Upregulation of tumor necrosis factor receptor-associated factor 6 correlated with synovitis severity in rheumatoid arthritis 英文参考文献.docVIP

Upregulation of tumor necrosis factor receptor-associated factor 6 correlated with synovitis severity in rheumatoid arthritis 英文参考文献.doc

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Upregulation of tumor necrosis factor receptor-associated factor 6 correlated with synovitis severity in rheumatoid arthritis 英文参考文献

Zhuetal.ArthritisResearchTherapy2012,14:R133 /content/14/3/R133 RESEARCH ARTICLE OpenAccess Upregulationoftumornecrosisfactorreceptor- associatedfactor6correlatedwithsynovitis severityinrheumatoidarthritis Lang-JingZhu1,LieDai1*,Dong-HuiZheng1,Ying-QianMo1,XiaOu-Yang1,Xiu-NingWei1,JunShen2and Bai-YuZhang1 Abstract Introduction:Rheumatoidarthritis(RA)isachronicinflammatorydiseaseleadingtojointdestructionanddisability. Focalboneerosionisduetoexcessboneresorptionofosteoclasts.Tumornecrosisfactorreceptor-associated factor6(TRAF6)isoneofthecriticalmediatorsbothininflammatorysignalpathwayanddifferentiationand resorptionactivityofosteoclasts.HereweaimedtoinvestigateTRAF6expressioninRAsynoviumandits correlationwithhistologicalsynovitisseverityandradiologicaljointdestructioninRA. Methods:Synovitisscorewasdeterminedinneedlebiopsiedsynoviumfrom44patientswithactiveRA.Synovium fromninepatientswithosteoarthritis(OA)andsevenwithorthopedicarthropathies(Orth.A)wereenrolledas“less inflamed”diseasecontrols.SerialsectionswerestainedimmunohistochemicallyforTRAF6aswellasCD68 (macrophage),CD3(Tcell),CD20(Bcell),CD38(plasmocyte),CD79a(Blineagecellsfrompre-Bcelltoplasmocyte stage),andCD34(endothelialcell).DoubleimmunofluorescencestainingofTRAF6andCD68weretested.Densities ofpositivestainingcellsweredeterminedandcorrelatedwithhistologicaldiseaseactivity(synovitisscore)and radiographicjointdestruction(Sharpscore). Results:TRAF6expressionwasfoundintheintimalandsubintimalareaofRAsynovium,withintensestaining foundintheendochylemaandnucleusofintimalsynoviocytesandsubintimalinflammatorycells.Double immunofluorescencestainingshowedTRAF6wasexpressedinmostoftheintimalcellsandobviouslyexpressedin CD68+cellsandsomeotherCD68-cellsinsubintimalarea.SynovialTRAF6wassignificantlyover-expressedinthe RAgroupcomparedwiththeOAandOrth.Agroup(2.53±0.94vs.0.72±0.44and0.71±0.49,P0.0001). SynovialTRAF6expressioninRAcorrelatedsignificantlywithsynovitisscore(r=0.412,P=0.006),aswellasthe inflammatorycellinfiltration(

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