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. 2016 Aug 19:17:352.
doi: 10.1186/s12891-016-1220-7.

The effects of dopamine receptor 2 expression on B cells on bone metabolism and TNF-α levels in rheumatoid arthritis

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The effects of dopamine receptor 2 expression on B cells on bone metabolism and TNF-α levels in rheumatoid arthritis

Lei Wei et al. BMC Musculoskelet Disord. .

Abstract

Background: Dopamine receptor 2 (DR2) expressions on B cells from Rheumatoid arthritis (RA) patients has been found to be negatively correlated with disease activity and can potentially predict the response to treatment. This study aimed to investigate the role of B cell DR2 expression on bone remodeling in RA.

Methods: Patients with RA (n = 14) or osteoarthritis (OA; n = 12), and healthy controls (n = 12) were recruited for this study. Dopamine receptor (DR) 2 expression was assessed using flow cytometry. Pro-inflammatory cytokines, including interleuin(IL)-1β, IL-6, IL-17, and tumor necrosis factor(TNF)-α, and bone turnovers, including osteocalcin (OC),serum procollagen type I N propeptide (PINP), C-terminal telopeptide of type I collagen (β-CTX), collagen type I cross-linked telopeptide (ICTP), as well as matrix metalloproteinase-3 (MMP-3) and osteoprotegerin (OPG) were measured by electrochemiluminescence, chemiluminescence, or enzyme-linked immunosorbent assay. DR2 expression on synovial B cells from 4 RA patients and 3 OA patients was detected by immunofluorescence.

Results: There were more DR2(+)CD19(+) B cells in synovial tissues from RA patients than in those from OA patients. The frequency of peripheral B cells that expressed DR2 was positively correlated with plasma TNF-α level. Levels of ICTP and MMP-3 were significantly higher, and OPG were lower in RA patients compared to those in the OA group and healthy controls (all P < 0.05).

Conclusion: The frequency of B cells that expressed DR2 showed a correlation with levels of the pro-inflammatory cytokine TNF-α. DR2(+)CD19(+) B cells in synovial tissues might have a role in bone metabolism and TNF-α production.

Keywords: B cells; Bone metabolism; Dopamine receptor; Rheumatoid arthritis.

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Figures

Fig. 1
Fig. 1
Representative FACS plots of DR2-expressing cells in patients with RA, OA and healthy controls
Fig. 2
Fig. 2
Spearman correlation analysis of DR2 expression and TNF-α level in RA patients
Fig. 3
Fig. 3
In-situ immunofluorescence stainings of B cell DR2 expressions in the synovial tissues. a and b Representative images of DR2 expression on B cells from RA (N = 4) and OA (N = 3) patients are shown. Sections were counterstained with DAPI (blue) to allow visualization on nuclei; magnification, 400×. DR2-positive cells are marked by an arrowhead

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