Title |
Increasing expression of substance P and calcitonin gene-related peptide in synovial tissue and fluid contribute to the progress of arthritis in developmental dysplasia of the hip
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Published in |
Arthritis Research & Therapy, January 2015
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DOI | 10.1186/s13075-014-0513-1 |
Pubmed ID | |
Authors |
Hui Wang, Xiang Zhang, Ji-Ye He, Xin-Feng Zheng, De Li, Zheng Li, Jun-Feng Zhu, Chao Shen, Gui-Quan Cai, Xiao-Dong Chen |
Abstract |
IntroductionDevelopmental dysplasia of the hip (DDH) is a common musculoskeletal disorder with pain and loss of joint function as major pathological features. The present study explored the mechanisms of possible involvement and regulation of neuropeptides: substance P (SP) and calcitonin gene-related peptide (CGRP) in the pathological and inflammatory process of arthritis in DDH.MethodsBlood, synovial tissue and fluid samples were collected from patients diagnosed with varied severities of DDH and patients with femoral neck fracture. Levels of SP, CGRP and inflammatory cytokines in synovium and synovial fluid (SF) among different groups were evaluated with immunohistochemistry (IHC), real-time polymerase chain reaction (PCR) and Enzyme-linked immunosorbent assay (ELISA). Correlations between neuropeptides and inflammatory cytokines in SF were evaluated by partial correlation analysis. The pro-inflammatory effects of SP and CGRP on synoviocytes from moderate DDH in vitro were investigated by real-time PCR and ELISA. The mechanisms of those effects were analyzed by Western-blot and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-¿B) DNA binding assay.ResultsSignificantly increased levels of neuropeptides and inflammatory cytokines were observed in synovium and synovial fluid from patients in the severe DDH group compared with the moderate DDH group and control group. In moderate DDH cases, SP in SF correlated with tumor necrosis factor (TNF)-¿ and CGRP in SF correlated with TNF-¿ and interleukin (IL)-10. In severe DDH cases, SP in SF correlated with IL-1ß, TNF-¿ and IL-10. CGRP in SF correlated with TNF-¿. Additionally, SP might have obvious pro-inflammatory effects on synoviocytes through the activation of NF-¿B.ConclusionsThe up-regulation of SP and CGRP in synovium and synovial fluid might participate in the inflammatory progress of arthritis in DDH. The activation of the NF-¿B pathway seems indispensible in the pro-inflammatory effect of SP on synoviocytes. This original discovery probably indicates potential clinical drug target and innovative therapies for DDH treatment. |
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United Kingdom | 1 | 50% |
Germany | 1 | 50% |
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Members of the public | 2 | 100% |
Mendeley readers
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Demographic breakdown
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Student > Master | 7 | 17% |
Researcher | 5 | 12% |
Student > Ph. D. Student | 5 | 12% |
Professor > Associate Professor | 4 | 10% |
Student > Doctoral Student | 2 | 5% |
Other | 8 | 20% |
Unknown | 10 | 24% |
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Medicine and Dentistry | 13 | 32% |
Agricultural and Biological Sciences | 5 | 12% |
Chemistry | 3 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 5% |
Social Sciences | 2 | 5% |
Other | 7 | 17% |
Unknown | 9 | 22% |