title: Analysis of bcl-2+ lymphocyte subpopulations in inflammatory synovial infiltrates by a double-immunostaining technique.
abstract: We used a double-immunostaining technique to analyze the distribution of bcl-2+ B and T lymphocytes within the synovial membranes (SM) of 13 patients with rheumatic diseases: 11 with rheumatoid arthritis (RA), 1 with ankylosing spondylitis (AS), and 1 with osteoarthritis (OA). A high proportion (up to 50%) of the lymphocytes belonged to the B cell subset. Most of both T and B lymphocytes were positive for the bcl-2 protein. In germinal centers B lymphocytes were also negative for bcl-2 protein expression, comparable to the situation in germinal centers of secondary lymphatic organs. We conclude that bcl-2- B lymphocytes are submitted to antigen selection in the inflamed SMs while bcl-2 protein expression provides survival signals for their persistence in the infiltrates. The expression of bcl-2 may be an important factor in protecting lymphocytes in SM from apoptosis by glucocorticoids, cytostatic drugs, and irradiation.
authors.affiliation: Saarland Medical School, Homburg/Saar, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Zdichavsky
authors.forename: C
authors.initials: C
authors.lastname: Schorpp
authors.forename: A
authors.initials: A
authors.lastname: Nickels
authors.forename: B
authors.initials: B
authors.lastname: Koch
authors.forename: M
authors.initials: M
authors.lastname: Pfreundschuh
authors.forename: A
authors.initials: A
authors.lastname: Gause
mesh_terms: D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000276:immunology*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007249:Inflammation / Q000276:immunology; D016131:Lymphocyte Subsets / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D019253:Proto-Oncogene Proteins c-bcl-2 / Q000276:immunology*; D013583:Synovial Membrane / Q000276:immunology* / Q000473:pathology
chemical_list: D019253:Proto-Oncogene Proteins c-bcl-2