Dayer et al. demonstrated that mononuclear cells from human peripheral
blood produce a mononuclear-cell factor that stimulates collagenase
secretion from adherent rheumatoid synovial cells. The production of this
mononuclear-cell factor can be stimulated by phytohemagglutinin, a T-cell
mitogen. We have examined immune mechanisms by which collagenase secretion
may be stimulated from explants of rheumatoid synovial tissue and from
primary monolayer cultures of rheumatoid synovial cells. Conditioned media
from cultures of normal peripheral-blood mononuclear cells that had been
activated by phytohemagglutinin stimulated collagenase secretion from most
explants and from all monolayer cultures that were examined. The direct
addition of phytohemagglutinin stimulated collagenase secretion in explants
from eight of fourteen patients and in monolayer cultures from three of six
patients. These observations indicate the presence of responsive T
lymphocytes in rheumatoid synovial tissue and implicate them in the
stimulation of collagenase secretion from synovial cells. The direct
addition of type-II collagen peptides to rheumatoid explants also
stimulated collagenase secretion in explants from six to fifteen patients.
Four of five of these patients displayed moderate or severe disease
activity. Other patients showed a marginal stimulation of collagenase
secretion on addition of type-II collagen peptides (four of fifteen
patients) and type-I collagen peptides (three of twelve patients). None of
the patients with mild or inactive disease responded to type-II collagen.
With one exception, the addition of collagen peptides to monolayer cultures
did not stimulate collagenase secretion. An increased production of factors
that enhance or inhibit the migration of polymorphonuclear leukocytes was
also observed in explant cultures in response to the addition of
phytohemagglutinin (in seven of twelve patients), of type-I collagen
peptides (in five of ten patients), and of type-II collagen peptides (in
five of eleven patients). There was no correlation between production of
these factors and stimulation of collagenase secretion in rheumatoid
synovial tissue.