Differential expression of RANK, RANK-L, and osteoprotegerin by synovial fluid neutrophils from patients with rheumatoid arthritis and by healthy human blood neutrophils
2007

Neutrophils and the RANK/RANK-L Pathway in Rheumatoid Arthritis

Sample size: 7 publication 10 minutes Evidence: moderate

Author Information

Author(s): Poubelle Patrice E, Chakravarti Arpita, Fernandes Maria J, Doiron Karine, Marceau Andrée-Anne

Primary Institution: Centre de Recherche en Rhumatologie et Immunologie, Centre de Recherche du Centre Hospitalier de l'Université Laval

Hypothesis

Do neutrophils express proteins of the RANK/RANK-L pathway in rheumatoid arthritis?

Conclusion

Neutrophils can express RANK and OPG in response to inflammatory stimuli, suggesting they may play a role in bone remodeling during inflammation.

Supporting Evidence

  • Neutrophils from synovial fluid of RA patients express RANK-L, OPG, and RANK.
  • Healthy blood neutrophils can be induced to express RANK and OPG when exposed to inflammatory cytokines.
  • RANK signaling in neutrophils is associated with nuclear factor-kappa-B activation.

Takeaway

This study shows that neutrophils, which are important in inflammation, can also help control bone changes in diseases like rheumatoid arthritis.

Methodology

The study used polymerase chain reaction, enzyme-linked immunosorbent assay, Western blotting, and cytofluorometry to analyze neutrophils from patients with rheumatoid arthritis and healthy controls.

Potential Biases

Potential bias due to the small number of patients and the specific inflammatory conditions studied.

Limitations

The study had a small sample size and could not include all patients in every experiment due to limited cell quantities.

Participant Demographics

Six women and one man, mean age 52.1 years with a range of clinical parameters.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2137

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