Med Sci Monit. 2004 Mar 23;10(4):BR91-BR95. [Epub ahead of
print] Related Articles, Links
Proinflammatory cytokines increase iron uptake into human
monocytes and synovial fibroblasts from patients with
rheumatoid arthritis.
Telfer JF, Brock JH.
Department of Immunology, Western Infirmary, University of
Glasgow, United Kingdom.
Background: It has been hypothesized that iron is stored in
the synovium of patients with rheumatoid arthritis which
perpetuates inflammation by aiding the production of oxygen
free radicals. Proinflammatory cytokines are produced by
macrophages and lymphocytes present within synovium and by
mononuclear cells of in synovial fluid from patients with
rheumatoid arthritis. There are two known systems for iron
uptake. The first involves binding of iron to transferrin
and uptake via transferrin receptors. The second involves
uptake by low molecular weight organic anions such as
ascorbate and citrate (non-transferrin bound uptake).
Material/Methods: Proinflammatory cytokines (IL-1, Il-6,
TNF? and interferon ?) were added to fibroblasts isolated
from patients with rheumatoid arthritis and human monocytes
in culture and their effect on 59Fe-transferrin and citrate
uptake was determined. Results: Proinflammatory cytokines
increase transferrin and non-transferrin bound iron uptake
into human monocytes and increase transferrin-bound iron
uptake by synovial fibroblasts, but have no effect on non-
transferrin bound uptake into fibroblasts. Conclusions:
Proinflammatory cytokines produced in human rheumatoid
arthritis synovium and synovial fluid may contribute to the
accumulation of iron that occurs in rheumatoid arthritis
synovium which may lead to damage to synovial fibroblasts,
macrophages and lymphocytes.
PMID: 15039637 [PubMed - as supplied by publisher]
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