Decrease in expression of bone morphogenetic proteins 4 and 5 in synovial tissue of patients with osteoarthritis and rheumatoid arthritis
2006

Decrease of BMP-4 and BMP-5 in Arthritis

Sample size: 62 publication Evidence: moderate

Author Information

Author(s): Bramlage Carsten P, Häupl Thomas, Kaps Christian, Ungethüm Ute, Krenn Veit, Pruss Axel, Müller Gerhard A, Strutz Frank, Burmester Gerd-R

Primary Institution: Georg-August-University Göttingen

Hypothesis

BMPs might be involved in the regulation of joint homeostasis.

Conclusion

BMP-4 and BMP-5 are expressed in normal synovial tissue and are decreased in osteoarthritis and rheumatoid arthritis.

Supporting Evidence

  • BMP-4 and BMP-5 expression was significantly decreased in RA compared to normal donors.
  • Validation by PCR confirmed decreased BMP expression in RA and OA.
  • Histomorphological distribution of BMPs showed dominance in the lining layer of normal tissues.

Takeaway

This study found that two important proteins, BMP-4 and BMP-5, are lower in the joints of people with arthritis compared to healthy joints, which might affect how joints heal.

Methodology

Synovial tissue samples were analyzed for BMP expression using microarray hybridization, validated by semiquantitative RT-PCR, in situ hybridization, and immunohistochemistry.

Limitations

No further information about the controls was made available for ethical reasons.

Participant Demographics

{"RA":{"sample_size":23,"median_age":60,"gender_ratio":"2 males, 8 females"},"OA":{"sample_size":22,"median_age":67,"gender_ratio":"1 male, 9 females"},"ND":{"sample_size":17,"median_age":57,"gender_ratio":"7 males, 3 females"}}

Statistical Information

P-Value

{"BMP-4_RA_vs_ND":"<0.0083","BMP-5_RA_vs_ND":"<0.0091","BMP-4_OA_vs_ND":"<0.015","BMP-4_RA_vs_OA":"<0.002"}

Statistical Significance

p<0.0083

Digital Object Identifier (DOI)

10.1186/ar1923

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