2015
DOI: 10.1136/annrheumdis-2014-206921
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Expression of chemokines CXCL4 and CXCL7 by synovial macrophages defines an early stage of rheumatoid arthritis

Abstract: Background and objectivesFor our understanding of the pathogenesis of rheumatoid arthritis (RA), it is important to elucidate the mechanisms underlying early stages of synovitis. Here, synovial cytokine production was investigated in patients with very early arthritis.MethodsSynovial biopsies were obtained from patients with at least one clinically swollen joint within 12 weeks of symptom onset. At an 18-month follow-up visit, patients who went on to develop RA, or whose arthritis spontaneously resolved, were … Show more

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Cited by 119 publications
(102 citation statements)
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“…98 Synovial biopsy may be useful, as a diagnostic and prognostic tool, for the differential diagnosis in early inflammatory arthritis in whom synovial CD22 and CD38 expression may distinguish between RA and non-RA disease. 99 The value of synovial biopsy markers as selected diagnostic and prognostic markers to establish an early diagnosis is clearly still evolving.…”
Section: Early Arthritis and Early Diagnosismentioning
confidence: 99%
See 1 more Smart Citation
“…98 Synovial biopsy may be useful, as a diagnostic and prognostic tool, for the differential diagnosis in early inflammatory arthritis in whom synovial CD22 and CD38 expression may distinguish between RA and non-RA disease. 99 The value of synovial biopsy markers as selected diagnostic and prognostic markers to establish an early diagnosis is clearly still evolving.…”
Section: Early Arthritis and Early Diagnosismentioning
confidence: 99%
“…102,103 This is the so-called 'tailor-made' treatment, informed by biomarkers, used to assess what has been referred to as 'disease signatures'. 98 A more accurate description of this process is disease 'stratification'. 104,105 This concept proposes that a disease can be stratified into distinct subsets that exhibit differential outcomes and responses, each subset labelled by a biomarker or combination thereof.…”
Section: 'Personalised Medicine' and Disease Stratificationmentioning
confidence: 99%
“…CXCL7 plays a critical role in recruiting neutrophils to a variety of tissues, and dysregulation in this process has been implicated in inflammatory diseases, such as rheumatoid arthritis, acute lung injury and COPD [50,51,52], as well as a variety of cancers [53,54]. One of its primary functions involves neutrophil-platelet crosstalk during vascular injury, as it is released at relatively high concentrations from activated platelets and provides cues for directed neutrophil migration to the injury site [7].…”
Section: Discussionmentioning
confidence: 99%
“…Synovial tissue was obtained from patients with established RA and healthy individuals by ultrasound-guided synovial biopsy as previously described [14]. Cartilage tissue was obtained from healthy areas of cartilage in patients undergoing joint replacement surgery for osteoarthritis.…”
Section: Methodsmentioning
confidence: 99%