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Blood, 15 April 2001, Vol. 97, No. 8, pp. 2381-2389
IMMUNOBIOLOGY
Apolipoprotein A-I inhibits the production of interleukin-1
and tumor necrosis factor- by blocking contact-mediated activation
of monocytes by T lymphocytes
Nevila Hyka,
Jean-Michel Dayer,
Christine Modoux,
Tadahiko Kohno,
Carl K. Edwards III,
Pascale Roux-Lombard, and
Danielle Burger
Tumor necrosis factor- (TNF- ) and interleukin-1 (IL-1 ),
essential components in the pathogenesis of immunoinflammatory diseases, are strongly induced in monocytes by direct contact with
stimulated T lymphocytes. This study demonstrates that adult human
serum (HS) but not fetal calf or cord blood serum displays inhibitory
activity toward the contact-mediated activation of monocytes by
stimulated T cells, decreasing the production of both TNF- and
IL-1 . Fractionation of HS and N-terminal microsequencing as well as
electroelution of material subjected to preparative electrophoresis
revealed that apolipoprotein A-I (apo A-I), a "negative"
acute-phase protein, was the inhibitory factor. Functional assays and
flow cytometry analyses show that high-density lipoprotein (HDL)-associated apo A-I inhibits contact-mediated activation of
monocytes by binding to stimulated T cells, thus inhibiting TNF- and
IL-1 production at both protein and messenger RNA levels. Furthermore, apo A-I inhibits monocyte inflammatory functions in
peripheral blood mononuclear cells activated by either specific antigens or lectins without affecting cell proliferation. These results
demonstrate a new anti-inflammatory activity of HDL-associated apo A-I
that might have modulating functions in nonseptic conditions. Therefore, because HDL has been shown to bind and neutralize
lipopolysaccharide, HDL appears to play an important part in modulating
both acute and chronic inflammation. The novel anti-inflammatory
function of apo A-I reported here might lead to new therapeutic
approaches in inflammatory diseases such as rheumatoid arthritis,
multiple sclerosis, systemic lupus erythematosus, and atherosclerosis.

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