Synovial membrane inflammation and cytokine production in patients with early osteoarthritis

Malcolm D. Smith, Sofie Triantafillou, Angela Parker, Peter P. Youssef, Mark Coleman

Research output: Contribution to journalArticlepeer-review

417 Citations (Scopus)

Abstract

Objective. To establish the presence of inflammation in and cytokine production by synovial membranes from patients with various stages of early osteoarthritis (OA), with knee pain, normal knee radiographs, and arthroscopic evidence of chondral damage. Methods. Synovial membrane samples were obtained from the knees of 63 patients at the time of arthroscopy for unexplained knee pain or at the time of joint replacement surgery. Evaluations of synovial membrane variables including thickness of lining layer, vascularity, and inflammatory cell infiltrate were by a blinded observer. In a subset of 20 patients, production of interleukin 1α (IL-1α), interleukin 1β (IL-1β), tumor necrosis factor α (TNF-α), and IL-1 receptor antagonist (IL-1ra) at the mRNA and protein levels was determined using in situ hybridization with biotin labeled riboprobes and immunohistochemistry. Results. There was evidence of thickening of the lining layer, increased vascularity, and inflammatory cell infiltration in synovial membranes from patients with all grades of OA, with the most marked changes seen in synovial tissue from patients with advanced grades of OA. Similarly, production of IL-1α, IL-1β, and TNF-α was present in synovial membranes from all patients with OA, irrespective of the degree of articular cartilage damage. There was a trend to decreased levels of IL-1ra in synovial membranes from patients with OA that did not attain statistical significance. Similarly, there was a decrease in the ratio of IL-1ra to IL-1α and β with increasing grades of OA. Conclusion. Chronic inflammatory changes with production of proinflammatory cytokines are a feature of synovial membranes from patients with early OA, with the most severe changes seen in patients at the time of joint replacement surgery resembling those seen in rheumatoid arthritis. This low grade synovitis results in the production of cytokines that may contribute to the pathogenesis of OA.

Original languageEnglish
Pages (from-to)365-371
Number of pages7
JournalJournal of Rheumatology
Volume24
Issue number2
Publication statusPublished - Feb 1997
Externally publishedYes

Keywords

  • arthroscopy
  • cytokines
  • osteoarthritis

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