cardiovascular system
• mice exhibit an exacerbated aortic valve stenosis than seen in single Tnftm2Gkl heterozygotes, with an increase of valve leaflet surface area and fibrosis
• disease-manifestation in heart valve leaflets occurs at earlier time points than in single Tnftm2Gkl heterozygotes
• an increase of T and B cell infiltration is seen in late stages of the disease in the aortic valve leaflets compared to single Tnftm2Gkl heterozygotes
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• mice exhibit exacerbated aortic valve fibrosis compared to in single Tnftm2Gkl heterozygotes
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• an increase of T and B cell infiltration is seen in late stages of the disease in the aortic valve leaflets compared to single Tnftm2Gkl heterozygotes
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skeleton
• mice exhibit a more aggressive and destructive type of arthritis, exacerbated synovial hyperplasia, and bone destruction compared to single Tnftm2Gkl heterozygotes
• disease-manifestation in joints occurs at earlier time points than in single Tnftm2Gkl heterozygotes
• an increase of T and B cell infiltration is seen in late stages of the disease in the ankle joint compared to single Tnftm2Gkl heterozygotes
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cellular
• valvular interstitial cells fail to become activated
• however, cultured valvular interstitial cells appear similar to wild-type cells and exhibit normal proliferation
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• synovial fibroblast and valvular interstitial cell adhesion to a fibronectin substrate is reduced by almost 50% compared to the levels in single Tnftm2Gkl heterozygotes but is higher than in wild-type cells
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• synovial fibroblasts fail to become activated
• however, cultured synovial fibroblasts appear similar to wild-type cells and exhibit normal proliferation
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homeostasis/metabolism
• circulating TNF levels are elevated
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• synovial fibroblasts and valvular interstitial cells show only 40-45% closure of a wound in culture compared to 70-80% closure in single Tnftm2Gkl heterozygotes and about 20% closure in wild-type cells
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immune system
• an increase of T and B cell infiltration is seen in late stages of the disease in the aortic valve leaflets compared to single Tnftm2Gkl heterozygotes
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• circulating TNF levels are elevated
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• levels of secreted TNF-alpha in supernatants of cultured synovial fibroblasts and valvular interstitial cells are elevated
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• mice exhibit a more aggressive and destructive type of arthritis, exacerbated synovial hyperplasia, and bone destruction compared to single Tnftm2Gkl heterozygotes
• disease-manifestation in joints occurs at earlier time points than in single Tnftm2Gkl heterozygotes
• an increase of T and B cell infiltration is seen in late stages of the disease in the ankle joint compared to single Tnftm2Gkl heterozygotes
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