Rheumatoid arthritis is characterized by an intermittent course of disease with alternate periods of remission and relapse. T cells, and in particular the T-cell cytokine interleukin-17 (IL-17), are expected to be involved in arthritic flares. Here, we report that neutralizing endogenous IL-17 during reactivation of antigen-induced arthritis prevents joint inflammation and bone erosion. Synovial IL-17 mRNA expression was clearly up-regulated during primary arthritis and was further enhanced after antigen rechallenge. Neutralization of IL-17 significantly prevented joint swelling at day 1 of flare and significantly suppressed joint inflammation and cartilage proteoglycan depletion at day 4, as assessed by histology. Blocking IL-17 also clearly reduced bone erosions. Cathepsin K, a marker of osteoclast-like activity, and synovial RANKL mRNA expression were both suppressed. The degree of bone erosions strongly correlated with the severity of joint inflammation, suggesting that anti-IL-17 treatment reduced bone erosion by suppressing joint inflammation. Interestingly, blocking IL-17 suppressed synovial expression of both IL-1 and tumor necrosis factor-␣, whereas blocking IL-1 did not affect tumor necrosis factor-␣ levels. These data indicate that IL-17 is an important upstream mediator in joint pathology Rheumatoid arthritis (RA) is a systemic joint disease characterized by progressive destructive joint inflammation. Although RA is considered an autoimmune disease, the autoantigen(s) is still not identified. Interestingly, CTLA4Ig treatment in patients with RA showed promising improvement of the ACR50 and ACR70 responses. 1 This treatment blocks the interaction of CD80/86 on antigen-presenting cells with CD28 on naïve T cells. This interaction is required for optimal T-cell activation. This study supports the theory that (CD4 ϩ ) T cells play a key role in the pathogenesis of RA. [2][3][4] The contribution of T cells in the joints can be related to antigen-dependent and -independent mechanisms, such as direct cell contact, which can induce cytokine and protease production by macrophages and fibroblasts. 5 Furthermore, RA is characterized by an intermittent course of the disease with alternate periods of remission and relapse. The cause of a flare-up reaction during RA is unclear, and both antigen-specific and antigen-nonspecific T cells may play a role. 4 Studies in animal models for experimental arthritis have resulted in better understanding of the role of different cell types and various cytokines during arthritic flares. In antigen-induced arthritis, the capacity to develop arthritis can be transferred by lymphocytes, 6 in particular by cell fractions enriched for T cells, and high