title: Isolation and culture of synovial microvascular endothelial cells. Characterization and assessment of adhesion molecule expression.
abstract: OBJECTIVE
  In vitro studies investigating the role of the synovial endothelium in the pathogenesis of rheumatoid arthritis (RA) have, until recently, been performed using cultured endothelial cells of nonsynovial macrovascular origin. In an attempt to more correctly model in vivo conditions, a method for the isolation and culture of synovial microvascular endothelial cells (SMEC) has been developed.
  
  
  METHODS
  SMEC were isolated, primarily, by the use of lectin-coated (Ulex europaeus agglutinin type I), magnetizable polystyrene beads.
  
  
  RESULTS
  Isolated cells exhibit classic endothelial "cobblestone" morphology, express von Willebrand factor, metabolize acetylated low-density lipoprotein, and exhibit a cytokine (interleukin-1)-mediated expression of endothelial leukocyte adhesion molecule type 1 (ELAM-1) and intercellular adhesion molecule type 1 (ICAM-1). ELAM-1 levels were significantly elevated in SMEC, compared with human umbilical vein endothelial cells, over a range of interleukin-1 concentrations.
  
  
  CONCLUSIONS
  This increased expression of ELAM-1 by SMEC may be a potentiating step in the pathogenesis of RA.
authors.affiliation: Bone and Joint Research Unit, London Hospital Medical College, United Kingdom.
authors.forename: S E
authors.initials: SE
authors.lastname: Abbot
authors.forename: A
authors.initials: A
authors.lastname: Kaul
authors.forename: C R
authors.initials: CR
authors.lastname: Stevens
authors.forename: D R
authors.initials: DR
authors.lastname: Blake
mesh_terms: D002448:Cell Adhesion; D015815:Cell Adhesion Molecules / Q000378:metabolism; D002469:Cell Separation; D002478:Cells, Cultured; D003584:Cytological Techniques; D004305:Dose-Response Relationship, Drug; D019040:E-Selectin; D004730:Endothelium, Vascular / Q000166:cytology* / Q000378:metabolism; D006801:Humans; D007375:Interleukin-1 / Q000494:pharmacology; D008833:Microcirculation; D013583:Synovial Membrane / Q000098:blood supply*; D014471:Umbilical Veins / Q000166:cytology / Q000378:metabolism
chemical_list: D015815:Cell Adhesion Molecules; D019040:E-Selectin; D007375:Interleukin-1