Journal of Neuroinflammation BioMed Central Hypothesis

BackgroundRecent studies have demonstrated a role for spinal p38 MAP kinase (MAPK) in the development of chronic inflammation and peripheral arthritis and a role for GABA in the inhibition of p38 MAPK mediated effects. Integrating these data suggests that GABA may play a role in downregulating mechanisms that lead to the production of proinflammatory agents such as interleukin-1, interleukin-6, and matrix metalloproteinase 3 – agents implicated in the pathogenesis of rheumatoid arthritis (RA). Genetic studies have also associated RA with members of the p38 MAPK pathway.HypothesisWe propose a hypothesis for an inefficient GABA signaling system that results in unchecked proinflammatory cytokine production via the p38 MAPK pathway. This model also supports the need for increasing research in the integration of immunology and neuroscience.

[1]  R. Axmann,et al.  Differential tissue expression and activation of p38 MAPK α, β, γ, and δ isoforms in rheumatoid arthritis , 2006 .

[2]  M. Opp,et al.  Interleukin‐1 inhibits firing of serotonergic neurons in the dorsal raphe nucleus and enhances GABAergic inhibitory post‐synaptic potentials , 2007, The European journal of neuroscience.

[3]  K. Beyreuther,et al.  Alpha 2-macroglobulin synthesis in interleukin-6-stimulated human neuronal (SH-SY5Y neuroblastoma) cells. Potential significance for the processing of Alzheimer beta-amyloid precursor protein. , 1991, FEBS letters.

[4]  Masatoshi Suzuki,et al.  Production of Mice Deficient in Genes for Interleukin (IL)-1α, IL-1β, IL-1α/β, and IL-1 Receptor Antagonist Shows that IL-1β Is Crucial in Turpentine-induced Fever Development and Glucocorticoid Secretion , 1998, The Journal of experimental medicine.

[5]  S. Knudsen,et al.  Prediction of human mRNA donor and acceptor sites from the DNA sequence. , 1991, Journal of molecular biology.

[6]  J. Kennedy,et al.  Evidence for the gamma‐amino‐butyric acid type B receptor 1 (GABBR1) gene as a susceptibility factor in obsessive‐compulsive disorder , 2005, American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics.

[7]  R. Straub,et al.  Stress as a Risk Factor in the Pathogenesis of Rheumatoid Arthritis , 2007, Neuroimmunomodulation.

[8]  A. Stensballe,et al.  A specific p47phox -serine phosphorylated by convergent MAPKs mediates neutrophil NADPH oxidase priming at inflammatory sites. , 2006, The Journal of clinical investigation.

[9]  C. Svensson,et al.  Spinal p38 MAP kinase is necessary for NMDA-induced spinal PGE2 release and thermal hyperalgesia , 2003, Neuroreport.

[10]  E. Sternberg,et al.  The neuroendocrine system and rheumatoid arthritis: insights from anti-tumor necrosis factor-alpha therapy. , 2007, The Journal of rheumatology.

[11]  W. Borth,et al.  Association of C1q- and conglutinin-binding immune complexes with high consumption of alpha-2-macroglobulin in synovial fluids of patients with rheumatoid arthritis. , 1984, International archives of allergy and applied immunology.

[12]  Steven M. Horvath,et al.  Alpha-2 macroglobulin is genetically associated with Alzheimer disease , 1998, Nature Genetics.

[13]  Francesca Chiaromonte,et al.  Gene length and proximity to neighbors affect genome-wide expression levels. , 2003, Genome research.

[14]  S. Maier,et al.  GLIA: A novel drug discovery target for clinical pain , 2003, Nature Reviews Drug Discovery.

[15]  K. Beyreuther,et al.  Alpha 2‐macroglobulin synthesis in interleukin‐6‐stimulated human neuronal (SH‐SY5Y neuroblastoma) cells Potential significance for the processing of Alzheimer β‐amyloid precursor protein , 1991 .

[16]  G. Firestein,et al.  Mitogen activated protein kinase inhibitors: where are we now and where are we going? , 2006, Annals of the rheumatic diseases.

[17]  L. Sorkin,et al.  Regulation of Peripheral Inflammation by Spinal p38 MAP Kinase in Rats , 2006, PLoS medicine.

[18]  S. Henikoff,et al.  Accounting for human polymorphisms predicted to affect protein function. , 2002, Genome research.

[19]  S. Henriksen,et al.  Profound increase in sensitivity to glutamatergic‐ but not cholinergic agonist‐induced seizures in transgenic mice with astrocyte production of IL‐6 , 2003, Journal of neuroscience research.

[20]  R. Axmann,et al.  Differential tissue expression and activation of p38 MAPK alpha, beta, gamma, and delta isoforms in rheumatoid arthritis. , 2006, Arthritis and rheumatism.

[21]  Sue Povey,et al.  Gene map of the extended human MHC , 2004, Nature Reviews Genetics.

[22]  W. Kampen,et al.  Methodologic issues in the assessment of the efficacy of radiation synovectomy for arthritis of the knee: comment on the article by Janangier et al. , 2007, Arthritis and rheumatism.

[23]  W. Jarvis,et al.  Somatostatin and Gamma-Aminobutyric Acid Inhibit Interleukin-1β-Stimulated Release of Interleukin-6 from Rat C6 Glioma Cells , 2004, Neuroimmunomodulation.

[24]  Wentian Li,et al.  STAT4 and the risk of rheumatoid arthritis and systemic lupus erythematosus. , 2007, The New England journal of medicine.

[25]  L. Joosten,et al.  TNF-induced structural joint damage is mediated by IL-1 , 2007, Proceedings of the National Academy of Sciences.

[26]  E. Sternberg,et al.  REVIEW , 2010 .

[27]  L. Sorkin,et al.  Regulation of peripheral inflammation by spinal adenosine: role of somatic afferent fibers , 2003, Experimental Neurology.

[28]  E. Grigorenko,et al.  Human GABAB receptor 1 gene: Eight novel sequence variants , 2001, Human mutation.

[29]  J. Trowsdale The gentle art of gene arrangement: the meaning of gene clusters , 2002, Genome Biology.