Abstract

Angiopoietins (Ang) are vascular endothelial cell-specific growth factors that play important roles principally during the later stages of angiogenesis. We have compared the distribution of the receptor tyrosine kinase (Tie) and the Ang ligands in synovial tissues from normal subjects and those with rheumatoid arthritis (RA) and osteoarthritis (OA). Immunohistochemical analysis was used to determine the expression of Ang-1, Ang-2, Tie1 and Tie2 in synovial tissue of normal subjects and those with RA and OA. Ang-1, Ang-2, Tie1 and Tie2 mRNA and protein expression were quantified in synovial tissues and RA synovial tissue fibroblasts with real-time reverse transcription polymerase chain reaction and western blot analysis. In RA, Ang-1 positive immunostaining on lining cells, macrophages and endothelial cells was significantly higher than in OA and normal synovial tissue. The expression pattern of Ang-2 in synovial tissue was similar in RA and OA, whereas the Ang-2 expression was low in normal tissue. Synovial tissue from subjects with RA and OA showed a significant upregulation of Tie1 on lining cells, macrophages and endothelial cells compared to that from normal subjects. Tie2 was significantly upregulated in the RA and OA synovial tissue lining cells, macrophages and smooth muscle cells compared to normal synovial tissue. Generally Ang-1, Ang-2, Tie1 and Tie2 mRNA levels were higher in RA synovial tissue compared to normal and OA synovial tissues, and RA synovial tissue fibroblasts. Western blot analysis also demonstrated greater Tie1 and Tie2 protein expression in RA and OA synovial tissue compared to RA synovial tissue fibroblasts. In conclusion, the dominance of Ang-1 mRNA and protein expression over Ang-2 is in agreement with an active neovascularization in RA synovial tissue.

Highlights

  • Rheumatoid arthritis (RA) is characterized by synovial tissue leukocyte infiltration and angiogenesis [1]

  • To determine which of these angiogenic factors may play a role in rheumatoid arthritis (RA), we investigated both the distribution and the levels of mRNA for Tie1, Tie2, Ang-1 and Ang-2 in synovial tissue obtained from RA patients, compared with that from subjects with osteoarthritis (OA) and normal tissues

  • The immunohistochemistry was performed with a goat antihuman Ang-2 polyclonal antibody from Santa Cruz Biotechnology (Santa Cruz, CA, USA). (a) Synovial tissue from a patient with rheumatoid arthritis showing positive staining for Ang-2. (b) Positive staining for Ang-2 in osteoarthritis synovial tissue. (c) Ang-2 staining is absent in normal synovial tissue. (a), (b) and (c) Original magnification × 226. (d) Immunohistochemistry of synovial tissues from normal (NL) subjects (n = 7) and those with rheumatoid arthritis (RA) (n = 11) and osteoarthritis (OA) (n = 12)

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Summary

Introduction

Rheumatoid arthritis (RA) is characterized by synovial tissue leukocyte infiltration and angiogenesis [1]. The angiogenic mediators include growth factors, cytokines, chemokines, adhesion receptors and proteolytic enzymes [2]. These factors, which are released by endothelial cells and macrophages, have been shown to play an important role in the pathogenesis of RA [2]. Ang = angiopoietin; BSA = bovine serum albumin; FBS = fetal bovine serum; HMVEC = human microvascular endothelial cell; OA = osteoarthritis; PCR = polymerase chain reaction; RA = rheumatoid arthritis; RT-PCR = reverse transcription polymerase chain reaction, SE = standard error; Tie = receptor tyrosine kinase; VEGF = vascular endothelial growth factor.

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