Background: Rheumatoid arthritis (RA) is characterized by a tumor-like expansion of the synovium and the subsequent destruction of adjacent articular cartilage and bone. Recent studies have shown that phosphatase and tension homolog deleted on chromosome 10 (PTEN) might contribute to the survival of fibroblast-like synoviocytes (FLS) and the production of pro-inflammatory cytokines in RA. Methods : The expression was determined in RA and adjuvant-induced arthritis (AIA) synovial tissues by immunohistochemistry. FLSs were treatment with bpv, PTEN-RNAi or over-expression plasmid in RA and AIA. FLSs migration was assessed. The ad-PTEN was also injected into the knee of AIA in vivo. Chromatin Immunoprecipitation (ChIP) and Methylation-special PCR (MSP) assay were used to study the expression of PTEN mRNA in DNA methylation. Results : Down-regulated level of PTEN expression was observed in RA and AIA. Inhibition PTEN expression by bpv or PTEN-RNAi could promote the expression of pro-inflammatory cytokines, chemokines and migration of FLS with TNF-α in RA and AIA. Consistently, over-expression of PTEN reduced their low-expression of pro-inflammatory cytokines, chemokines and migration. Intra-articular injection of ad-PTEN in AIA knees dramatically reduced inflammatory and paw swelling in vivo. The ChIP and MSP assay has clearly detected the DNA methylation of PTEN was increased in FLS with TNFα. Moreover, intraperitoneally injected 5-Aza in AIA also suppressed the inflammatory and paws swelling in vivo. Conclusions: Our findings suggest that over-expression PTEN attenuates the formation of proinflammatory cytokines, chemokines and migration of FLS, and it may be regulated by DNA methylation in the pathogenesis of RA. Background Rheumatoid arthritis (RA), a chronic and systemic autoimmune disease, is characterized by hyperplasia of synovial tissues, synovial inflammation and pannus, and subsequent destruction of adjacent articular cartilage and bone [1, 2]. It has been reported that fibroblast-like synoviocytes (FLS) [3], the major cells population invading the pannus, are actively involved in the in the various pathological events and inflammatory processes of RA [4, 5]. Activated FLS could directly secrete pro-Recent studies have reported that phosphatase and tension homolog deleted on chromosome 10 (PTEN) might contribute to the survival and inflammation of FLS in RA [12, 13]. More importantly, PTEN exerts remarkable anti-inflammatory and anti-proliferation activity through blocking activation of the PI3-kinase/AKT pathway [14-16]. In addition, Wang et al. [17] also proposed that adenoviral with PTEN-human significantly reduced articular index, ankle circumference and histology scores, and also decreased the VEGF and IL-1β in collagen-induced arthritis. Interestingly, our previous research [15] found that over-expression of PTEN suppresses proliferation and migration of FLS in adjuvantinduced arthritis (AIA). Additionally, PTEN expression may be regulated by DNA methylation in the pathogenesis of AIA. However, potent...