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Infrapatellar fat pad features in osteoarthritis: a histopathological and molecular study

The infrapatellar fat pad (IFP) is considered a local producer of adipocytokines, suggesting a potential role in OA. The objective of this study was to evaluate the histopathological and molecular characteristics of OA IFPs compared with controls. The histopathological characteristics of IFPs were e...

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Published in:Rheumatology (Oxford, England) England), 2017-10, Vol.56 (10), p.1784-1793
Main Authors: Favero, Marta, El-Hadi, Hamza, Belluzzi, Elisa, Granzotto, Marnie, Porzionato, Andrea, Sarasin, Gloria, Rambaldo, Anna, Iacobellis, Claudio, Cigolotti, Augusto, Fontanella, Chiara Giulia, Natali, Arturo, Ramonda, Roberta, Ruggieri, Pietro, De Caro, Raffaele, Vettor, Roberto, Rossato, Marco, Macchi, Veronica
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creator Favero, Marta
El-Hadi, Hamza
Belluzzi, Elisa
Granzotto, Marnie
Porzionato, Andrea
Sarasin, Gloria
Rambaldo, Anna
Iacobellis, Claudio
Cigolotti, Augusto
Fontanella, Chiara Giulia
Natali, Arturo
Ramonda, Roberta
Ruggieri, Pietro
De Caro, Raffaele
Vettor, Roberto
Rossato, Marco
Macchi, Veronica
description The infrapatellar fat pad (IFP) is considered a local producer of adipocytokines, suggesting a potential role in OA. The objective of this study was to evaluate the histopathological and molecular characteristics of OA IFPs compared with controls. The histopathological characteristics of IFPs were evaluated in patients undergoing total knee replacements and in control patients (without OA), considering the following parameters: presence of inflammatory cells, vascularization, adipose lobules dimension and thickness of the interlobular septa. Immunohistochemistry was performed to evaluate VEGF, monocyte chemotactic protein 1 (MCP-1) and IL-6 proteins. Quantitative real time PCR was performed to evaluate the expression levels of adipocytokines in the OA IFPs. OA IFPs showed an increase in inflammatory infiltration, vascularization and thickness of the interlobular septa compared with controls. VEGF, MCP-1 and IL-6 proteins were higher in OA IFPs compared with in controls. Inflammatory infiltration, hyperplasia, vascularization and fibrosis were increased in OA IFP synovial membranes compared with in those of controls. VEGF protein levels were associated with an increased number of vessels in the OA IFPs, while MCP-1 and IL-6 protein levels were associated with higher grades of inflammatory infiltration. Leptin levels were positively correlated with adiponectin and MCP-1expression, while adiponectin positively correlated with peroxisome proliferative activated receptor gamma, MCP-1 and IFP vascularity. MCP-1 showed a positive correlation with peroxisome proliferative activated receptor gamma. IFP lobules dimensions were positively correlated with IL-6 expression and negatively with thickness of interlobular septa. VEGF mRNA levels were positively correlated with increased synovial vascularity. OA IFPs and synovial membranes are more inflamed, vascularized and fibrous compared with those of control patients (without OA).
doi_str_mv 10.1093/rheumatology/kex287
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The objective of this study was to evaluate the histopathological and molecular characteristics of OA IFPs compared with controls. The histopathological characteristics of IFPs were evaluated in patients undergoing total knee replacements and in control patients (without OA), considering the following parameters: presence of inflammatory cells, vascularization, adipose lobules dimension and thickness of the interlobular septa. Immunohistochemistry was performed to evaluate VEGF, monocyte chemotactic protein 1 (MCP-1) and IL-6 proteins. Quantitative real time PCR was performed to evaluate the expression levels of adipocytokines in the OA IFPs. OA IFPs showed an increase in inflammatory infiltration, vascularization and thickness of the interlobular septa compared with controls. VEGF, MCP-1 and IL-6 proteins were higher in OA IFPs compared with in controls. Inflammatory infiltration, hyperplasia, vascularization and fibrosis were increased in OA IFP synovial membranes compared with in those of controls. VEGF protein levels were associated with an increased number of vessels in the OA IFPs, while MCP-1 and IL-6 protein levels were associated with higher grades of inflammatory infiltration. Leptin levels were positively correlated with adiponectin and MCP-1expression, while adiponectin positively correlated with peroxisome proliferative activated receptor gamma, MCP-1 and IFP vascularity. MCP-1 showed a positive correlation with peroxisome proliferative activated receptor gamma. IFP lobules dimensions were positively correlated with IL-6 expression and negatively with thickness of interlobular septa. VEGF mRNA levels were positively correlated with increased synovial vascularity. 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The objective of this study was to evaluate the histopathological and molecular characteristics of OA IFPs compared with controls. The histopathological characteristics of IFPs were evaluated in patients undergoing total knee replacements and in control patients (without OA), considering the following parameters: presence of inflammatory cells, vascularization, adipose lobules dimension and thickness of the interlobular septa. Immunohistochemistry was performed to evaluate VEGF, monocyte chemotactic protein 1 (MCP-1) and IL-6 proteins. Quantitative real time PCR was performed to evaluate the expression levels of adipocytokines in the OA IFPs. OA IFPs showed an increase in inflammatory infiltration, vascularization and thickness of the interlobular septa compared with controls. VEGF, MCP-1 and IL-6 proteins were higher in OA IFPs compared with in controls. Inflammatory infiltration, hyperplasia, vascularization and fibrosis were increased in OA IFP synovial membranes compared with in those of controls. VEGF protein levels were associated with an increased number of vessels in the OA IFPs, while MCP-1 and IL-6 protein levels were associated with higher grades of inflammatory infiltration. Leptin levels were positively correlated with adiponectin and MCP-1expression, while adiponectin positively correlated with peroxisome proliferative activated receptor gamma, MCP-1 and IFP vascularity. MCP-1 showed a positive correlation with peroxisome proliferative activated receptor gamma. IFP lobules dimensions were positively correlated with IL-6 expression and negatively with thickness of interlobular septa. VEGF mRNA levels were positively correlated with increased synovial vascularity. OA IFPs and synovial membranes are more inflamed, vascularized and fibrous compared with those of control patients (without OA).</abstract><cop>England</cop><pmid>28957567</pmid><doi>10.1093/rheumatology/kex287</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adipokines - analysis
Adiponectin - analysis
Adipose Tissue - blood supply
Adipose Tissue - metabolism
Adipose Tissue - pathology
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee
Case-Control Studies
Chemokine CCL2 - analysis
Female
Humans
Interleukin-6 - analysis
Knee Joint - blood supply
Knee Joint - metabolism
Knee Joint - pathology
Male
Middle Aged
Osteoarthritis, Knee - metabolism
Osteoarthritis, Knee - pathology
Osteoarthritis, Knee - surgery
Patella - blood supply
Patella - metabolism
Patella - pathology
Synovial Membrane - blood supply
Synovial Membrane - metabolism
Synovial Membrane - pathology
Vascular Endothelial Growth Factor A - analysis
title Infrapatellar fat pad features in osteoarthritis: a histopathological and molecular study
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