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Tumor Necrosis Factor-a Protects Synovial Cells from Nitric Oxide Induced Apoptosis Through Phosphoinositide 3-Kinase Akt Signal Transduction

QINGQUAN CHEN, BRUNO CASALI, LAURA PATTACINI, LUIGI BOIARDI, and CARLO SALVARANI

ABSTRACT.

Objective. To investigate the anti-apoptotic role of tumor necrosis factor-a (TNF-a) and its signaling pathways in cultured human fibroblast-like synoviocytes (FLS) from patients with rheumatoid arthritis.

Methods. FLS were cultured in Dulbecco's modified Eagle's medium. Apoptotic cells were identified by TUNEL assay and Hoechst staining. Cell viability was determined by the MTT method. Expression of phospho-Akt and phospho-BAD was measured by Western blotting.

Results. A 24-h TNF-a treatment prevented FLS apoptosis induced by nitric oxide (NO) donor sodium nitroprusside dihydrate (SNP), achieving 70% protection. At 1–10 ng·ml–1 concentrations, TNF-a induced phosphorylation of Akt and BAD in a time and concentration-dependent manner. This effect was blocked by treatment with both LY294002 and nuclear factor-kB inhibitor pyrrolidine-dithiocarbamate.

Conclusion. TNF-a has an anti-apoptotic effect in human FLS. Activation of Akt and BAD may have an important role in this process. (J Rheumatol 2006;33:1061–8)

Key Indexing Terms:

TUMOR NECROSIS FACTOR-a
NITRIC OXIDE

APOPTOSIS
SIGNAL TRANSDUCTION
SYNOVIAL CELLS


From the Laboratorio di Biologia Molecolare and Unità di Reumatologia, Arcispedale S. Maria Nuova, Reggio Emilia, Italy.

Q. Chen, BD; B. Casali, MD; L. Pattacini, BD, PhD, Laboratorio di Biologia Molecolare; L. Boiardi, MD, PhD; C. Salvarani, MD, Unità di Reumatologia, Arcispedale S. Maria Nuova.

Address reprint requests to Dr. C. Salvarani, Servizio di Reumatologia, Arcispedale S. Maria Nuova, V. le Risorgimento N80, 42100 Reggio Emilia, Italy. E-mail: salvarani.carlo@asmn.re.it

Accepted for publication January 24, 2006.




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