Immunologic hypersensitivity to collagen, the major structural component of connective tissue, could explain both the systemic nature and chronicity of the inflammation occurring in rheumatoid arthritis. Recent demonstrations of antibodies to collagen in sera from patients with rheumatoid arthritis support this premise (1-8). Also consistent with this hypothesis is the distribution of collagen in structurally distinct types in various tissues. For example, types I and HI collagens are found in the skin and parenchyma of several organs, whereas type II exists in cartilage (9). Thus, an immune response to the cartilage type of collagen (type II) could explain the predilection of rheumatoid arthritis to involve diarthrodial joints.Native collagens consist of three polypeptide chains linked in triple helices. Terminal peptides (telopeptides) do not have a helical structure and are more variable in amino acid content (10). Type I collagen combines two al-type I chains with one a2-chain and is depicted as [al(I)]2a2. Types II and III collagens are comprised of three al-type II chains and three al-type HI chains, respectively. Thus, type II is depicted as [al(II)]3 and type III as [al(III)]3.Injection of heterologous type I and II collagen in complete Freund's adjuvant has been reported to elicit type-specific antibody responses in rats (11) and mice (12). This paper reports that approximately 40% of rats injected intradermally with native type H collagen, derived from human, chick, or rat cartilage, in either complete or incomplete Freund's adjuvant, develop an inflammatory arthritis. In contrast, type I and III collagen are not arthritogenic. This new animal model suggests that immune responses to type II collagen could play a role in inciting or perpetuating joint inflammation in other arthritides.
Materials and MethodsRats. Outbred female Wistar, Sprague-Dawley and inbred Wistar-Lewis rats were obtained from Microbiological Associates (Bethesda, Md.), Harlan (Indianapolis, Ind.) or Charles River Breeding Laboratory (Wilmington, Mass.). These rats were housed in metal cages and given water