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Animal Model |
From the Department of Internal Medicine and the Harold C. Simmons Arthritis Research Center, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas
Severe combined immunodeficiency (SCID) mice were engrafted with
rheumatoid arthritis (RA) synovium and evaluated to determine whether
RA synovial morphology and function were maintained in the RA-SCID
grafts. The four major components of RA synovitis,
inflammation, immune reactivity, angiogenesis,
and synovial hyperplasia persisted in RA-SCID grafts for 12 weeks.
Retention of chronic inflammatory infiltrates was demonstrated by
histological evaluation and by immunohistology for CD3,
CD20, and CD68. Staining for CD68 also revealed that the grafts
had undergone reorganization of the tissue, possibly as a
result of fibroblast hyperplasia. Immune and inflammatory components
were confirmed by the detection of human immunoglobulins and human
interleukin-6 in serum samples obtained from grafted animals. Human
blood vessels were detected by dense expression of CD31. Small vessels
persistently expressed the vitronectin receptor,
vß3, a marker of angiogenesis. All vessels expressed
VAP-1, a marker of activated endothelial cells.
Finally, the grafts retained the ability to support immigration
by human leukocytes, as demonstrated by the functional capacity
to recruit adoptively transferred 5- (and -6)-carboxyfluorescein
diacetate succinimidyl ester-labeled T cells. T cells entering the
RA-SCID grafts became activated and produced interferon-
, as
detected by reverse transcriptase-polymerase chain reaction analysis.
These studies demonstrate that the RA-SCID model maintains many of the
phenotypic and functional features of the inflamed RA
synovium.
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