The proliferation of rabbit synovial cells, 3T3 cells, or simian virus-transformed 3T3 cells in cell culture was inhibited by the addition of hyaluronate to the culture medium. This effect was markedly dependent on the molecular weight and concentration of the hyaluronate. At the molecular weight and concentration of hyaluronate present in normal synovial fluid, proliferation was inhibited. At lower molecular weights or concentrations, as found in rheumatoid synovial fluid, hyaluronate was significantly less inhibitory. Thus, the changes in synovial fluid hyaluronate that are associated with arthropathies may contribute to a favorable environment for rheumatoid pannus expansion.The viscosity of synovial fluid from the rheumatoid joint is usually considerably less than that of normal synovial fluid, because of a decrease either in the degree of polymerization or in the concentration of hyaluronate (HA) in rheumatoid synovial fluid (1-4). A recent study suggests that the more important of these 2 factors is the decreased concentration of HA (4). Synovial cells, which are normally quiescent, are in constant contact with the HA of synovial fluid. In rheumatoid arthritis, these cells proliferate and con- In this study, we examined the effect of HA on proliferation of synovial and other cells in culture and found it to be inhibitory. However, our results indicate that the effect of HA on cell proliferation is markedly dependent on both the molecular weight and the concentration of HA in the cell culture medium. High molecular weight HA at high concentrations, as found in normal synovial fluid, is a potent inhibitor of cell division, whereas at lower molecular weights or at lower concentrations, as found in rheumatoid synovial fluid, it is less inhibitory and, in some cases, is even stimulatory . Therefore, alterations in either the concentration or the degree of polymerization of the HA of synovial fluid may contribute to the pathophysiology of rheumatoid arthritis by facilitating proliferation of the pannus.
MATERIALS AND METHODSCells and culture procedures. Rabbit synovial fibroblast lines were obtained from Dr. C. Biswas (Tufts University School of Medicine, Boston, MA). These cells had been passaged in culture for approximately 2 years and had retained a constant morphology and the ability to produce large amounts of hyaluronate. The simian virus 40-transformed 3T3 (SV-3T3) and 3T3 cell lines were those used previously (5). All cells were maintained in Dulbecco's modified Eagle's medium (Gibco, Grand Island, NY) containing 10% fetal calf serum (Gibco), 100 units of penicillin per ml, 100 pg of streptomycin per ml, and 2.5 p g of fungizone per ml. The cells were grown and maintained in