The Journal of Experimental Medicine
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© The Rockefeller University Press, 0022-1007/1999/8/535/ $5.00
The Journal of Experimental Medicine, Volume 190, Number 4, August 16, 1999 535-542


Original Article

Secretory Leukocyte Protease Inhibitor Suppresses the Inflammation and Joint Damage of Bacterial Cell Wall–Induced Arthritis

Xiao-yu Songa, Li Zenga, Wenwen Jina, John Thompsona, Diane E. Mizela, Ke-jian Leia, R.C. Billinghurstb, A. Robin Pooleb, and Sharon M. Wahla

a From the Oral Infection and Immunity Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland 20892-4352
b Joint Diseases Laboratory, Shriners Hospitals for Children, Division of Surgical Research, Department of Surgery, McGill University, Montreal, Canada, H3G1A6
Oral Infection and Immunity Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bldg. 30, Rm. 332, 30 Convent Dr., MSC 4352, Bethesda, MD 20892-4352.301-402-1064301-496-4178

smwahl{at}dir.nidcr.nih.gov

Disruption of the balance between proteases and protease inhibitors is often associated with pathologic tissue destruction. To explore the therapeutic potential of secretory leukocyte protease inhibitor (SLPI) in erosive joint diseases, we cloned, sequenced, and expressed active rat SLPI, which shares the protease-reactive site found in human SLPI. In a rat streptococcal cell wall (SCW)-induced model of inflammatory erosive polyarthritis, endogenous SLPI was unexpectedly upregulated at both mRNA and protein levels in inflamed joint tissues. Systemic delivery of purified recombinant rat SLPI inhibited joint inflammation and cartilage and bone destruction. Inflammatory pathways as reflected by circulating tumor necrosis factor {alpha} and nuclear factor {kappa}B activation and cartilage resorption detected by circulating levels of type II collagen collagenase-generated cleavage products were all diminished by SLPI treatment in acute and chronic arthritis, indicating that the action of SLPI may extend beyond inhibition of serine proteases.

Key Words: inflammation • cartilage resorption • serine protease inhibitor


1used in this paper: AI, severity of arthritis; NF, nuclear factor; PM, peritoneal macrophage; SCW, streptococcal cell wall; SLPI, secretory leukocyte protease inhibitor

© 1999 The Rockefeller University Press


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