The synovial fluid proteome in juvenile idiopathic arthritis was investigated to isolate joint-specific
biomarkers that are expressed in patients displaying recurrent joint inflammation. To identify the
synovial specific proteome, matched synovial fluid and plasma samples were subjected to protein
separation by 2-dimension electrophoresis (2DE). Forty-three protein spots, overexpressed in the joint,
were identified. Synovial fluids from children with single-event knee joint inflammation were then
compared with a group with recurrent knee disease. Nine synovial specific proteins were significantly
differentially expressed in the recurrent group. Proteolytic fragments of collagen X, fibrin Ī²-chain, and
T-cell receptor Ī±-region have been identified among this protein cluster. Putative biomarkers,
overexpressed in the joint and differentially expressed in children with recurrent joint inflammation,
have been identified. These proteins may play a significant role determining the pathological state
within the chronically inflamed joint and influence disease progression in JIA. This is the first study of
the synovial proteome in children.
Keywords: juvenile idiopathic arthritis ā¢ biomarker ā¢ inflammation ā¢ synovial fluid ā¢ plasma