1992
DOI: 10.1136/ard.51.4.476
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Production of angiotensin converting enzyme by rheumatoid synovial membrane.

Abstract: Vascular proliferation and mononuclear cell infiltration are prominent changes observed in synovium from actively inflamed joints of patients with rheumatoid arthritis. Angiotensin converting enzyme (ACE) is a halide activated peptidase produced mainly by endothelial cells and by activated monocytes. It has been proposed that levels of ACE activity in synovial fluid might reflect changes in membrane vascularity, the degree of monocyte infiltration, or the thickness of the lining layer. In this study, ACE activ… Show more

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Cited by 40 publications
(25 citation statements)
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“…The current findings appear to contradict some previous reports of association between the I/I genotype and improved endurance or function. Yet the findings of other studies in older adults including those of response to exercise in wellfunctioning older adults (Kritchevsky et al 2005), of greater gains in knee extensor strength (Giaccaglia et al 2008), and of improved hand-grip strength (Yoshihara et al 2009) all associated with the ACE D/D genotype also contradict other areas of the literature in which ACE has been implicated with forms of arthritis (Veale et al 1992;Dalbeth and Haskard, 2005).…”
Section: Discussioncontrasting
confidence: 48%
“…The current findings appear to contradict some previous reports of association between the I/I genotype and improved endurance or function. Yet the findings of other studies in older adults including those of response to exercise in wellfunctioning older adults (Kritchevsky et al 2005), of greater gains in knee extensor strength (Giaccaglia et al 2008), and of improved hand-grip strength (Yoshihara et al 2009) all associated with the ACE D/D genotype also contradict other areas of the literature in which ACE has been implicated with forms of arthritis (Veale et al 1992;Dalbeth and Haskard, 2005).…”
Section: Discussioncontrasting
confidence: 48%
“…This complements the in vitro observation that angiotensin-induced proliferation and matrix component biosynthesis in fetal human mesangial cells is blocked by co-administration of an angiotensin type-1 receptor antagonist [30]. ACE is produced by endothelium and mononuclear cells of macrophage origin, and ACE activity is significantly increased in patients with inflammatory arthritis compared to subjects with noninflammatory arthritis [31]. It has been postulated that locally generated angiotensin acts on synovial angiotensin receptors to modulate synovial perfusion and growth [32].…”
Section: Discussionmentioning
confidence: 67%
“…Angiotensin converting enzyme is expressed in the synovial membranes from patients with the adult form of rheumatoid arthritis (RA), and a role for this enzyme in the pathophysiology has been suggested [27][28][29]. However, a recent study did not Wnd a signiWcant diVerence between the prevalence of ACE gene polymorphism in adults with rheumatoid arthritis (RA) and controls, and between severe and non-severe RA [30].…”
Section: Discussionmentioning
confidence: 99%