Mig, GRO alpha and RANTES messenger RNA expression in lining layer, infiltrates and different leucocyte populations of synovial tissue from patients with rheumatoid arthritis, psoriatic arthritis and osteoarthritis
A. Konig et al., Mig, GRO alpha and RANTES messenger RNA expression in lining layer, infiltrates and different leucocyte populations of synovial tissue from patients with rheumatoid arthritis, psoriatic arthritis and osteoarthritis, VIRCHOWS AR, 436(5), 2000, pp. 449-458
Citations number
30
Categorie Soggetti
Medical Research Diagnosis & Treatment
Journal title
VIRCHOWS ARCHIV-AN INTERNATIONAL JOURNAL OF PATHOLOGY
To investigate lymphocyte and monocyte recruitment-specific chemokine expre
ssion in synovial tissues from patients with rheumatoid arthritis (RA), pso
riatic arthritis (PA) and osteoarthritis (OA), synovial membranes and cytoc
entrifuge preparations of 7 RA, 8 PA and 10 OA patients were examined by in
situ hybridisation with antisense probes of Mig, GRO alpha and RANTES and
by immunohistochemistry. Patients' local disease activity (swelling and ten
derness) in order to was graded and histological evaluation was performed c
ompare these data with their chemokine expression profiles. Mig and RANTES
hybridisation signals were detected in the synovial lining layer and in cel
lular infiltrates, whereas GROa expression was localised exclusively in the
lining layer of PA and RA. Cytological analysis revealed Mig and GRO alpha
mRNA mainly in monocytic cells expressing KI-M6, while RANTES mRNA was dem
onstrated predominantly in lymphocytic cells expressing CD3. In OA synovial
membranes, significantly fewer hybridisation signals were present than in
RA and PA synovial membranes. Patients with PA and RA had mild to severe lo
cal disease activity, whereas OA patients showed only mild disease activity
. Histologically, PA and RA inflammatory scores ranged from 1 to 5, while O
A synovium was consistently graded 1. Therefore, we conclude that the diffe
rential expression of Mig, GRO alpha and RANTES in resident and in inflamma
tory cells has an important role in regulating leucocyte traffic in inflamm
atory arthropathies. The diverse leucocyte specificity of Mig, GRO alpha an
d RANTES may thus regulate the recruitment of different leucocyte populatio
ns, as detected in PA and RA. Therefore, the pattern of cellular infiltrati
on in human synovitis and the corresponding clinical signs of inflammation
basically reflect the localisation and expression intensity of chemokines,
which may be an important target: for future disease modulation.