IL-17 and Toll-like Receptor 2 or Toll-like Receptor 4 Combined Engagement Upregulates RANKL and IL-6 in Human Rheumatoid Synovial Fibroblasts.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.4078/jkra.2010.17.1.36
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Kyoung Woon KIM
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sang Heon LEE
			        		
			        		;
		        		
		        		
		        		
			        		Mi La CHO
			        		
			        		;
		        		
		        		
		        		
			        		Hye Joa OH
			        		
			        		;
		        		
		        		
		        		
			        		Yun Ju WOO
			        		
			        		;
		        		
		        		
		        		
			        		Suk Hyung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Hae Rim KIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Division of Rheumatology, Konkuk University School of Medicine, Medical Immunology Center, Institute of Biomedical Science and Technology, Seoul, Korea. shlee@kuh.ac.kr
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Toll-like receptor;
			        		
			        		
			        		
				        		IL-17;
			        		
			        		
			        		
				        		RANKL;
			        		
			        		
			        		
				        		IL-6;
			        		
			        		
			        		
				        		RA FLS
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Blotting, Western;
				        		
			        		
				        		
					        		Fibroblasts;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Immunohistochemistry;
				        		
			        		
				        		
					        		Interleukin-17;
				        		
			        		
				        		
					        		Interleukin-6;
				        		
			        		
				        		
					        		Ligands;
				        		
			        		
				        		
					        		Osteoarthritis;
				        		
			        		
				        		
					        		Peptidoglycan;
				        		
			        		
				        		
					        		RNA, Messenger;
				        		
			        		
				        		
					        		Synovial Membrane;
				        		
			        		
				        		
					        		Toll-Like Receptor 2;
				        		
			        		
				        		
					        		Toll-Like Receptor 4;
				        		
			        		
				        		
					        		Toll-Like Receptors
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:The Journal of the Korean Rheumatism Association
	            		
	            		 2010;17(1):36-45
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	OBJECTIVE: The aim of this study was to clarify whether stimulation of recombinant IL-17, TLR2 and TLR4 by their specific ligands induces the production of RANKL and IL-6 in the fibroblast-like synoviocytes (FLSs) from RA patients. METHODS: FLSs were isolated from RA synovial tissues and they were stimulated with the IL-17, TLR2 ligand bacterial peptidoglycan (PGN) and TLR4 ligand lipopolysaccharide (LPS). The RANKL levels were assessed by RT-PCR and western blotting. The expressions of IL-17, TLR2, TLR4, RANKL and IL-6 in the RA synovium were quantified by immunohistochemistry and these values were compared with the values obtained in the osteoarthritis synovium. The increased IL-6 production in the culture supernatants of the RA FLSs was quantified by sandwich ELISA. RESULTS: The mRNA and protein levels of RANKL and IL-6 increased in the RA FLSs stimulated with PGN, LPS and IL-17, or PGN plus IL-17 or LPS plus IL-17. The expressions of IL-17, TLR2, TLR4, RANKL and IL-6 were much higher in the RA synovium than those in the osteoarthritis (OA) synovium. CONCLUSION: We observed synergistic effects of TLR-2, TLR-4 and IL-17 upon the induction of RANKL. In conclusion, our data supports the previous evidence of an important role of TLR-2, TLR-4 and IL-17 in the pathogenesis of RA.