Twenty-eight synovial effusions (SE) were obtained from 24 patients, paired samples of peripheral blood (PB) from 10 of these patients, and PB from 36 healthy individuals for analysis of CD146 on T-lymphocytes by flow cytometry. CD1461 or CD1462 T-lymphocytes were sorted from three SE to study gene expression profiles and selected genes revalidated using QPCR assays. We found more CD31CD1461 and CD41CD1461 T-lymphocytes in PB from patients compared with PB of healthy individuals (4.71% 6 2.48% vs. 2.53% 6 1.08%, P 5 0.028) and (6.29% 6 2.74% vs. 2.41% 6 0.96%, P 5 0.0017), respectively, whereas CD81CD1461 T-lymphocytes were not significantly different (2.55% 6 1.65% vs. 3.18% 6 2.59%, P 5 0.5008). SE displayed CD146 staining on 16.32% 6 6.06% of CD31 cells. This expression was skewed toward CD41 T-lymphocytes, with CD146 present on 24.06% 6 8.20% of the CD41 T-lymphocytes compared with 6.19% 6 5.22% of the CD81 T-lymphocytes. CD146 on CD31, CD41 and CD81 T-lymphocytes in SE was significantly higher compared with PB in patients (P < 0.0001, P < 0.0001 and P 5 0.0036, respectively). Gene expression profiles of sorted CD1461CD41CD31 vs. CD1462CD41CD31 T-lymphocytes (n 5 2) and CD21CD1461 vs. CD21CD 1462 (n 5 1) from SE, displayed increased CD146, LAIR2, CXCL13, CD109, IL6ST, IL6R, TNFRsf18, and TNFRsf4 genes, whereas decreased CCR7, CCL5, and cytotoxicity-associated genes including granzymes b, h, and k, perforin were found with the CD1462 T-lymphocytes. By QPCR higher mRNA expression of CXCL13, CD146 and CD109 was also noted in the CD1461 subset, compared with the CD1462 subset, in PB of healthy individuals and in PB and SE from patients. Our study establishes increased CD1461 T-lymphocytes in diseases with joint effusions, and demonstrates pro-inflammatory gene profiles in these cells. Published 2009 Wiley-Liss, Inc. †