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Annals of Clinical Biochemistry

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Ann Clin Biochem 2008;45:413-417
doi:10.1258/acb.2007.007205
© 2008 Association for Clinical Biochemistry

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Original Articles

Detection of citrullinated proteins in synovial fluids derived from patients with rheumatoid arthritis by proteomics-based analysis

Yoko Tabushi1, Toyofumi Nakanishi1, Tohru Takeuchi2, Mikio Nakajima3, Kazuhito Ueda4, Takuya Kotani2, Shigeki Makino2, Akira Shimizu1, Toshiaki Hanafusa2 and Takayuki Takubo1


1 Department of Clinical Pathology; 2 First Department of Internal Medicine; 3 Department of Orthopedic Surgery; 4 Central Clinical Laboratory, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki-city, Osaka, 569-8686, Japan


Corresponding author: Dr Tohru Takeuchi. Email: t-takeuchi{at}poh.osaka-med.ac.jp


Background: Rheumatoid arthritis (RA) is the most common inflammatory joint disease. The aetiology of RA remains unknown, but autoimmune responses are considered to play an important role in the disease pathophysiology. Currently available data suggests that the process of diagnosing RA may benefit from testing for anticyclic citrullinated peptides. Identification of the presence of citrullinated proteins in rheumatoid synovial fluids is important for the elucidation of the aetiology of RA as well as in the differential diagnosis of rheumatic-related diseases.

Methods: A proteomics-based approach using electrophoresis/mass spectrometry was applied to identify the citrullinated proteins in synovial fluids from patients with RA. Synovial fluids from patients with RA were subjected to sodium dodecyl sulfate–polyacrylamide gel electrophoresis and Western blot analysis to detect the citrullinated proteins. Identification bands were then subjected to mass spectrometry.

Results: Three proteins – citrullinated fibrinogen, citrullinated fibronectin and citrullinated vimentin – in synovial fluids from RA patients were identified by matrix-assisted laser desorption ionization time-of-flight mass spectrometry.

Conclusions: Proteomics-based analysis can be used to detect citrullinated proteins in synovial fluids from RA patients.


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