (0.01 to 0.5 mg/ml) or interleukin (IL)-1β (10 pg/ml) in the presence or absence of HDL (50 and 100 μg/ml). The production and expression of CCL2 was evaluated with ELISA, confocal microscopy, immunofluorescence microscopy, chemotaxis assay, and real-time quantitative PCR.ResultsExposure of FLS to MSU crystals induced CCL2 accumulation in culture medium in a dose- and time-dependent manner, reaching a plateau at 50 to 75 μg/ml MSU crystals and 20 to 24 hours. Although low, the induced CCL2 levels were sufficient to trigger mononuclear cell migration. In resting FLS, CCL2 was localized in small cytoplasmic vesicles whose number diminished with MSU crystal stimulation. Concomitantly, MSU crystals triggered the induction of CCL2 mRNA expression. All these processes were inhibited by HDL, which cause a 50% decrease in CCL2 mRNA levels and a dose-dependent inhibition of the release of CCL2. Similar results were obtained when FLS were pretreated with HDL and washed before activation by MSU crystals or IL-1β, suggesting a direct effect of HDL on the FLS activation state.ConclusionsThe present results demonstrate that MSU crystals induce FLS to release CCL2 that is stored in vesicles in resting conditions. This mechanism is inhibited by HDL, which may limit the inflammatory process by diminishing CCL2 production and, in turn, monocytes/macrophages recruitment in joints. This study confirms the antiinflammatory functions of HDL, which might play a part in the limitation of acute gout attack.
Highlights
To investigate whether monosodium urate (MSU) crystals induce the production of CCL2 in human fibroblast-like synoviocytes (FLS) and whether this mechanism would be affected by high-density lipoproteins (HDL)
MSU crystals induce CCL2 release by human FLS To evaluate the capacity of MSU crystals to induce CCL2 release, FLS were incubated for 24 hours with increasing concentrations of MSU crystals
In addition to the premise that protein neosynthesis is not required for CCL2 production, our results strongly suggest that the effect of MSU crystals in FLS is not mediated by an autocrine loop of IL-1
Summary
To investigate whether monosodium urate (MSU) crystals induce the production of CCL2 (monocyte chemoattractant protein-1; MCP-1) in human fibroblast-like synoviocytes (FLS) and whether this mechanism would be affected by high-density lipoproteins (HDL). In vivo studies suggest that CCL2 attracts monocytes to sites of inflammation in a variety of pathologic conditions, including atherosclerosis [4,5], pulmonary fibrosis and granulomatous lung disease [6], and degenerative and gouty arthritis models, intraarticular injection of MSU crystals induces the rapid release of CCL2 within 1 hour after injection, reaching a maximum at 2 to 4 hours [7]. CCL2 might be involved in the recruitment of monocytes/ macrophages at the site of inflammation. Once infiltrated in the joints, MSU crystals trigger monocytes/macrophages to produce IL-1ȕ, a mechanism highly relevant to gout, the acute form of which is effectively treated with the recombinant form of IL-1-receptor antagonist, a specific IL-1 inhibitor [15,16]. The presence of MSU crystal-specific receptor at the cell surface is unlikely, MSU crystals might stimulate cells through membrane lipid alteration [17]
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