Document 0126 DOCN M9550126 TI Role of IL-2 and IL-4 in exacerbations of murine antigen-induced arthritis. DT 9505 AU Jacobs MJ; van den Hoek AE; van Lent PL; van de Loo FA; van de Putte LB; van den Berg WB; Department of Rheumatology, University Hospital Nijmegen, The; Netherlands. SO Immunology. 1994 Nov;83(3):390-6. Unique Identifier : AIDSLINE MED/95137667 AB In this study the roles of different T-cell subsets, and produced cytokines, were investigated in an animal model for acute exacerbations. Flare-up reactions are inducible in the chronic phase of a smouldering antigen-induced inflammation by injection of a small amount of an antigen into a hyper-reactive knee joint. In vivo treatment with anti-CD4 monoclonal antibodies (mAb) almost totally blocked the flare reaction, whereas anti-CD8 treatment did not exert any effect. The role of T-helper 1 (Th1) cells in delayed-type hypersensitivity-resembling diseases is generally entitled proinflammatory, whereas Th2 cells act in an anti-inflammatory manner. To investigate the role of these T-cell subsets in flare-up reactions, anti-interleukin-2 (IL-2) and anti-IL-4 mAb treatments were performed. Anti-IL-2 treatment partly blocked the flare reaction, and anti-IL-4 treatment, although the result was unexpected, blocked the flare more efficiently. Furthermore, when human recombinant IL-2 (hrIL-2) and murine recombinant IL-4 (mrIL-4) were co-injected with the antigen to test their ability respectively to potentiate or down-regulate the flare reaction, both cytokines demonstrated additional pro-inflammatory effects, although hrIL-2 was more potent than mrIL-4. The mere effect of hrIL-2 and mrIL-4 was studied by direct injection into a hyperreactive joint. No flare-up reaction or cell-influx could be induced, suggesting that other mediators are needed to exert pro-inflammatory effects of IL-2 or IL-4. We conclude that not only Th1 cells, but also Th2 lymphocytes (at least regarding IL-4 production) may play a pro-inflammatory role in flare-up reactions of chronic arthritis. Considering therapeutic application of Th2 cell-derived cytokines, one should be aware of the possible pro-inflammatory potential of IL-4. DE Acute Disease Animal Antibodies, Monoclonal/ADMINISTRATION & DOSAGE Arthritis/*IMMUNOLOGY Female Immunization Interleukin-2/PHYSIOLOGY Interleukin-4/PHYSIOLOGY Interleukins/*PHYSIOLOGY Mice Mice, Inbred C57BL Support, Non-U.S. Gov't T-Lymphocytes, Helper-Inducer/*IMMUNOLOGY Th1 Cells/IMMUNOLOGY Th2 Cells/IMMUNOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).