Review Article

Slipping through the Cracks: Linking Low Immune Function and Intestinal Bacterial Imbalance to the Etiology of Rheumatoid Arthritis

Figure 4

Synergistic effect of bacterial toxins and autoantibodies to type II collagen in induction of arthritis in mice. Oral administration of LPS in mice receiving a subarthritogenic dose of monoclonal antibody cocktail displayed an immediate increase in serum IL-6 levels and induced arthritis within 24–48 hours, reaching a maximum score on days 7-8. Co-oral administration of LPS-adsorbent prevents the increase of serum IL-6 and development of arthritis in a dose-dependent manner. Note. Serum IL-6 level was increased only in old mice more than 8 months but was not observed in young mice.
(a) Serum IL-6 levels
(b) Arthritis score