Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/5747
Type: Journal article
Title: Variability of RANKL and osteoprotegerin staining in synovial tissue from patients with active rheumatoid arthritis: Quantification using color video image analysis
Author: Crotti, T.
Ahern, M.
Lange, K.
Weedon, H.
Coleman, M.
Roberts-Thomson, P.
Haynes, D.
Smith, M.
Citation: Journal of Rheumatology, 2003; 30(11):2319-2324
Publisher: J Rheumatol Publ Co
Issue Date: 2003
ISSN: 0315-162X
1499-2752
Statement of
Responsibility: 
Tania N. Crotti, Michael J. Ahern, Kylie Lange, Helen Weedon, Mark Coleman, Peter J. Roberts-Thomson, David R Haynes, And Malcolm D. Smith
Abstract: OBJECTIVE: 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. METHODS: 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. RESULTS: Computerized image analysis of staining with Mab to RANKL and OPG revealed variance for each antibody across the 3 components of the total variability. CONCLUSION: 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.
Keywords: Synovial Membrane; Humans; Arthritis, Rheumatoid; Glycoproteins; Carrier Proteins; Membrane Glycoproteins; Receptors, Tumor Necrosis Factor; Receptors, Cytoplasmic and Nuclear; Antibodies, Monoclonal; Immunohistochemistry; Staining and Labeling; Color; Image Processing, Computer-Assisted; Aged; Middle Aged; Female; Male; RANK Ligand; Receptor Activator of Nuclear Factor-kappa B; Osteoprotegerin
Rights: © 2003 Journal of Rheumatology Publishing Company Limited.
RMID: 0020031008
Published version: http://jrheum.com/abstracts/abstracts03/2319.html
Appears in Collections:Pathology publications

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