Evidence map›Paper›PMID 19196489›Full record

ArticleArthritis research & therapy2009

Distinct synovial immunopathology in Behçet disease and psoriatic arthritis.

Juan D Cañete, Raquel Celis, Troy Noordenbos, Conchita Moll, Jose A Gómez-Puerta, Pilar Pizcueta, Antonio Palacin, Paul P Tak, Raimon Sanmartí, Dominique Baeten

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 64 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
  4. Review
  5. Article
  6. Behçet syndrome.Nature reviews. Disease primers · 2021
    Review
  7. Review
  8. Review
  9. Review
  10. Synovial tissue research: a state-of-the-art review.Nature reviews. Rheumatology · 2017
    Review
  11. Increased complexin-1 and decreased miR-185 expression levels in Behçet's disease with and without neurological involvement.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Article
  12. The macrophages in rheumatic diseases.Journal of inflammation research · 2016
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Musculoskeletal Findings in Behcet's Disease.Pathology research international · 2012
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Juan D CañeteArthritis Unit, Department of Rheumatology, Hospital Clinic de Barcelona and IDIBAPS, Villaroel 170, Barcelona 08036, Spain. jcanete@clinic.ub.es
Raquel Celis
Troy Noordenbos
Conchita Moll
Jose A Gómez-Puerta
Pilar Pizcueta
Antonio Palacin
Paul P Tak
Raimon Sanmartí
Dominique Baeten
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Clínic de Barcelona · ESUniversity of Amsterdam · NLAcademic Medical Center · NLUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of the study was to investigate synovial immunopathology differences between early Behçet disease (BD) and psoriatic arthritis (PsA).

methodsNeedle arthroscopy of an inflamed knee joint was performed in patients with early untreated BD (n = 8) and PsA (n = 9). Synovial fluid (SF) was collected for cytokines, perforin, and granzyme analysis. Eight synovial biopsies per patient were obtained for immunohistochemical analysis of the cellular infiltrate (T cells, natural killer cells, macrophages, B cells, plasma cells, mast cells, and neutrophils), blood vessels as well as expression of perforin and granzyme. The stained slides were evaluated by digital image analysis.

resultsThe global degree of synovial inflammation was similar in the two types of arthritis. In the analysis of the innate immune cell infiltration, there was a striking neutrophilic inflammation in BD synovitis whereas PsA displayed significantly higher numbers of cells positive for c-kit, a marker of mast cells. As for lymphocytes, CD3+ T cells, but neither CD20+ B cells nor CD138+ plasma cells, were significantly increased in BD versus PsA. Further analysis of the T-lymphocyte population showed no clear shift in CD4/CD8 ratio or Th1/Th2/Th17 profile. The SF levels of perforin, an effector molecule of cytotoxic cells, displayed a significant four- to fivefold increase in BD.

conclusionsThis systematic comparative analysis of early untreated synovitis identifies neutrophils and T lymphocytes as important infiltrating cell populations in BD. Increased levels of perforin in BD suggest the relevance of cytotoxicity in this disease.

Indexed as

Arthritis, PsoriaticArthroscopyBehcet SyndromeCytokinesEnzyme-Linked Immunosorbent AssayHumansImage Processing, Computer-AssistedImmunohistochemistryInflammationKnee JointNeutrophilsSynovectomySynovial FluidSynovial MembraneT-LymphocytesCytokines

Identifiers

PMID19196489
PMCPMC2688249
OpenAlexW2007697601

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.