An experimental model has been developed to histologically assess the effect of T cell mitogen-induced lymphokines derived from rabbit splenocytes on proteoglycan matrix depleted auricular cartilage explant glycosaminoglycan synthesis. Explant exposure to lymphokine was shown by light and electron microscopy to significantly suppress chondrocyte glycosaminoglycan regenerative capacity. This inhibitory effect was reversible in that synthetic activity could be restored by placement of explants in control media after as long as 12 days of lymphokine exposure.The major consequence of inflammatory and degenerative forms of articular disease is irreparable degradation of articular cartilage. Responsible mechanisms beyond that of direct enzyme mediation are poorly un- derstood. Although indirect evidence has incriminated cell-mediated immunologic (CMI) events in pathogenesis (I-lo), few studies have investigated operative mechanisms. It has previously been shown that: 1) mitogeninduced lymphokines, via monocyte interaction, are capable of inducing cartilage proteoglycan degradation (1 1) and 2) a non-monocyte dependent, lymphokine-induced inhibition of glycosaminoglycan (GAG) synthesis by chondrocytes in explant cultures occurs as gauged by radiolabeled sulfate incorporation (12). In the present study, an experimental model has been developed to more fully evaluate the pathophysiologic significance of this latter observation at a histologic level. It will be shown that once cartilage matrix has been enzymatically degraded and exposed to lymphokine containing media, the latter is capable of reversibly inhibiting chondrocyte GAG synthesis.
MATERIALS AND METHODSGeneration of lympbokines. New Zealand white rabbits (2.5-5.0 kg) were employed in all experiments. Animals were sacrificed by air embolism. Splenic lymphocytes were aseptically derived by mechanical teasing and nylon mesh filtration. Cells were centrifuged (180g for 10 minutes), washed 3 times with Hank's balanced salt solution (HBSS), pH 7.2, and briefly suspended in 0.83% ammonium chloride to facilitate red blood cell lysis. Cells were immediately centrifuged (18Og) and washed 3 times in Ham's F-12 culture medium supplemented with 2% heat inactivated fetal calf serum (FCS), 100 units/ml of penicillii and 100 &ml of streptomycin. After suspension in this medium, macrophages were de-