Skip to main content

Advertisement

Log in

Early lymphocyte activation in the synovial microenvironment in patients with osteoarthritis: comparison with rheumatoid arthritis patients and healthy controls

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Osteoarthritis (OA) is largely considered to be a non-inflammatory disease, although there is compelling evidence that subclinical inflammation is a common event, even in the absence of acute inflammatory flares. In this study we analyze, by means of CD5 and CD69 expression, the infiltration and early activation of CD5+cells, mostly lymphocytes, in both synovial membrane and synovial fluid from advanced OA patients and compare them with samples from patients with rheumatoid arthritis and healthy controls. The number of infiltrating CD5+ cells in both synovial membrane and synovial fluid from patients with advanced OA was significantly reduced as compared with rheumatoid arthritis patients. However, synovial membrane and synovial fluid CD5+ cells on OA exhibited a phenotype with evidence of recent activation comparable to that observed in RA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Bonnet CS, Walsh DA (2005) Osteoarthritis, angiogenesis and inflammation. Rheumatology (Oxford) 44:7–16

    Article  CAS  Google Scholar 

  2. Bullough P (2003) Pathology of osteoarthritis. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH (eds) Rheumatology. Mosby, Edinburgh, pp 1835–1845

    Google Scholar 

  3. Lindblad S, Hedfors E (1987) Arthroscopic and immunohistologic characterization of knee joint synovitis in osteoarthritis. Arthritis Rheum 30:1081–1088

    Article  PubMed  CAS  Google Scholar 

  4. Revell PA, Mayston V, Lalor P, Mapp P (1988) The synovial membrane in osteoarthritis: a histological study including the characterisation of the cellular infiltrate present in inflammatory osteoarthritis using monoclonal antibodies. Ann Rheum Dis 7:300–307

    Article  Google Scholar 

  5. Myers SL, Brandt KD, Ehlich JW, Braunstein EM, Shelbourne KD, Heck DA, Kalasinski LA (1990) Synovial inflammation in patients with early osteoarthritis of the knee. J Rheumatol 17:1662–1669

    PubMed  CAS  Google Scholar 

  6. Smith MD, Triantafillou S, Parker A, Youssef PP, Coleman M (1997) Synovial membrane inflammation and cytokine production in patients with early osteoarthritis. J Rheumatol 24:365–371

    PubMed  CAS  Google Scholar 

  7. Wood DD, Ihrie EJ, Dinarello CA, Cohen PL (1983) Isolation of an interleukin-1-like factor from human joint effusions. Arthritis Rheum 26:975–983

    Article  PubMed  CAS  Google Scholar 

  8. Nouri AM, Panayi GS, Goodman SM (1984) Cytokines and the chronic inflammation of rheumatic disease. II. The presence of interleukin-2 in synovial fluids. Clin Exp Immunol 58:402–409

    PubMed  CAS  Google Scholar 

  9. Smith JB, Bocchieri MH, Sherbin-Allen L, Borofsky M, Abruzzo JL (1989) Occurrence of interleukin-1 in human synovial fluid: detection by RIA, bioassay and presence of bioassay-inhibiting factors. Rheumatol Int 9:53–58

    Article  PubMed  CAS  Google Scholar 

  10. Afeltra A, Galeazzi M, Ferri GM, Amoroso A, De Pita O, Porzio F, Bonomo L (1993) Expression of CD69 antigen on synovial fluid T cells in patients with rheumatoid artritis and other chronic synovitis. Ann Rheum Dis 52:457–460

    PubMed  CAS  Google Scholar 

  11. Fernandez-Gutierrez B, Hernandez-Garcia C, Banares AA, Jover JA (1995) Characterization and regulation of CD69 expression on rheumatoid arthritis synovial fluid T cells. J Rheumatol 22:413–420

    PubMed  CAS  Google Scholar 

  12. Becker H, Weber C, Storch S, Federlin K (1990) Relationship between CD5+ B lymphocytes and the activity of systemic autoimmunity. Clin Immunol Immunopathol 56:219–25

    Article  PubMed  CAS  Google Scholar 

  13. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS et al (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324

    Article  PubMed  CAS  Google Scholar 

  14. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M et al (1986) The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee. Arthritis Rheum 29:1039–1049

    Article  PubMed  CAS  Google Scholar 

  15. Conrozier T, Chappuis-Cellier C, Richard M, Mathieu P, Richard S, Vignon E (1998) Increased serum C-reactive protein levels by immunonephelometry in patients with rapidly destructive hip osteoarthritis. Rev Rhum Engl Ed 65:759–765

    PubMed  CAS  Google Scholar 

  16. Spector TD, Hart DJ, Nandra D, Doyle DV, Mackillop N, Gallimore JR, Pepys MB (1997) Low-level increases in serum C-reactive protein are present in early osteoarthritis of the knee and predict progressive disease. Arthritis Rheum 40:723–727

    Article  PubMed  CAS  Google Scholar 

  17. Sharif M, Elson CJ, Dieppe PA, Kirwan JR (1997) Elevated serum C-reactive protein levels in osteoarthritis. Br J Rheumatol 36:140–141

    Article  PubMed  CAS  Google Scholar 

  18. Wolfe F (1997) The C-reactive protein but not erythrocyte sedimentation rate is associated with clinical severity in patients with osteoarthritis of the knee or hip. J Rheumatol 24:1486–1488

    PubMed  CAS  Google Scholar 

  19. Haywood L, McWilliams DF, Pearson CI, Gill SE, Ganesan A, Wilson D, Walsh DA (2003) Inflammation and angiogenesis in osteoarthritis. Arthritis Rheum 48: 2173–2177

    Article  PubMed  CAS  Google Scholar 

  20. Walsh DA, Wade M, Mapp PI, Blake DR (1998) Focally regulated endothelial proliferation and cell death in human synovium. Am J Pathol 152:691–702

    PubMed  CAS  Google Scholar 

  21. Haynes MK, Hume EL, Smith JB (2002) Phenotypic characterization of inflammatory cells from osteoarthritic synovium and synovial fluids. Clin Immunol 105:315–325

    Article  PubMed  CAS  Google Scholar 

  22. Oehler S, Neureiter D, Meyer-Scholten C, Aigner T (2002) Subtyping of osteoarthritic synoviopathy. Clin Exp Rheumatol 20:633–640

    PubMed  CAS  Google Scholar 

  23. Dolhain RJ, Ter Haar NT, De Kuiper R, Nieuwenhuis IG, Zwinderman AH, Breedveld FC, Miltenburg AM (1998) Distribution of T cells and signs of T-cell activation in the rheumatoid joint: implications for semiquantitative comparative histology. Br J Rheumatol 37:324–330

    Article  PubMed  CAS  Google Scholar 

  24. Youssef PP, Kraan M, Breedveld F, Bresnihan B, Cassidy N, Cunnane G, Emery P, Fitzgerald O, Kane D, Lindblad S, Reece R, Veale D, Tak PP (1998) Quantitative microscopic analysis of inflammation in rheumatoid arthritis synovial membrane samples selected at arthroscopy compared with samples obtained blindly by needle biopsy. Arthritis Rheum 41:663–669

    Article  PubMed  CAS  Google Scholar 

  25. Johnson BA, Haines GK, Harlow LA, Koch AE (1993) Adhesion molecule expression in human synovial tissue. Arthritis Rheum 36:137–146

    PubMed  CAS  Google Scholar 

  26. Farahat MN, Yanni G, Poston R, Panayi GS (1993) Cytokine expression in synovial membranes of patients with rheumatoid arthritis and osteoarthritis. Ann Rheum Dis 52:870–875

    PubMed  CAS  Google Scholar 

  27. Ballara S, Taylor PC, Reusch P, Marme D, Feldmann M, Maini RN, Paleolog EM (2001) Raised serum vascular endothelial growth factor levels are associated with destructive change in inflammatory arthritis. Arthritis Rheum 44:2055–2064

    Article  PubMed  CAS  Google Scholar 

  28. Benito MJ, Murphy E, Murphy EP, van den Berg WB, FitzGerald O, Bresnihan B (2004) Increased synovial tissue NF-kappa B1 expression at sites adjacent to the cartilage-pannus junction in rheumatoid arthritis. Arthritis Rheum 50:1781–1787

    Article  PubMed  CAS  Google Scholar 

  29. Sakkas LI, Scanzello C, Johanson N, Burkholder J, Mitra A, Salgame P, Katsetos CD, Platsoucas CD (1998) T cells and T-cell cytokine transcripts in the synovial membrane in patients with osteoarthritis. Clin Diagn Lab Immunol 5:430–437

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors thank Orthopedic surgeons from the Hospital Clínico San Carlos for providing synovial membrane and synovial fluid samples. We wish to thank Dr. G. Roncador (CNIO, Madrid) for providing the antibody CD5/36 D2. We also thank E. Martín-Nieto (Department of Graphic Design) for her help in compiling the photographs. This work was supported by the grants FMMA and FIS 04/1698. Raquel Rollin holds a research contract of the “Fundación para la Investigación Biomédica-Hospital Clínico San Carlos Madrid”.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B. Fernández-Gutiérrez.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rollín, R., Marco, F., Jover, J.A. et al. Early lymphocyte activation in the synovial microenvironment in patients with osteoarthritis: comparison with rheumatoid arthritis patients and healthy controls. Rheumatol Int 28, 757–764 (2008). https://doi.org/10.1007/s00296-008-0518-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-008-0518-7

Keywords

Navigation