PMID- 24670132 OWN - NLM STAT- MEDLINE DCOM- 20150625 LR - 20161020 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 24 IP - 6 DP - 2014 Nov TI - Application of a new immunohistology scoring system (IH score): analysis of TNF-alpha in synovium related to disease activity score in infliximab-treated patients with rheumatoid arthritis. PG - 910-4 LID - 10.3109/14397595.2014.887047 [doi] AB - OBJECTIVES: This study aimed to analyze the relationship between the expression of tumor necrosis factor alpha (TNF-alpha) or interleukin-6 (IL-6) in synovium and the disease activity score (DAS) 28 (C-reactive protein, CRP) in treatment of infliximab for rheumatoid arthritis (RA). METHODS: Synovial tissues were obtained from 16 infliximab-treated patients and assessed for TNF-alpha and IL-6 with a new immunohistology (IH) scoring system. The validation of IH score was performed and applied for the analysis of correlation between synovial TNF-alpha or IL-6 and DAS28 (CRP) in addition to Rooney score. RESULTS: The IH score had high internal validity; the IH score of TNF-alpha strongly correlated with serum CRP and matrix metalloprotease-3 (MMP-3), as well as DAS28 (CRP) and the Rooney score. IL-6 did not correlate with DAS28 (CRP). CONCLUSIONS: This study indicates that the IH score is useful as a new procedure to assess the cytokine expression easily and TNF-alpha in synovium correlates with disease activity in patients with RA treated with infliximab. FAU - Kanbe, Katsuaki AU - Kanbe K AD - Department of Orthopaedic Surgery, Tokyo Women's Medical University , Medical Center East, Tokyo , Japan. FAU - Hara, Ryota AU - Hara R FAU - Chiba, Junji AU - Chiba J FAU - Inoue, Yasuo AU - Inoue Y FAU - Taguchi, Masashi AU - Taguchi M FAU - Tanaka, Yasuhito AU - Tanaka Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140326 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) RN - B72HH48FLU (Infliximab) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal/*therapeutic use MH - Antirheumatic Agents/*therapeutic use MH - Arthritis, Rheumatoid/drug therapy/*metabolism/pathology MH - C-Reactive Protein/metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - Infliximab MH - Interleukin-6/metabolism MH - Male MH - Middle Aged MH - Observer Variation MH - Severity of Illness Index MH - Synovial Membrane/*metabolism/pathology MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/*metabolism OTO - NOTNLM OT - Histology OT - Infliximab OT - Rheumatoid arthritis OT - Synovium OT - TNF-alpha EDAT- 2014/03/29 06:00 MHDA- 2015/06/26 06:00 CRDT- 2014/03/28 06:00 PHST- 2014/03/28 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/06/26 06:00 [medline] AID - 10.3109/14397595.2014.887047 [doi] PST - ppublish SO - Mod Rheumatol. 2014 Nov;24(6):910-4. doi: 10.3109/14397595.2014.887047. Epub 2014 Mar 26.