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Preliminary study of Sonic Hedgehog signaling pathway in rheumatoid arthritis
Authors:WANG Ming-xia  HUANG Jian-lin  ZHU Shang-ling  PENG Wei-xiang  XIE Bao-zhao  LIN Zhuo-feng  GU Jie-ruo
Institution:1. Department of Rheumatology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China; 2. Pharmacy School, Wenzhou Medical College, Wenzhou 325035, China.
Abstract:AIM: To investigate the expression of Sonic Hedgehog (Shh) signaling pathway-associated factors in peripheral blood mononuclear cells (PBMCs) and synovial tissues of rheumatoid arthritis (RA). METHODS: The mRNA expression levels of Shh, Ptch1 and Gli1 in PBMCs of 35 RA patients, and 35 age-and sex-matched healthy controls were analyzed by real-time PCR. The expression of Shh, Ptch1 and Gli1 in synovial tissues was detected by immunohistochemisty assay in 10 RA patients and 5 patients with traumatic or meniscal injury (no arthritis) as control group. All patients accorded with the American College of Rheumatology (ACR) 1987 revised classification criteria for determining RA, and the score of DAS28 was ≥3.2. RESULTS: The results of real-time PCR showed that the expression of Shh and Gli1 mRNA in RA patients was higher than that in the controls (Shh and Gli1 in RA were 1.36±1.48 and 1.15±0.68, while Shh and Gli1 in control group were 0.47±0.25 and 0.49±0.05, respectively). The mRNA expression of Ptch1 between the 2 groups had no significant difference. Similarly, the results of immunohistochemistry assay showed that the positive staining rates of Shh and Gli1 in RA group were higher than those in control group. However, no difference of Ptch1 positive staining rate between the 2 groups was observed (P>0.05). CONCLUSION: The positive expression of Shh and Gli1 indicates the activation of Shh signaling pathway in the RA patients.
Keywords:Arthritis  rheumatoid  Sonic Hedgehog pathway  Monocytes  Synovial membrane  
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