Abstract

Background: IFNβ may have immunomodulatory effects in rheumatoid arthritis (RA) and its increased production in RA synovium may be a reactive attempt to inhibit inflammation.

Objective: To determine the expression of IFNβ in the synovial tissue of patients with RA, osteoarthritis, and reactive arthritis.

Methods: Synovial biopsy specimens were obtained by arthroscopy from patients with RA and disease controls for immunohistological analysis using a monoclonal antibody specific for IFNβ. Bound antibody was detected by an immunoperoxidase method. Stained sections were evaluated by computer assisted image analysis. Double stainings were performed with antibodies to detect CD55 positive fibroblast-like synoviocytes (FLS), CD68 positive macrophages, and CD83 positive dendritic cells (DCs) coexpressing IFNβ.

Results: IFNβ protein was abundantly expressed in the synovium of patients with RA. Digital image analysis showed a significant increase in the mean integrated optical density for IFNβ expression in RA synovial tissue compared with disease controls. Specific up regulation of IFNβ expression was also seen when the results were controlled for cell numbers. Phenotypic analysis showed that FLS, especially, but also macrophages and DCs may express IFNβ in RA synovial tissue.

Conclusions: The increased expression of IFNβ in RA synovium suggests activation of an immunomodulatory mechanism that could inhibit synovial inflammation.