Background & Aim: Rheumatoid Arthritis (RA) is an autoimmune disorder of unknown cause. It is a highly inflammatory
polyarthritis disease often leading to joint destruction, deformity and loss of function. There is conflicting data about the effect of
PDEIs on pathogenesis of RA. This work aims at investigation of the effect of rolipram as representative of PDEIs on signs, symptoms,
histopathology and cytokines of Adjuvant-Induced Arthritis (AIA), a model of RA in rats that exhibit several pathological changes
similar to those occurring in RA.
Methods: In the present study, we used rat model of Adjuvant-Induced Arthrits (AIA), a model of RA in rats that exhibit several
pathological changes similar to those occurring in RA in human, by sub-plantar administration of Freund’s adjuvant into hind paws
of rats. Arthritis index, volume of hind paws edema, body weight ,rectal temperature and pain threshold to pressure on hind paws,
were measured daily from day 0 until day 30 after adjuvant inoculation. At the end of the study, the animals were sacrificed and the
blood was collected for measurement of serum levels of TNF-alpha and IL-10. To assess the secondary immune reaction, specimens
of left ankle joint tissues were also examined for histopathology.
Results: Rolipram therapy, either prophylactic or therapeutic, significantly leads to marked suppression of adjuvant arthritis in rats
depending on the dose administered. The therapeutic efficacy of rolipram was evidenced by decreased arthritic scores, and hind paw
volumes of arthritic rats. Hyperalgesia of adjuvant arthritic rats was significantly reduced in rolipram-treated animals compared
to non-treated group. Prophylactic rolipram protocols have dramatic protective effect as evidenced by inhibition of inflammatory
cellular infiltrate in synovium of arthritic rats, pannus formation and alleviation of the destruction of the articular cartilage. The
present study demonstrated that prophylactic or therapeutic administration of rolipram did not alter significantly the serum level of
TNF-α. Regarding IL-10, our study demonstrated a significantly augmenting effect of treating adjuvant arthritic rats with rolipram,
from day 16 to day 25 after disease induction in a dose of 3 mg/kg/d given orally. Interestingly, the present work demonstrated that
joint inflammation was significantly attenuated by DMSO treatment as evidenced by lower clinical scores and reduced paw swelling.
Conclusion: The results presented in this study shows that rolipram, a PDE 4 inhibitor displayed an anti-inflammatory, anti-arthritic
and anti-hyperalgesic actions in adjuvant arthritic rats in a dose-dependant manner. In conclusion, these findings suggest that
rolipram may have therapeutic value for various autoimmune diseases such as rheumatoid arthritis.