The light and electron microscopic appearance of human normal, osteoarthritic, and rheumatoid synovia has been described by various authors (14). In general, these authors have described three types of synovial lining cells which have been classified as types A, B, and C. The type A cell was described as a large phagocytic cell, the type B as a large nonphagocytic cell, and the type C as a small phagocytic cell which may represent a monocyte-derived macrophage rather than a true synovial lining cell.Although there are several studies on the surface markers of the human synovial infiltrating cells as well as of the mononuclear cells in synovial fluids of rheumatoid patients (5-9), there is little information about the types of surface receptors on human synovial lining cells. In view of the role of cell surface receptors for IgG Fc and C3 on cell-cell interactions and cell activation or inactivation (lo), we decided to examine the presence of such surface receptors on cells derived from primary cultures of human synovial membranes. Our results indicate that the majority of large cells with finger-like projections in such cultures do carry receptors for fragments of C3 and for IgG Fc and that based on histochemica1 and other criteria, these cells appear to be synovial lining cells. The possible role of such receptors in the pathogenesis of rheumatoid arthritis is presented.
MATERIALS AND METHODSSynovial tissues. Synovial tissues from 3 patients with rheumatoid arthritis, 2 patients with osteoarthritis, and 2 normal persons with traumatic arthritis provided the source for