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Protein Relieves Arthritis-
Like Condition in Mice

NEW YORK (Reuters Health) - A protein that suppresses inflammation in the body may be a potential weapon against rheumatoid arthritis (RA), a joint disease caused by a misguided immune response. New research in mice suggests that the protein, called VIP, can quell joint inflammation by restoring the immune system's normal balance.

In experiments with mice with an RA-like condition, scientists in Spain found that VIP prevented joint swelling and the destruction of cartilage and bone. Dr. Mario Delgado and his colleagues at Complutense University in Madrid report their findings in the May issue of Nature Medicine.

VIP--for vasointestinal peptide--helps control immune system responses, with one of its key jobs being to inhibit inflammation. Rheumatoid arthritis is an incurable disease marked by chronic inflammation in the joints, which wears away cartilage and bone and leads to pain, stiffness and immobility. Although the cause is unknown, RA is an autoimmune disease, meaning it involves an abnormal immune-system assault on healthy joint tissue.

In earlier studies, Delgado and his colleagues had found that VIP can suppress the immune system's inflammatory response while enhancing other immune responses--basically restoring balance to the immune system. These new experiments, the researchers report, suggest that this is how VIP injections improved the RA-like condition in the mice.

VIP, the authors conclude, is an ``attractive'' candidate as a possible new treatment for RA and other chronic inflammatory conditions and autoimmune diseases.

Although the current findings are encouraging, Dr. Gary S. Firestein of the University of California San Diego told Reuters Health it would take a ``leap of faith'' to say VIP may show the benefits for humans.

Animals, Firestein pointed out, do not develop RA, and it is unknown whether the protein can alter the course of the human disease.

However, he noted, this study and others are helping researchers better understand how RA arises. ``The door is just being opened for new therapeutics,'' he said.

Over the next 5 years, Firestein added, there is likely to be a wave of new RA treatments.

SOURCE: Nature Medicine 2001;7:537-538, 563-568.

Reference Source 89

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