Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations

Abstract Purpose The aim of this study was to investigate the presence of synovial mast cells (MCs) in hip and knee tissue from osteoarthritis (OA) patients and to correlate them with clinical and radiological data. Methods Synovial tissue was obtained during arthroplasty from 60 patients, 30 with k...

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Main Authors: L. Farinelli, A. Aquili, M. Mattioli‐Belmonte, S. Manzotti, F. D’Angelo, C. Ciccullo, A. Gigante
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Experimental Orthopaedics
Subjects:
Online Access:https://doi.org/10.1186/s40634-022-00446-2
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author L. Farinelli
A. Aquili
M. Mattioli‐Belmonte
S. Manzotti
F. D’Angelo
C. Ciccullo
A. Gigante
author_facet L. Farinelli
A. Aquili
M. Mattioli‐Belmonte
S. Manzotti
F. D’Angelo
C. Ciccullo
A. Gigante
author_sort L. Farinelli
collection DOAJ
description Abstract Purpose The aim of this study was to investigate the presence of synovial mast cells (MCs) in hip and knee tissue from osteoarthritis (OA) patients and to correlate them with clinical and radiological data. Methods Synovial tissue was obtained during arthroplasty from 60 patients, 30 with knee OA and 30 with hip OA. Control synovial tissue was obtained from 30 patients without OA, 15 undergoing above‐knee amputation and 15 receiving a hip replacement for fracture. Before surgery, the radiographic findings were graded according to the Kellgren‐Lawrence system and clinical data including pain (VAS) and functional information (KOOS and HOOS) was collected. The tissue was stained with hematoxylin–eosin and toluidine blue for histochemistry and incubated with CD117 and CD31 antibodies for immunohistochemistry. MC and vessel number and synovitis score were determined in all samples. Results Mean MC number, synovitis score and vessel number were significantly higher in the OA samples (p < 0.05) than in control tissue. MC number correlated with the synovitis score and disease severity in both patient groups. Conclusions The prevalence of MCs in synovium from OA patients and their association with synovial inflammation and pain suggest a role for them in OA pathophysiology.
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spelling doaj.art-0f5e83920ab24dbc9f65ae9a3cd47b802024-02-07T14:50:36ZengWileyJournal of Experimental Orthopaedics2197-11532022-01-0191n/an/a10.1186/s40634-022-00446-2Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlationsL. Farinelli0A. Aquili1M. Mattioli‐Belmonte2S. Manzotti3F. D’Angelo4C. Ciccullo5A. Gigante6Clinical OrthopaedicsDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyClinical OrthopaedicsDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyClinical OrthopaedicsDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyClinical OrthopaedicsDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyClinical OrthopaedicsDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyClinical OrthopaedicsDepartment of Clinical and Molecular Science DISCLIMOUniversità Politecnica Delle MarcheAnconaItalyAbstract Purpose The aim of this study was to investigate the presence of synovial mast cells (MCs) in hip and knee tissue from osteoarthritis (OA) patients and to correlate them with clinical and radiological data. Methods Synovial tissue was obtained during arthroplasty from 60 patients, 30 with knee OA and 30 with hip OA. Control synovial tissue was obtained from 30 patients without OA, 15 undergoing above‐knee amputation and 15 receiving a hip replacement for fracture. Before surgery, the radiographic findings were graded according to the Kellgren‐Lawrence system and clinical data including pain (VAS) and functional information (KOOS and HOOS) was collected. The tissue was stained with hematoxylin–eosin and toluidine blue for histochemistry and incubated with CD117 and CD31 antibodies for immunohistochemistry. MC and vessel number and synovitis score were determined in all samples. Results Mean MC number, synovitis score and vessel number were significantly higher in the OA samples (p < 0.05) than in control tissue. MC number correlated with the synovitis score and disease severity in both patient groups. Conclusions The prevalence of MCs in synovium from OA patients and their association with synovial inflammation and pain suggest a role for them in OA pathophysiology.https://doi.org/10.1186/s40634-022-00446-2OsteoarthritisSynovial mast cellsSynoviumInflammationLevel of evidenceBasic science study
spellingShingle L. Farinelli
A. Aquili
M. Mattioli‐Belmonte
S. Manzotti
F. D’Angelo
C. Ciccullo
A. Gigante
Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations
Journal of Experimental Orthopaedics
Osteoarthritis
Synovial mast cells
Synovium
Inflammation
Level of evidence
Basic science study
title Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations
title_full Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations
title_fullStr Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations
title_full_unstemmed Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations
title_short Synovial mast cells from knee and hip osteoarthritis: histological study and clinical correlations
title_sort synovial mast cells from knee and hip osteoarthritis histological study and clinical correlations
topic Osteoarthritis
Synovial mast cells
Synovium
Inflammation
Level of evidence
Basic science study
url https://doi.org/10.1186/s40634-022-00446-2
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