Variability of RANKL and osteoprotegerin staining in synovial tissue from patients with active rheumatoid arthritis: Quantification using color video image analysis

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dc.contributor.authorCrotti, T.
dc.contributor.authorAhern, M.
dc.contributor.authorLange, K.
dc.contributor.authorWeedon, H.
dc.contributor.authorColeman, M.
dc.contributor.authorRoberts-Thomson, P.
dc.contributor.authorHaynes, D.
dc.contributor.authorSmith, M.
dc.date.issued2003
dc.description.abstract<h4>Objective</h4>To assess the interpatient, interbiopsy, and intrabiopsy variability of receptor activator of nuclear factor kB ligand (RANKL) and osteoprotegerin (OPG) immunostaining within synovial tissue from rheumatoid knee joints with active synovitis, using digital image analysis.<h4>Methods</h4>Synovial biopsy specimens were obtained from patients with rheumatoid arthritis (RA) and active synovitis. Immunohistologic analysis was performed on frozen synovial tissue biopsy specimens from 6 patients using a monoclonal antibody (Mab) to detect RANKL (626) or OPG (805 or 8051). Patients with a minimum of 4 synovial biopsies were included in the study. Sections were evaluated by computer assisted image analysis to assess between-patient, between-biopsy, and intra-biopsy variability of OPG and RANKL protein expression. The study was designed to deliberately maximize the variability.<h4>Results</h4>Computerized image analysis of staining with Mab to RANKL and OPG revealed variance for each antibody across the 3 components of the total variability.<h4>Conclusion</h4>Our study shows that variability in synovial immunostaining of RANKL and OPG protein is a significant and complex problem. We discuss methods to reduce this variability and suggest that the auspices of OMERACT may be employed to advance the study of synovium in collaborative international studies.
dc.description.statementofresponsibilityTania N. Crotti, Michael J. Ahern, Kylie Lange, Helen Weedon, Mark Coleman, Peter J. Roberts-Thomson, David R Haynes, And Malcolm D. Smith
dc.identifier.citationJournal of Rheumatology, 2003; 30(11):2319-2324
dc.identifier.issn0315-162X
dc.identifier.issn1499-2752
dc.identifier.orcidCrotti, T. [0000-0002-5422-3758]
dc.identifier.orcidLange, K. [0000-0003-3814-8513]
dc.identifier.urihttp://hdl.handle.net/2440/5747
dc.language.isoen
dc.publisherJ Rheumatol Publ Co
dc.rights© 2003 Journal of Rheumatology Publishing Company Limited.
dc.source.urihttp://jrheum.com/abstracts/abstracts03/2319.html
dc.subjectSynovial Membrane
dc.subjectHumans
dc.subjectArthritis, Rheumatoid
dc.subjectGlycoproteins
dc.subjectCarrier Proteins
dc.subjectMembrane Glycoproteins
dc.subjectReceptors, Tumor Necrosis Factor
dc.subjectReceptors, Cytoplasmic and Nuclear
dc.subjectAntibodies, Monoclonal
dc.subjectImmunohistochemistry
dc.subjectStaining and Labeling
dc.subjectColor
dc.subjectImage Processing, Computer-Assisted
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.subjectRANK Ligand
dc.subjectReceptor Activator of Nuclear Factor-kappa B
dc.subjectOsteoprotegerin
dc.titleVariability of RANKL and osteoprotegerin staining in synovial tissue from patients with active rheumatoid arthritis: Quantification using color video image analysis
dc.typeJournal article
pubs.publication-statusPublished

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