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