Rheumatoid Arthritis Linked With Other Inflammatory Diseases In Study

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Rheumatoid Arthritis Linked With Other Inflammatory Diseases In Study

12/11/2002

By Anne MacLennan

Levels of synovial matrix metalloproteinase-1 (MMP-1) in patients with

familial Mediterranean fever, Behcet's disease and rheumatoid arthritis are

similar, researchers in Turkey have found.

This finding prompts these investigators to suggest the absence of erosions

in patients with the first two of these diseases may be explained by the

fact MMP-1 is a marker of cytokine-driven inflammation or by the short-lived

and transient nature of the arthritis observed in these patients.

Dr S. Pay and colleagues from the Gulhane Military Medical Academy, Ankara,

examined synovial levels of MMP-1, which is known to break down collagen,

and tissue inhibitor of metalloproteinase (TIMP-1), its natural antagonist,

in patients with various inflammatory disorders.

Twenty of the 85 patients had Behcet's disease, 20 had familial

Mediterranean fever, two had rheumatoid arthritis and 19 had osteoarthritis.

Synovial MMP-1 and TIMP-1 levels were measured by two-step sandwich ELISA.

The researchers found significant differences between study patients and

controls in erythrocyte sedimentation rate, C-reactive protein, MMP-1 and

TIMP-1 values.

Synovial MMP-1 levels of patients with Behcet's disease and familial

Mediterranean fever were no different from those in patients with rheumatoid

arthritis but were significantly higher than were those in patients with

osteoarthritis.

Moreover, synovial TIMP-1 levels in osteoarthritis patients were

significantly higher than were those of patients with the other three

diseases, who showed no significant differences in these TIMP-1 levels.

Clinical Rheumatology 2002; 21:6:511-515