Adjuvant arthritis (AA) serves as an excellent model for human rheumatoid arthritis. AA is readily inducible in certain rat strains, but not in others. Susceptibility/resistance to AA is determined by multiple factors. Among the genetic factors, both MHC and non-MHC genes contribute to arthritis susceptibility, and specific quantitative trait loci show association with the severity of the disease. Differential T-cell proliferative and cytokine responses, as well as antibody responses, to heat-shock proteins are evident when comparing AA-susceptible and AA-resistant rats. In addition, neuroendocrine factors and the housing environment can further modulate arthritis susceptibility/severity in particular rat strains.
IntroductionAdjuvant arthritis (AA) is inducible in susceptible rat strains, such as the Lewis (LEW) rat, by a single subcutaneous injection of heat-killed Mycobacterium tuberculosis H37Ra (Mtb) in oil. AA has been used extensively as an animal model of human rheumatoid arthritis (RA) for studies on the disease pathogenesis and for testing of new products for their therapeutic efficacy [1]. Various outbred and inbred rat strains differ in their relative susceptibility to AA (Table 1). Similarly, the prevalence of RA differs significantly among human populations living in different geographical regions of the world, and even among subpopulations within the same region [2]. Conducting well-controlled studies to unravel the mechanisms underlying the disease susceptibility in RA, however, is difficult for multiple reasons -including the genetic heterogeneity of human populations and the differences in the environmental influences. In this regard, studies in animal models of arthritis serve an invaluable purpose by providing information that is directly relevant to human RA.In the past 10 to 15 years, significant advances have been made in unraveling the mechanisms involved in the initiation of AA as well as the regulation of AA. Studies comparing the physiological characteristics as well as the immune responsiveness of AA-susceptible rat strains versus AAresistant rat strains have provided critical insights into the disease process and have thereby contributed to these advancements. In the present review we highlight the major factors determining the susceptibility/resistance to AA (Table 2). In a few places, studies from other models of arthritis are also included.The differential susceptibility to AA of inbred rat strains bearing different MHC haplotypes (for example, LEW rats and Brown Norway (BN) rats) as well as those possessing the same MHC haplotype but having disparate non-MHC (background) genes (for example, LEW rats and WistarKyoto (WKY) rats) (Table 1) underscores the significance of genetic factors in determining susceptibility/resistance to AA. These genetic factors mediate their effect in part via influencing the quantitative and qualitative aspects of immune response to the disease-related antigens (Table 2). Superimposed on this genetic predisposition is the modulation of disease su...