Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized b
y aggressive proliferation of synovial tissue leading to destruction of car
tilage and bone. To identify molecules which play a crucial role for the pa
thogenesis, we compared mRNA expression pattern of RA synovium with that of
osteoarthritis (OA), using the differential display. From the panel of dif
ferentially expressed genes, ID1 (inhibitor of differentiation 1) was consi
dered to be particularly relevant to the pathogenesis of RA, because Id fam
ily genes have been shown to play a role in cell proliferation and angiogen
esis. To examine whether the upregulation of these genes is consistently ob
served in the patients with RA, mRNA levels of ID1 and ID3 in the synovial
tissues from 13 patients with RA and 6 patients with OA were semi-quantitat
ively analyzed by RT-PCR. Mean mRNA levels of ID1 and ID3 were significantl
y elevated in RA synovia compared with OA by 8.6-fold (P = 0.0044) and 3.3-
fold (P = 0.0085), respectively. Immunohistochemistry revealed striking sta
ining of Idl and Id3 in the endothelial cells, suggesting a possible role o
f Id in severe angiogenesis observed in RA. The expression of Id family gen
es in the synovium constitutes a new finding of particular interest. Their
functional role as well as their contribution to the genetic susceptibility
to RA requires further investigation. (C) 2001 Academic Press.