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HE stained histological images of adipose synovium from ͑ A ͒ a knee joint of a normal rabbit, ͑ B ͒ 8 days postinoculation with S. aureus, and ͑ C ͒ 18 days postinoculation with LPS from E. coli. ͑ A ͒ In the cross section of normal adipose synovium, the intima ͑ a ͒ is seen as a densely populated cellular region that is one to three cells thick, while the subintima ͑ b ͒ is composed primarily of adipocytes ͑ c ͒ and small numbers of capillaries ͑ d ͒ , small venules ͑ e ͒ , and arterioles set in a randomly distributed matrix of loosely packed thin collagen fibrils ͑ f ͒ . The sharp transition between the intima and subintima and the characteristic morphological details of each layer are easily observed. The cross section of adipose synovium from the S. aureus infected knee ͑ B ͒ demonstrates that a denuded intimal layer ͑ g ͒ and the adipocytes ͑ c ͒ of the thickened and edematous subintima have been largely replaced by an inflammatory cell infiltrate ͑ h ͒ consisting primarily of heterophils. Capillaries ͑ i ͒ are congested and their walls are thickened. Fibroblasts ͑ j ͒ are beginning to produce a delicate fibrillar matrix, while the meshwork of pre-existing collagen fibers is randomly displaced. The image of the inflammatory reaction that is present in the adipose synovium of the rabbit knee joint following LPS inoculation ͑ C ͒ demonstrates thickening of the intimal layer ͑ a ͒ , and the normal population of subintimal adipocytes has been replaced by an inflammatory cell infiltrate ͑ l ͒ consisting primarily of lymphocytes relatively evenly distributed, along with fibroblasts in a collagenous matrix containing congested capillaries ͑ i ͒ , arterioles ͑ k ͒ , and venules ͑ e ͒ . In some areas, edema ͑ m ͒ separates the matrix of collagen fibrils. Scale bars are 50 ␮ m. 

HE stained histological images of adipose synovium from ͑ A ͒ a knee joint of a normal rabbit, ͑ B ͒ 8 days postinoculation with S. aureus, and ͑ C ͒ 18 days postinoculation with LPS from E. coli. ͑ A ͒ In the cross section of normal adipose synovium, the intima ͑ a ͒ is seen as a densely populated cellular region that is one to three cells thick, while the subintima ͑ b ͒ is composed primarily of adipocytes ͑ c ͒ and small numbers of capillaries ͑ d ͒ , small venules ͑ e ͒ , and arterioles set in a randomly distributed matrix of loosely packed thin collagen fibrils ͑ f ͒ . The sharp transition between the intima and subintima and the characteristic morphological details of each layer are easily observed. The cross section of adipose synovium from the S. aureus infected knee ͑ B ͒ demonstrates that a denuded intimal layer ͑ g ͒ and the adipocytes ͑ c ͒ of the thickened and edematous subintima have been largely replaced by an inflammatory cell infiltrate ͑ h ͒ consisting primarily of heterophils. Capillaries ͑ i ͒ are congested and their walls are thickened. Fibroblasts ͑ j ͒ are beginning to produce a delicate fibrillar matrix, while the meshwork of pre-existing collagen fibers is randomly displaced. The image of the inflammatory reaction that is present in the adipose synovium of the rabbit knee joint following LPS inoculation ͑ C ͒ demonstrates thickening of the intimal layer ͑ a ͒ , and the normal population of subintimal adipocytes has been replaced by an inflammatory cell infiltrate ͑ l ͒ consisting primarily of lymphocytes relatively evenly distributed, along with fibroblasts in a collagenous matrix containing congested capillaries ͑ i ͒ , arterioles ͑ k ͒ , and venules ͑ e ͒ . In some areas, edema ͑ m ͒ separates the matrix of collagen fibrils. Scale bars are 50 ␮ m. 

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An estimated 1.3 million people in the United States suffer from rheumatoid arthritis (RA). RA causes profound changes in the synovial membrane of joints, and without early diagnosis and intervention, progresses to permanent alterations in joint structure and function. The purpose of this study is to determine if nonlinear optical microscopy (NLOM)...

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Context 1
... as the sources of TPF are numerous 10 biomolecules with different emission peaks and distinct TPF spectra within that bandwidth. Excitation at 730 nm elicited a stronger TPF but much weaker SHG signal than was observed with the 800-nm wavelength. The TPF signal collected from the tissue following 730-nm excitation was divided into two channels to enhance contrast using a bandpass filter ͑ 390 to 465 nm ͒ , and using the Meta detector ͑ 470 to 650 nm ͒ . These channels were pseudocolored turquoise ͑ 390 to 465 nm ͒ and orange ͑ 470 to 650 nm ͒ . The turquoise channel contains fluorescence mainly from mito- chondrial NADH, and some other intrinsic fluorophores like folic acid and retinol that have fluorescence peaks within the 390- to 465-nm bandwidth. The orange channel collected fluorescence from riboflavin and other biomolecules with fluorescence peaks beyond 500 nm. 10 As our purpose was to image synovium in its native state, no fluorescent stains were used on the tissue. To thoroughly survey each tissue specimen, images were obtained from: 1. the meniscus-synovium interface, 2. the central region of the synovial specimen, and 3. the region along the periphery where the adipose synovium attaches to articular cartilage. These imaging regions were 3 to 5 mm apart. The imaging region at the periphery was chosen such that it was at least 2 mm from the cuts made during sample extraction. Images 512 ϫ 512 pixels and 1024 ϫ 1024 pixels of tissue areas from 225 ϫ 225 ␮ m to 2.25 ϫ 2.25 mm were obtained using 20 ϫ , 0.45-NA and water immersion 40 ϫ , 0.8-NA objectives. To image an area 1.125 ϫ 1.125 mm or larger, individual adjacent 225 ϫ 225- ␮ m images were acquired sequentially and combined to form the larger image. This technique, known as “tiling,” allows construction of a large, clear geo- graphical image of the synovial tissue ͑ Fig. 4 ͒ . NLOM imaging scan speeds from 6.5 to 102 ␮ sec per pixel were evalu- ated. The combination of a 40 ϫ , water immersion objective ͑ Achroplan, 0.8 NA ͒ delivering 20 mW at the tissue surface and a pixel dwell time of 6.5 ␮ sec provided images with sufficient cellular detail without thermally damaging the tissue, even during the relatively long time ͑ 7 to 15 min ͒ required to acquire a stack of up to 70 images from the same location in successive planes at 1- ␮ m intervals. The mini- mum power required for image acquisition was 18 mW de- livered to the sample with a pixel dwell time of 6.5 s. Be- low that level, the emission signals were judged to be too weak for imaging. Power levels above 34 mW used with a pixel dwell time of 12.8 ␮ s caused tissue damage. 2-D images as well as 3-D tomographic stacks of individual 2-D images obtained at 1- to 2- ␮ m intervals to a depth of up to 70 ␮ m, referred to as Z stacks, were obtained to study tissue morphology in successive image planes within a volume of tissue ͑ Fig. 2 ͒ . An HE stained histology preparation of adipose synovium from the normal knee joint of a rabbit is shown in Figs. 5 ͑ A ͒ and 6 ͑ A ͒ . The cross section of synovium demonstrates both intima and subintima. The sharp transition between the intima and subintima and the characteristic morphological details of each of these layers of adipose-type synovium are easily observed. The intima is seen as a densely populated cellular region that is one to three cells thick, while the subintima is composed primarily of adipocytes and small numbers of capillaries, small venules, and arterioles set in a randomly distributed matrix of loosely packed thin collagen fibrils. The three animal subjects in the septic arthritis group demonstrated a polymorponuclear inflammatory response with loss of normal intimal and subintimal morphology as anticipated, which was progressive with increasing time from joint inoculation, and could be characterized in both NLOM and HE stained histology sections. The image of the HE stained histologic section of the adipose synovium of the rabbit knee at 8 days following inoculation with S. aureus ͓ Fig. 5 ͑ B ͔͒ represents the most advanced septic pathology of the study, and reveals an inflammatory reaction with a denuded intimal surface and a thickened and edematous subintima. The adipo- cytes found in normal adipose synovium have been replaced by an inflammatory cell infiltrate consisting primarily of heterophils. Capillaries are congested and their walls are thickened. The meshwork of pre-existing collagen fibers is randomly displaced and fibroblasts produce a delicate fibrillar matrix. The three animal subjects in the LPS arthritis group demonstrated intimal thickening with a mononuclear inflammatory response that was progressive with increasing time from joint inoculation, the characteristics of which could be distinguished in both NLOM images and HE stained histology sections. A photomicrograph of an HE stained histology section of the inflammatory reaction that is present in adipose synovium of the rabbit knee 18 days after LPS inoculation ͓ Fig. 5 ͑ C ͔͒ represents the most advanced immune-mediated pathology of the study, and demonstrates a thickened intima. The normal population of adipocytes has been replaced by an inflammatory cellular infiltrate consisting primarily of lymphocytes evenly distributed along with fibroblasts in a collagenous matrix. The matrix also contains congested capillaries, arterioles, and venules that in some areas are separated by edema. Figure 4 demonstrates a typical NLOM image of the synovial surface layer using 800-nm excitation and a scan rate of 12.8 sec per pixel. The SHG ͑ blue ͒ signal reveals the dense matrix of collagen and the TPF ͑ green ͒ signal from intracellular compounds highlights individual cells. NLOM imaging of cells and tissues was not affected by periods of tissue stor- age that ranged from 3 to 25-h postdissection. The imaging signals from the tissue showed quadratic dependence on excitation intensity as expected for TPF and SHG sources. The tissue emission spectra measured in the spectral imaging mode of the Zeiss LSM 510 NLO Meta system helped further characterize the nature of the SHG signal. For different wavelengths of excitation, the sharp SHG peak always occurred at exactly half the incident wavelength, as anticipated. With no correction for the spectral dependence of optical component performance, the SHG signal from extracellular collagen weakened and the TPF from tissue constituents brightened as the excitation wavelength was decreased from 800 to 730 nm. This is consistent with NLOM imaging 10,28 of other tissues. When using 800-nm excitation, the use of slow scan speeds corresponding to pixel dwell times of 12.8 and 25.6 ␮ sec were found to provide sufficient signal collection at each pixel to produce bright, clear images. In Figs. 6 ͑ C ͒ and 6 ͑ D ͒ , where a dwell time of 12.8 ␮ sec per pixel was used, individual erythrocytes within blood vessels ͓ Fig. 6, part e ͔ are clearly visible. When the scan speed is increased on the same tissue sample, erythrocytes lose clear definition and be- come difficult to identify. The problem with using slow scan speeds, however, is the potential for thermal injury to the tissue. Excitation with 730 nm ͓ Fig. 7 ͑ A ͔͒ produced clear images of cells at faster scan speeds ͑ pixel dwell times of 6.4 to 12.8 ␮ sec per pixel ͒ ; however, the collagen signal was very weak. When using an 800-nm incident beam at these higher scan speeds ͓ Fig. 7 ͑ B ͔͒ , collagen still produced a clean, 28 bright SHG signal, as reported previously. A combination of the TPF channels from the 730-nm excitation image ͓ Fig. 7 ͑ A ͔͒ and the SHG channel from the 800-nm excitation image ͓ Fig. 7 ͑ B ͔͒ is shown in Fig. 7 ͑ C ͒ . Combining separate images obtained from 730- and 800-nm excitation wavelengths provided the sharpest and most detailed image of cellular and collagen composition of the tissue specimen. A number of structures of normal synovium were clearly identified by NLOM imaging. Adipocytes are seen in the NLOM image in Fig. 6 ͑ B ͒ as large ovoid black spaces with their cell margins marked by a TPF signal, surrounded by collagen fibers identified by their characteristic SHG signal. Adipocytes appear dark in NLOM due to the large volume of lipid content, which does not fluoresce. The adipocytes ͓ Fig. 6, part d ͔ of the NLOM image ͓ Fig. 6 ͑ B ͔͒ are comparable in size and morphology to those demonstrated in HE preparations ͓ Fig. 6 ͑ A ͔͒ . NLOM demonstrated both venules and arterioles in synovium ͓ Figs. 6 ͑ C ͒ –6 ͑ E ͔͒ . Venule walls, which contain collagen, emitted an SHG signal, while the erythrocytes within the lumen emitted a TPF signal. The two signals produced sufficient contrast to clearly identify erythrocytes inside the venules ͓ Fig. 6 ͑ D ͔͒ . On the other hand, arteriolar walls contain a high concentration of elastin, which emits a strong TPF 10 signal. The overlapping TPF signals emitted both from erythrocytes and the elastin in arteriole walls made it difficult to identify individual erythrocytes within arterioles ͓ Fig. 6 ͑ E ͔͒ . Variable-length, 1 to 2 ␮ m wide, TPF-emitting filamen- 10 tous strands typical of elastin were observed in the subintima of the synovium, generally in association with the dense collagen matrix, in regions adjacent to the attachment of the joint capsule to bone ͓ Figs. 6 ͑ F ͒ , 8 ͑ A ͒ , and 8 ͑ B ͔͒ . The elastin fibers were not highly organized but do appear to have some common directionality in the regions where they are present. While the elastin fibers were clearly observed where they lie in a longitudinal orientation to the imaging plane, because of their narrow diameter, it is possible that their presence was not recognized where they lie perpendicular to the imaging plane. Cells were identified by the green fluorescence from their cytoplasm silhouetting dark nuclei, as seen in Fig. 8 ͑ A ͒ ͑ a magnified view of the boxed region in Fig. 4 ͒ . Figure 8 ͑ A ͒ demonstrates cells of different morphologies ...
Context 2
... NLO Meta system ͑ Carl Zeiss MicroImaging, Incorporated, Thornwood, New York ͒ with a Coherent Chameleon Ti:sapphire femtosecond laser ͑ Coherent, Incorporated, Santa Clara, California ͒ as the excitation source. The Chameleon laser source provided 140-fs pulses at a repetition rate of 80 MHz, with the center frequency tunable from 690 to 1040 nm. Excitation wavelengths of both 730 and 800 nm were used in this study, as they induce an optimal combination of imaging signals from 10,15,28 intracellular compounds and collagen, respectively. While using 800-nm excitation, light emission from the tissue was separated into two channels using the grating-based Meta detector available in the Zeiss LSM 510 NLO system. The channel containing SHG emission between 395 and 405 nm is pseudocolored blue, while the channel containing TPF emission in the range 415 to 600 nm is pseudocolored green. The TPF signal was collected over a relatively wide bandwidth ͑ 185 nm ͒ , as the sources of TPF are numerous 10 biomolecules with different emission peaks and distinct TPF spectra within that bandwidth. Excitation at 730 nm elicited a stronger TPF but much weaker SHG signal than was observed with the 800-nm wavelength. The TPF signal collected from the tissue following 730-nm excitation was divided into two channels to enhance contrast using a bandpass filter ͑ 390 to 465 nm ͒ , and using the Meta detector ͑ 470 to 650 nm ͒ . These channels were pseudocolored turquoise ͑ 390 to 465 nm ͒ and orange ͑ 470 to 650 nm ͒ . The turquoise channel contains fluorescence mainly from mito- chondrial NADH, and some other intrinsic fluorophores like folic acid and retinol that have fluorescence peaks within the 390- to 465-nm bandwidth. The orange channel collected fluorescence from riboflavin and other biomolecules with fluorescence peaks beyond 500 nm. 10 As our purpose was to image synovium in its native state, no fluorescent stains were used on the tissue. To thoroughly survey each tissue specimen, images were obtained from: 1. the meniscus-synovium interface, 2. the central region of the synovial specimen, and 3. the region along the periphery where the adipose synovium attaches to articular cartilage. These imaging regions were 3 to 5 mm apart. The imaging region at the periphery was chosen such that it was at least 2 mm from the cuts made during sample extraction. Images 512 ϫ 512 pixels and 1024 ϫ 1024 pixels of tissue areas from 225 ϫ 225 ␮ m to 2.25 ϫ 2.25 mm were obtained using 20 ϫ , 0.45-NA and water immersion 40 ϫ , 0.8-NA objectives. To image an area 1.125 ϫ 1.125 mm or larger, individual adjacent 225 ϫ 225- ␮ m images were acquired sequentially and combined to form the larger image. This technique, known as “tiling,” allows construction of a large, clear geo- graphical image of the synovial tissue ͑ Fig. 4 ͒ . NLOM imaging scan speeds from 6.5 to 102 ␮ sec per pixel were evalu- ated. The combination of a 40 ϫ , water immersion objective ͑ Achroplan, 0.8 NA ͒ delivering 20 mW at the tissue surface and a pixel dwell time of 6.5 ␮ sec provided images with sufficient cellular detail without thermally damaging the tissue, even during the relatively long time ͑ 7 to 15 min ͒ required to acquire a stack of up to 70 images from the same location in successive planes at 1- ␮ m intervals. The mini- mum power required for image acquisition was 18 mW de- livered to the sample with a pixel dwell time of 6.5 s. Be- low that level, the emission signals were judged to be too weak for imaging. Power levels above 34 mW used with a pixel dwell time of 12.8 ␮ s caused tissue damage. 2-D images as well as 3-D tomographic stacks of individual 2-D images obtained at 1- to 2- ␮ m intervals to a depth of up to 70 ␮ m, referred to as Z stacks, were obtained to study tissue morphology in successive image planes within a volume of tissue ͑ Fig. 2 ͒ . An HE stained histology preparation of adipose synovium from the normal knee joint of a rabbit is shown in Figs. 5 ͑ A ͒ and 6 ͑ A ͒ . The cross section of synovium demonstrates both intima and subintima. The sharp transition between the intima and subintima and the characteristic morphological details of each of these layers of adipose-type synovium are easily observed. The intima is seen as a densely populated cellular region that is one to three cells thick, while the subintima is composed primarily of adipocytes and small numbers of capillaries, small venules, and arterioles set in a randomly distributed matrix of loosely packed thin collagen fibrils. The three animal subjects in the septic arthritis group demonstrated a polymorponuclear inflammatory response with loss of normal intimal and subintimal morphology as anticipated, which was progressive with increasing time from joint inoculation, and could be characterized in both NLOM and HE stained histology sections. The image of the HE stained histologic section of the adipose synovium of the rabbit knee at 8 days following inoculation with S. aureus ͓ Fig. 5 ͑ B ͔͒ represents the most advanced septic pathology of the study, and reveals an inflammatory reaction with a denuded intimal surface and a thickened and edematous subintima. The adipo- cytes found in normal adipose synovium have been replaced by an inflammatory cell infiltrate consisting primarily of heterophils. Capillaries are congested and their walls are thickened. The meshwork of pre-existing collagen fibers is randomly displaced and fibroblasts produce a delicate fibrillar matrix. The three animal subjects in the LPS arthritis group demonstrated intimal thickening with a mononuclear inflammatory response that was progressive with increasing time from joint inoculation, the characteristics of which could be distinguished in both NLOM images and HE stained histology sections. A photomicrograph of an HE stained histology section of the inflammatory reaction that is present in adipose synovium of the rabbit knee 18 days after LPS inoculation ͓ Fig. 5 ͑ C ͔͒ represents the most advanced immune-mediated pathology of the study, and demonstrates a thickened intima. The normal population of adipocytes has been replaced by an inflammatory cellular infiltrate consisting primarily of lymphocytes evenly distributed along with fibroblasts in a collagenous matrix. The matrix also contains congested capillaries, arterioles, and venules that in some areas are separated by edema. Figure 4 demonstrates a typical NLOM image of the synovial surface layer using 800-nm excitation and a scan rate of 12.8 sec per pixel. The SHG ͑ blue ͒ signal reveals the dense matrix of collagen and the TPF ͑ green ͒ signal from intracellular compounds highlights individual cells. NLOM imaging of cells and tissues was not affected by periods of tissue stor- age that ranged from 3 to 25-h postdissection. The imaging signals from the tissue showed quadratic dependence on excitation intensity as expected for TPF and SHG sources. The tissue emission spectra measured in the spectral imaging mode of the Zeiss LSM 510 NLO Meta system helped further characterize the nature of the SHG signal. For different wavelengths of excitation, the sharp SHG peak always occurred at exactly half the incident wavelength, as anticipated. With no correction for the spectral dependence of optical component performance, the SHG signal from extracellular collagen weakened and the TPF from tissue constituents brightened as the excitation wavelength was decreased from 800 to 730 nm. This is consistent with NLOM imaging 10,28 of other tissues. When using 800-nm excitation, the use of slow scan speeds corresponding to pixel dwell times of 12.8 and 25.6 ␮ sec were found to provide sufficient signal collection at each pixel to produce bright, clear images. In Figs. 6 ͑ C ͒ and 6 ͑ D ͒ , where a dwell time of 12.8 ␮ sec per pixel was used, individual erythrocytes within blood vessels ͓ Fig. 6, part e ͔ are clearly visible. When the scan speed is increased on the same tissue sample, erythrocytes lose clear definition and be- come difficult to identify. The problem with using slow scan speeds, however, is the potential for thermal injury to the tissue. Excitation with 730 nm ͓ Fig. 7 ͑ A ͔͒ produced clear images of cells at faster scan speeds ͑ pixel dwell times of 6.4 to 12.8 ␮ sec per pixel ͒ ; however, the collagen signal was very weak. When using an 800-nm incident beam at these higher scan speeds ͓ Fig. 7 ͑ B ͔͒ , collagen still produced a clean, 28 bright SHG signal, as reported previously. A combination of the TPF channels from the 730-nm excitation image ͓ Fig. 7 ͑ A ͔͒ and the SHG channel from the 800-nm excitation image ͓ Fig. 7 ͑ B ͔͒ is shown in Fig. 7 ͑ C ͒ . Combining separate images obtained from 730- and 800-nm excitation wavelengths provided the sharpest and most detailed image of cellular and collagen composition of the tissue specimen. A number of structures of normal synovium were clearly identified by NLOM imaging. Adipocytes are seen in the NLOM image in Fig. 6 ͑ B ͒ as large ovoid black spaces with their cell margins marked by a TPF signal, surrounded by collagen fibers identified by their characteristic SHG signal. Adipocytes appear dark in NLOM due to the large volume of lipid content, which does not fluoresce. The adipocytes ͓ Fig. 6, part d ͔ of the NLOM image ͓ Fig. 6 ͑ B ͔͒ are comparable in size and morphology to those demonstrated in HE preparations ͓ Fig. 6 ͑ A ͔͒ . NLOM demonstrated both venules and arterioles in synovium ͓ Figs. 6 ͑ C ͒ –6 ͑ E ͔͒ . Venule walls, which contain collagen, emitted an SHG signal, while the erythrocytes within the lumen emitted a TPF signal. The two signals produced sufficient contrast to clearly identify erythrocytes inside the venules ͓ Fig. 6 ͑ D ͔͒ . On the other hand, arteriolar walls contain a high concentration of elastin, which emits a strong TPF 10 signal. The overlapping TPF signals emitted both from erythrocytes and the elastin in arteriole walls made it difficult to identify individual ...

Citations

... 11 The subintima is made up of fibrovascular connective tissue that provides oxygen, nutrients, and growth factors to the synovium and the articular cartilage. 12 It is likely to be the main site of articular bleeding. 13 The bone surfaces that abut to form a synovial joint are encapsulated by a thin layer of articular cartilage that consists of a dense extracellular matrix (ECM) with highly specialized cells called chondrocytes. ...
Article
Haemophilic arthropathy is characterised by joint damage following recurrent joint bleeds frequently observed in patients affected by the clotting disorder haemophilia. Joint bleeds or haemarthroses trigger inflammation in the synovial tissue which promotes damage to the articular cartilage. The plasminogen activation system is integral to fibrinolysis, and urokinase plasminogen activator or uPA in particular is strongly upregulated following haemarthroses. uPA is a serine protease that catalyses the production of plasmin, a broad-spectrum protease that can degrade fibrin as well as proteins of the joint extracellular matrix and cartilage. Both uPA and plasmin are able to proteolytically generate active forms of matrix metalloproteinases (MMPs). The MMPs are a family of >20 proteases that are secreted as inactive proenzymes and are activated extracellularly. MMPs are involved in degradation of all types of collagen and proteoglycans that constitute the extracellular matrix, which provides structural support to articular cartilage. The MMPs have an established role in joint destruction following rheumatoid arthritis (RA). They degrade cartilage and bone, indirectly promoting angiogenesis. MMPs are also implicated in the pathology of osteoarthritis (OA) characterized by degradation of the cartilage matrix that precipitates joint damage and deformity. HA shares a number of overlapping pathological characteristics with RA and OA. Here we discuss how the plasminogen activation system and MMPs might exacerbate joint damage in HA, lending insight into novel possible therapeutic targets to reduce co-morbidity of haemophilia.
... Capillary density is not only related to anatomical location but also the depth beneath the synovial surface. As previously mentioned, most blood vessels are located just below the intima, placing them in the sub-intima (120)(121)(122). In the synovial joint, VEGF, angiopoietin (Ang) and PDGF-b regulate vessel stability and induce fibroblast invasion. ...
Article
Full-text available
The bones and joints in the skeletal system are composed of diverse cell types, including vascular niches, bone cells, connective tissue cells and mineral deposits and regulate whole-body homeostasis. The capacity of maintaining strength and generation of blood lineages lies within the skeletal system. Bone harbours blood and immune cells and their progenitors, and vascular cells provide several immune cell type niches. Blood vessels in bone are phenotypically and functionally diverse, with distinct capillary subtypes exhibiting striking changes with age. The bone vasculature has a special impact on osteogenesis and haematopoiesis, and dysregulation of the vasculature is associated with diverse blood and bone diseases. Ageing is associated with perturbed haematopoiesis, loss of osteogenesis, increased adipogenesis and diminished immune response and immune cell production. Endothelial and perivascular cells impact immune cell production and play a crucial role during inflammation. Here, we discuss normal and maladapted vascular niches in bone during development, homeostasis, ageing and bone diseases such as rheumatoid arthritis and osteoarthritis. Further, we discuss the role of vascular niches during bone malignancy.
... contrainte sont représentés sur la figure23.A. E ins représente le comportement du matériau en dynamique, E eq représente le comportement du matériau en statique et la fraction élastique est le rapport de E eq / E ins . La culture en présence de TGF-β1 mène à des propriétés mécaniques plus élevées qu'en absence de TGF-β1 pour les deux temps de culture à J28 et J56. ...
Thesis
Le cartilage est un tissu clé des articulations synoviales. Suite à un problème mécanique, traumatique ou inflammatoire, le cartilage est dégradé entrainant des douleurs articulaires et une perte de mobilité. Le cartilage étant un tissu non innervé et non vascularisé, son auto-réparation est très faible. De plus en plus de techniques sont développées pour la réparation des défauts cartilagineux mais aucune n’a encore permis d’obtenir un nouveau cartilage pleinement fonctionnel. En particulier, l’ingénierie tissulaire (IT) est une technique très prometteuse qui consiste à obtenir un greffon de cartilage dont les propriétés mécaniques et structurales soient satisfaisantes une fois implantée dans l’articulation. L’IT est basée sur l’association de cellules, d’un biomatériau et de facteurs de croissance. Le but de cette thèse est d’étudier l’effet de l’âge du donneur des cellules sur la synthèse du greffon par l’IT in vitro et sur la qualité du cartilage obtenu lors de l’implantation dans un modèle de rat NUDE. Puis dans une dernière partie, l’impact de l’environnement chimique et mécanique est étudié sur la qualité du greffon. Nos études montrent ainsi que l’âge du donneur aussi bien dans un contexte in vitro ou in vivo impacte la qualité du greffon et la réparation une fois implanté dans l’animal. En effet, les greffons issus des donneurs âgés ont des propriétés mécaniques légèrement plus élevées et une synthèse des protéines de la matrice extracellulaire (MEC) du cartilage significativement plus élevée que les greffons issus de donneurs jeunes. De plus, la réponse inflammatoire des greffons implantés dans un défaut cartilagineux chez le rat NUDE est plus faible pour les donneurs âgés. Enfin, nous montrons que le microenvironnement mécanique (compression ou pression hydrostatique) et chimique (liquide synovial (LS) ou TGF-β pur) joue un rôle important sur la réponse cellulaire. Par ailleurs, en fonction de l’âge, l’association de ces différents facteurs donnent des résultats différents. Par exemple, pour une sollicitation de type compression, c’est le LS qui est à favoriser pour obtenir les greffons de meilleure qualité dans le cas des donneurs âgés. Au contraire, pour la même sollicitation de type compression, c’est la présence de TGF-β1 qui conduit au greffon de meilleure qualité pour les donneurs jeunes. Ces études mettent en évidence l’importance de l’âge du donneur et montrent de plus qu’un protocole IT patient spécifique est la meilleure solution.
... The microscopic anatomy of normal synovial tissue often falls into three main types based on the content of the subintimal layer: fibrous, areolar and adipose 13 . These structures have specialised viscoelastic properties for coping with the stretching, rolling and folding during joint movement 14 . Furthermore, the cellular elements of the synovium are responsible for the secretion of the viscid synovial fluid, which lubricates and nourishes the joint. ...
Article
Synovial abnormalities have been observed at multiple stages of osteoarthritis (OA). Increasing evidence suggests that it may play an important role in the OA pathological process. Many assessment systems using magnetic resonance imaging (MRI) and ultrasound have been established to detect synovial inflammation in OA. These have been used to inform the current investigation of OA disease phenotypes and progression and can be utilised in the future for clinical trials developing potential treatments. This narrative review aims to illustrate the importance of synovial tissue in OA and provide an overview of imaging assessments and possible therapies targeting synovial abnormalities.
... mg/ml 0.75 kDa Tableau 1.2 | Composition du LS sain (Blewis et al., 2007;Fam et al., 2007;Hui et al., 2012;Noble et al., 2010). (Tiwari et al., 2010). ...
... L'intima est une fine couche d'épaisseur environ 20-50 µm chez l'humain (Blewis et al., 2007;Smith, 2011;Tiwari et al., 2010), densément peuplée de 1 à 3 couches superposées de cellules non jointives. ...
Thesis
L’arthrose est la plus commune des maladies articulaires dans le monde. Elle induit des charges physiques, psychologiques, sociétales et économiques majeures. Selon les Nations Unies, en 2050, 315 millions de personnes souffriront d’arthrose symptomatique et 105 millions d’entre elles seront fortement handicapées par la maladie.Les symptômes cliniques et les techniques d’imagerie constituent les éléments principaux pour le diagnostic et le suivi de l’arthrose aujourd’hui. En dépit de progrès technologiques et des recherches intensives de nouveaux biomarqueurs, aucun outil ne permet de détecter précocement la maladie, de classer les patients selon le pronostic d’évolution de la maladie ou encore de quantifier l'effet des traitements. Ce manque de biomarqueurs sensibles, spécifiques et reproductibles limite les progrès thérapeutiques dans la perspective d’une médecine personnalisée.Dans les articulations synoviales, l’homéostasie est assurée par le maintien de la composition physiologique du liquide synovial, fluide visqueux et lubrifiant. Au cours du processus arthrosique, des changements de composition du liquide synovial interviennent en même temps que la dégradation des tissus articulaires.Dans ce travail, une technique mini-invasive a été mise au point pour caractériser l’état arthrosique du liquide synovial, dans le cadre du suivi de la pathologie et de l’effet de traitements, chez les animaux et les patients. Le dépôt de quelques microlitres de liquide synovial sur une lame en verre forme une goutte circulaire qui, en séchant, concentre dans un anneau périphérique les solutés, dont les caractéristiques tribologiques renseignent sur la présence d’une pathologie articulaire. La spectroscopie Raman fournit des informations précises sur la composition chimique du liquide synovial et permet de suivre les altérations biomoléculaires et structurelles des solutés de l’anneau périphérique de la goutte de liquide synovial séchée. Cette thèse aboutit à la proposition de biomarqueurs synoviaux représentatifs du processus arthrosique articulaire.
... The subintima is composed of collagenous fibers and contains macrophages, fibroblasts, adipocytes, and tissue molecules like elastin (Fig. 1C). 49 The synovium when challenged by disease responds with an increase in the intimal thickness and an influx of macrophages, fibroblasts, and blood-derived leukocytes. Damage to all of these joint structures is a feature of OA. [50][51][52][53][54] Bone comprises an external compact surface, cortical bone, and an inner porous structure, trabecular or cancellous bone. ...
Article
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Osteoarthritis (OA) is the most prevalent musculoskeletal disease in humans and domestic animals. It causes significant clinical problems and substantial health care costs. In the absence of disease-modifying medical intervention, therapy is currently restricted to palliative measures prior to surgical intervention. We review the pathogenesis, as well as conservative and emerging restorative therapeutic approaches, including cytokines, stem cells, and platelets. The various methods of platelet concentrate preparations and their reported outcomes are discussed. Data collected from the use of intra-articular platelet therapy (IAPT) in dogs are reviewed, which suggest that this approach may delay or in some cases even obviate the need for surgical intervention.
... The RA diseased synovial tissue may lose any recognizable lining structure and only be definable by its relation to a joint. The intimal lining layer is thickened and hypertrophied (called pannus), mainly due to an increase in macrophages (type A cells) influx, with a heavily infiltrated subintimal region with T and B lymphocytes, plasma cells, and macrophages, and associated with stromal edema and proliferation of blood vessels [83,84]. ...
Thesis
Full-text available
Background : Rheumatoid arthritis (RA) is a systemic chronic inflammatory disease of unknown etiology that primarily targets synovial tissues and affecting both articular and extra-articular tissues. The disease is progressive resulting in pain, stiffness and swelling of joints which can lead to significant morbidity and increased mortality due to accelerated atherosclerosis and increased cardiovascular risk. Silibinin is the major constituent of silymarin and has anti-inflammatory effect which might be related to inhibition of the transcription factor NF-κB, which regulates and coordinates the expression of various genes involved in the inflammatory process, in cytoprotection and carcinogenesis(e.g.TNFα, IL-6, IL-8, IFNγ, etc). Silibinin possesses antioxidant, anti-proliferative, antifibrotic, antiviral activities and it might have a valuable anti inflammatory and immunomodulatory functions in RA. Objective: The aim of this study is to evaluate the anti arthritic effects of silibinin-β dextrin oral dosage form on collagen-induced arthritis in experimental animal model of adjuvant-induced arthritis and to evaluate the clinical outcome of a long-term use (16 weeks) as adjuvant anti-inflammatory in Iraqi patients volunteers with active rheumatoid arthritis treated with methotrexate (MTX) in Najaf and Baghdad city. Methods and Setting: Study design and methods Part1: Animal Study Fourty-eight male Wistar rats were used (200-250 g). They were obtained from the animal house of College of Pharmacy, University of Baghdad. Zymosan (500 μg in 25 μl of sterile saline) was used to induce arthritis by intra-articular (i. a.) injection into right knee joint. The contralateral knee was injected with the same volume of the vehicle, used as control. Animals were allocated into 4 groups; the first group received silibinin dihemisuccinate; the second group received methotrexate; the third group received a mixture containing methotrexate and silibinin; the fourth group received 5% carboxy methyl cellulose (CMC), and served as control. All drugs and vehicle were orally administered 1 h prior to induction of arthritis. Knee joint swelling and Hind paw edema were measured at different time intervals to assess arthritis formation. Six hours after zymosan intra articular injection, the rats were killed and the synovial cavities were washed and total leukocytes and neutrophils counts were performed. Knee synovial tissue was removed, homogenized, centrifuged and the supernatant was filtered and stored. After that, total soluble protein content in the supernatant was estimated. Then, the cytokines IL-1β, IL-8 and TNF-α in the synovial extract were analyzed. Results Silibinin produced significant decrease in zymosan-induced edema formation in knee joints and significantly improves the anti-inflammatory activity of MTX. Moreover silibinin results in a highly significant reduction in IL-1β, IL-8, and TNF-α release in synovial extracts. Silibinin treatment significantly inhibited the increase in total leukocyte count, decreased neutrophil numbers, and reduced the formation of hind paw edema. Part 2: Clinical Study A double blind randomized placebo-controlled clinical trial with 16-weeks treatment periods was carried out within 1.4 years at Al-Sader and Baghdad-Teaching –Hospital in Najaf and Baghdad respectively. Thirty patients of both sexes with active RA using 12.5mg MTX weekly for at least 3 consecutive months were participated in this study. The patients were randomly allocated to receive either silibinin-β dextrin (120mg) twice daily after meal or a capsule prefilled with starch as placebo ( twice daily after meal). Silibinin and placebo drugs were administered as adjuvant therapy to their regularly used methotrexate (MTX) regimen. Every 4 weeks the patients were clinically observed for any unusual drug side effects like GIT upset, anaphylactic reactions, and dermatological reactions. All patients were clinically evaluated by measuring disease activity score, which is based on 28 joint counts using erythrocyte sedimentation rate (DAS28-ESR), simplified disease activity index in 28 joints using hsCRP (SDAI-CRP) and by measuring. Functional ability which is based on health assessment questionnaire disability index (HAQDI) scores at baseline and at the end of the study. Fulfilment of assessment criteria was based on changes from baseline observed at week 16, based on these standard scores for evaluation of treatment. Blood samples of both RA patients were evaluated for erythrocyte sedimentation rate (ESR), hemoglobin (Hb), white blood cells (WBC) and platelet count, high sensitive C-reactive protein (hs-CRP), creatine kinase(CK), tumor necrosis factor-alpha (TNF-α), IL-6, IL-8, IL-10, IL-2β, Anti-CCP antibody, liver function and renal function tests at baseline and at the end of the study at week 16. Results After 16 weeks of silibinin intake, erythrocyte sedimentation rate (ESR), IL-8, IL-6, TNF-α, Anti-CCP antibody, hsCRP, duration of morning stiffness, creatinine (Cr), urea, aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine kinase (CK), visual analogue scale (VAS), HAQDI, SDAI, DAS28, evaluator global assessment (EGA), SJC, TJC were reduced significantly (p<0.05), with more reduction in silibinin group compared with placebo. There were significant difference (p<0.05) between the effect of silibinin and placebo on CK, ALT, AST, Urea, Cr, Anti-CCP, IL-2, IL-10, TNF-α, IL-6, IL-8, platelets count, WBC count, Hb, duration of morning stiffness, HAQDI, DAS28, hsCRP, ESR, EGA, VAS, SJC, TJC. There were a non-significant difference (p>0.05) between the effect of silibinin and placebo on SDAI Activity and arise area of HAQDI. Moreover, silibinin significantly (p<0.05) increases Hb, WBC count, IL-10, and IL-2. Conclusions: The study concludes that silibinin is a well-tolerated drug that has anti-inflammatory effect (as evident by its ability to reduce the level of ESR, hsCRP, Anti-CCP, IL-6, IL-8 and TNF-α in active RA patient and provided clinical improvement in disease activity) in patients with active RA.
... 72-78 SHG microscopy can be used to detect altered physiological conditions in various tissues, including muscle, 79,80 bones 81,82 and cartilages. 83,84 Combined TPF-SHG microscopy provides a powerful tool for imaging both epithelium and connective tissue. In fact, TPF microscopy o®ers high-resolution imaging of NADH in living cells and of elastin within connective tissue, while SHG enables the direct imaging of collagen. ...
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The large use of nonlinear laser scanning microscopy in the past decade paved the way for potential clinical application of this imaging technique. Modern nonlinear microscopy techniques offer promising label-free solutions to improve diagnostic performances on tissues. In particular, the combination of multiple nonlinear imaging techniques in the same microscope allows integrating morphological with functional information in a morpho-functional scheme. Such approach provides a high-resolution label-free alternative to both histological and immunohistochemical examination of tissues and is becoming increasingly popular among the clinical community. Nevertheless, several technical improvements, including automatic scanning and image analysis, are required before the technique represents a standard diagnostic method. In this review paper, we highlight the capabilities of multimodal nonlinear microscopy for tissue imaging, by providing various examples on colon, arterial and skin tissues. The comparison between images acquired using multimodal nonlinear microscopy and histology shows a good agreement between the two methods. The results demonstrate that multimodal nonlinear microscopy is a powerful label-free alternative to standard histopathological methods and has the potential to find a stable place in the clinical setting in the near future.
... Moreover, the 3D optical sectioning can provide additional information on the ultrastructure of chondrocytes and the extracellular matrix proteins contained within the image stacks 11 . Owing to the ability to generate images based on the natural intrinsic fluorescence properties of tissue, MPM has been used in imaging of articular cartilage and joint synovium for potential diagnosis of inflammatory and degenerative joint diseases without the introduction of exogenous probe molecules or fixation and staining of the tissue 12,13 . ...
Article
To demonstrate the ability of multiphoton microscopy (MPM) for monitoring wound healing of elastic cartilage. In a rabbit ear model, four cartilage specimen groups at 1-day, 1-, 4-, 20-week healing time points as well as a normal elastic cartilage were examined with MPM without using labeling agents. MPM images at wound margins were obtained from specimens at different healing stages, compared with the H&E stained images. Image analysis was performed to characterize the collagen morphology for quantifying the wound healing progression of elastic cartilage. MPM provided high resolution images of elastic cartilage at varying depths. Comparisons of the images of specimens at different healing stages show obvious cell growth and matrix deposition. The results are consistent with the histological results. Moreover, quantitative analysis results show significant alteration in the collagen cavity size or collagen orientation index during wound healing of elastic cartilage, indicating the possibility to act as indicators for monitoring wound healing. Our results suggested that MPM has the ability to monitor the wound healing progression of elastic cartilage, based on the visualization of cell growth and proliferation and quantitative characterization of collagen morphology during wound healing.
Chapter
Second-harmonic generation (SHG) microscopy is a powerful microscopy technique for imaging collagen and other biological molecules using a label-free approach. SHG microscopy offers the advantages of a nonlinear imaging modality together with those ones of a coherent technique. These features make SHG microscopy the ideal tool for imaging collagen at high resolution and for characterizing its organization at various hierarchical levels. Considering that collagen organization plays a crucial role in fibrosis and in its development, it would be beneficial for the researcher working in the field of fibrosis to have a manual listing crucial points to be considered when imaging collagen using SHG microscopy. This chapter provides an answer to this demand with state-of-the-art protocols, methods, and laboratory tips related to SHG microscopy. We also discuss advantages and limitations of the use of SHG for studying fibrosis.