MDM4 overexpression contributes to synoviocyte proliferation in patients with rheumatoid arthritis |
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Authors: | Nanwei Xu Yuji Wang Dawei Li Rongbin Sun Sai Sun Guang Yang |
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Institution: | a Department of Orthopaedics, The Affiliated Hospital of Nanjing Medical University, Changzhou Second People’s Hospital, Changzhou 213003, PR China b State Key Laboratory of Genetic Engineering, Institute of Genetics, School of Life Sciences, Fudan University, Shanghai 200433, PR China c Department of Rheumatology and Immunology, The First People’s Hospital of Foshan, Foshan 528000, PR China d Center of Research, The First People’s Hospital of Foshan, Foshan 528000, PR China e Department of Orthopaedics, The First Affiliated Hospital of Suzhou University, Suzhou 215007, PR China |
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Abstract: | Rheumatoid arthritis (RA) is a chronic autoimmune disease with features of inflammatory cell infiltration, synovial cell invasive proliferation, and ultimately, irreversible joint destruction. It has been reported that the p53 pathway is involved in RA pathogenesis. MDM4/MDMX is a major negative regulator of p53. To determine whether MDM4 contributes to RA pathogenesis, MDM4 mRNA and protein expression were assessed in fibroblast-like synoviocytes (FLS) by real-time PCR, western blotting, and in synovial tissues by immunohistochemistry. Furthermore, MDM4 was knocked down and overexpressed by lentivirus-mediated expression, and the proliferative capacity of FLS was determined by MTS assay. We found that cultured FLS from RA and osteoarthritis (OA) patients exhibited higher levels of MDM4 mRNA and protein expression than those from trauma controls. MDM4 protein was highly expressed in the synovial lining and sublining cells from both types of arthritis. Finally, MDM4 knockdown inhibited the proliferation of RA FLS by enhancing functional p53 levels while MDM4 overexpression promoted the growth of RA FLS by inhibiting p53 effects. Taken together, our results suggest that the abundant expression of MDM4 in FLS may contribute to the hyperplasia phenotype of RA synovial tissues. |
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Keywords: | Rheumatoid arthritis Osteoarthritis P53 MDM4 Fibroblast-like synoviocytes |
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