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Synovial tissue research: a state-of-the-art review.

Abstract
The synovium is the major target tissue of inflammatory arthritides such as rheumatoid arthritis. The study of synovial tissue has advanced considerably throughout the past few decades from arthroplasty and blind needle biopsy to the use of arthroscopic and ultrasonographic technologies that enable easier visualization and improve the reliability of synovial biopsies. Rapid progress has been made in using synovial tissue to study disease pathogenesis, to stratify patients, to discover biomarkers and novel targets, and to validate therapies, and this progress has been facilitated by increasingly diverse and sophisticated analytical and technological approaches. In this Review, we describe these approaches, and summarize how their use in synovial tissue research has improved our understanding of rheumatoid arthritis and identified candidate biomarkers that could be used in disease diagnosis and stratification, as well as in predicting disease course and treatment response.
AuthorsCarl Orr, Elsa Vieira-Sousa, David L Boyle, Maya H Buch, Christopher D Buckley, Juan D Cañete, Anca I Catrina, Ernest H S Choy, Paul Emery, Ursula Fearon, Andrew Filer, Danielle Gerlag, Frances Humby, John D Isaacs, Søren A Just, Bernard R Lauwerys, Benoit Le Goff, Antonio Manzo, Trudy McGarry, Iain B McInnes, Aurélie Najm, Constantino Pitzalis, Arthur Pratt, Malcolm Smith, Paul P Tak, Rogier Thurlings, João E Fonseca, Douglas J Veale, Sander W Tas
JournalNature reviews. Rheumatology (Nat Rev Rheumatol) Vol. 13 Issue 8 Pg. 463-475 (08 2017) ISSN: 1759-4804 [Electronic] United States
PMID28701760 (Publication Type: Journal Article, Review)
Chemical References
  • Biomarkers
Topics
  • Arthritis, Rheumatoid (diagnosis, metabolism)
  • Biomarkers (metabolism)
  • Biomedical Research
  • Humans
  • Synovial Fluid (metabolism)
  • Synovial Membrane (cytology, metabolism, pathology)

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