title: Connective tissue activation. XXXV. Detection of connective tissue activating peptide-III isoforms in synovium from osteoarthritis and rheumatoid arthritis patients: patterns of interaction with other synovial cytokines in cell culture.
abstract: OBJECTIVE
  To determine whether extracts of unincubated osteoarthritis (OA) and rheumatoid arthritis (RA) synovial tissue contain connective tissue activating peptide-III (CTAP-III) isoforms and prostaglandin E2 (PGE2), and whether such extracts have growth-promoting activity, and to determine whether binary combinations of CTAP-III with other cytokines reported to be present in synovial tissue lead to synergistic, additive, or inhibitory effects on growth.
  
  
  METHODS
  Acid-ethanol extracts of human synovium were examined for growth-promoting activity by measuring formation of 14C-glycosaminoglycan (14C-GAG) and 3H-DNA in synovial cell cultures; PGE2 was measured by enzyme immunoassay, and CTAP-III isoforms were identified by Western blotting of extracted proteins separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Growth-promoting activity of CTAP-III and other cytokines was tested in synovial cultures treated with the agonists singly and in binary combination, by measuring changes in synthesis of 14C-GAG and 3H-DNA.
  
  
  RESULTS
  Platelet-derived CTAP-III and a cleavage isoform with the electrophoretic mobility of CTAP-III-des 1-15/neutrophil-activating peptide-2 (NAP-2) and PGE2 were found in biologically active extracts of synovial samples from patients with RA and OA. Five growth factors (recombinant epidermal growth factor [rEGF], recombinant interleukin-1 beta [rIL-1 beta], basic fibroblast growth factor [bFGF], PGE1, and PGE2) in binary combination with CTAP-III showed synergism in stimulating GAG synthesis; two (recombinant platelet-derived growth factor type BB [rPDGE-BB] and recombinant transforming growth factor beta [rTGF beta]) had an additive effect. In combination with CTAP-III, rEGF and rPDGF-BB had a synergistic effect in promoting DNA synthesis, rTGF beta and rbFGF had an additive effect, and rIL-1 beta, PGE1, and PGE2 were antagonistic.
  
  
  CONCLUSIONS
  The results suggest that, in addition to endogenous factors, CTAP-III and other platelet-derived cytokines may play roles in regulating synovial cell metabolism in RA and OA, and that combinations of growth factors may be more significant than single agents in amplification or suppression of important cell functions.
authors.affiliation: Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
authors.forename: C W
authors.initials: CW
authors.lastname: Castor
authors.forename: E M
authors.initials: EM
authors.lastname: Smith
authors.forename: P A
authors.initials: PA
authors.lastname: Hossler
authors.forename: M C
authors.initials: MC
authors.lastname: Bignall
authors.forename: B P
authors.initials: BP
authors.lastname: Aaron
mesh_terms: D001172:Arthritis, Rheumatoid / Q000503:physiopathology*; D015153:Blotting, Western; D002478:Cells, Cultured; D015232:Dinoprostone / Q000737:chemistry; D006133:Growth Substances / Q000502:physiology*; D006801:Humans; D010003:Osteoarthritis / Q000503:physiopathology*; D010455:Peptides / Q000032:analysis* / Q000737:chemistry; D013582:Synovial Fluid / Q000737:chemistry* / Q000378:metabolism
chemical_list: D006133:Growth Substances; D010455:Peptides; C009862:connective tissue-activating peptide; D015232:Dinoprostone