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Blood, 15 December 2008, Vol. 112, No. 13, pp. 5193-5201. Prepublished online as a Blood First Edition Paper on September 29, 2008; DOI 10.1182/blood-2008-02-139535.
PHAGOCYTES A key role for G-CSF–induced neutrophil production and trafficking during inflammatory arthritis1 The Walter and Eliza Hall Institute of Medical Research, Parkville; 2 University of Melbourne, Parkville; and 3 Centre for Inflammatory Diseases, Monash University, Victoria, Australia We have previously shown that G-CSF–deficient (G-CSF–/–) mice are markedly protected from collagen-induced arthritis (CIA), which is the major murine model of rheumatoid arthritis, and now investigate the mechanisms by which G-CSF can promote inflammatory disease. Serum G-CSF levels were significantly elevated during CIA. Reciprocal bone marrow chimeras using G-CSF–/–, G-CSFR–/–, and wild-type (WT) mice identified nonhematopoietic cells as the major producers of G-CSF and hematopoietic cells as the major responders to G-CSF during CIA. Protection against CIA was associated with relative neutropenia. Depletion of neutrophils or blockade of the neutrophil adhesion molecule, Mac-1, dramatically attenuated the progression of established CIA in WT mice. Intravital microscopy of the microcirculation showed that both local and systemic administration of G-CSF significantly increased leukocyte trafficking into tissues in vivo. G-CSF–induced trafficking was Mac-1 dependent, and G-CSF up-regulated CD11b expression on neutrophils. Multiphoton microscopy of synovial vessels in the knee joint during CIA revealed significantly fewer adherent Gr-1+ neutrophils in G-CSF–/– mice compared with WT mice. These data confirm a central proinflammatory role for G-CSF in the pathogenesis of inflammatory arthritis, which may be due to the promotion of neutrophil trafficking into inflamed joints, in addition to G-CSF–induced neutrophil production.
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| Copyright © 2008 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||