alexa Osteoarthritis and rheumatoid arthritis pannus have similar qualitative metabolic characteristics and pro-inflammatory cytokine response.


Immunotherapy: Open Access

Author(s): FuruzawaCarballeda, PM MacipRodrguez, AR Cabral

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Pannus in osteoarthritis (OA) has only recently been characterized. Little is known, however, regarding the behavior of OA pannus in vitro compared to rheumatoid arthritis (RA) pannus. The purpose of our study was to compare OA with RA pannus.Pannus and synovial tissue co-cultures from 5 patients with OA and 5 patients with RA obtained during arthroplasty were studied. Pannus was defi ned as the microscopic invasive granulation tissue covering the articular surface. Tissues were cultured for 7 days and stained with Alcian Blue technique. Interleukin-1β (IL-1β), IL-8, IL-10, IL-12, tumor necrosis factor-α (TNF-α), and interferon gamma (IFN-γ) were also determined in supernatants by ELISA. Cartilage oligomeric matrix protein (COMP), type II collagen, TNF-α, IL-10 and Ki-67 expression were also detected by immunohistochemistry. Results All patients had vascular or fi brous pannus. Synovial proliferation, infl ammatory infi ltrates and a decrease of extracellular matrix proteins were observed in all tissue samples. Chondrocyte proliferation was lower in OA than RA cartilage. OA synovial tissue expressed lower levels of proteoglycans than RA synoyium. Type II collagen levels were lower in OA than in RA cartilage. Signifi cantly higher levels of IL-1β were found in the supernatants of RA pannus compared to OA pannus (p<0.05). High but similar levels of TNF-α, IL-8 and TIMP-1 were detected in OA and RA pannus supernatants. IL-10, IL-12 and IFN-γ were undetectable. Conclusion RA and OA pannus had similar pro-infl ammatory and anti-infl ammatory cytokine profi le expression. OA cartilage, synovial tissue and pannus had lower production of proteoglycans, type II collagen and IL-1β. It remains to be elucidated why OA pannus invades the cartilage surface but does not cause the marginal erosions typically seen in RA.
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This article was published in ClinExpRheumatol and referenced in Immunotherapy: Open Access

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