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Preliminary Study of Sonic Hedgehog Signaling Pathway in the Pathogenesis of Rheumatoid Arthritis

Sun Yat-sen University logo

Sun Yat-sen University

Status

Unknown

Conditions

Synovitis
Neovascularization, Pathologic
Arthritis, Rheumatoid

Study type

Observational

Funder types

Other

Identifiers

NCT01731262
中大附三医伦[2012]2-75号

Details and patient eligibility

About

Rheumatoid arthritis(RA) with a high incidence and high morbidity, the pathogenesis has not been fully elucidated. Fibroblast-like synovial cells excessive proliferation and synovial angiogenesis is the most important cause of RA synovitis and joint destruction. Our study was to find the role of Sonic Hedgehog(SHH) pathway in regulating proliferation of fibroblast-like synovial cells and modulating excess angiogenesis of synovial tissue.

Full description

4ml blood from active RA patients(n=35) and healthy volunteers (n=35) will be collected

  • peripheral blood mononuclear cells will be detached
  • messenger ribonucleic acid expression of Sonic Hedgehog pathway associated factors in both groups will be detected

Synovial tissues from 4 RA patients and 4 patients with traumatic or meniscal injury who need to carry out knee joint replacement operation will be collected

  • inflammatory feature of synovial tissue will be observed
  • the expression of Shh, Ptch1, Gli1 and Smo in synovial tissue will be detected by immunohistochemistry assay
  • fibroblast-like synoviocytes will be cultured from synovial tissue of RA patients

Enrollment

78 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • definitely diagnosed
  • the disease is active (DAS28>3.2)

Exclusion criteria

  • combined with severe organ dysfunction
  • combined with other rheumatic diseases

Trial design

78 participants in 2 patient groups

RA group
Description:
expression of Shh pathway associated factors from peripheral blood mononuclear cells or synovial tissues will be detected
control group
Description:
expression of Shh pathway associated factors from peripheral blood mononuclear cells or synovial tissues will be detected

Trial contacts and locations

0

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Central trial contact

Guihua Chen, PhD; Jianlin Huang, PhD

Data sourced from clinicaltrials.gov

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