10
|
Chora I, Romano E, Manetti M, Mazzotta C, Costa R, Machado V, Cortez A, Bruni C, Lepri G, Guiducci S, De Paulis A, Soares R, Matucci-Cerinic M. Evidence for a Derangement of the Microvascular System in Patients with a Very Early Diagnosis of Systemic Sclerosis. J Rheumatol 2017; 44:1190-1197. [PMID: 28507177 DOI: 10.3899/jrheum.160791] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2017] [Indexed: 01/03/2023]
Abstract
OBJECTIVE To investigate whether patients with a very early diagnosis of systemic sclerosis (VEDOSS) may already present circulating markers and in vitro signs of microvascular dysfunction. METHODS Serum samples were obtained from 55 patients with systemic sclerosis (SSc), 25 patients with VEDOSS, and 55 matched healthy controls (HC). Serum levels of pan-vascular endothelial growth factor (VEGF) and soluble neuropilin-1 (sNRP-1) were measured by ELISA. Human dermal microvascular endothelial cells (H-MVEC) were cultured and stimulated with SSc, VEDOSS, and HC sera. Protein expression of NRP-1 was analyzed by Western blotting, cell proliferation by 5'-bromodeoxyuridine assay, migration capacity by wound-healing assay, and capillary-like tube formation by Matrigel assay. RESULTS Serum levels of pan-VEGF were increased in patients with VEDOSS and SSc versus HC (p = 0.05 and p = 0.003, respectively). Serum levels of sNRP-1 were significantly reduced in patients with VEDOSS and SSc compared with controls (p = 0.012 and p = 0.027, respectively). NRP-1 expression was decreased in H-MVEC stimulated with VEDOSS sera (p < 0.001 vs HC). Proliferation was reduced in H-MVEC stimulated either with VEDOSS or SSc sera in comparison with HC sera (p = 0.015 and p = 0.043, respectively). Wound healing was compromised in H-MVEC stimulated with VEDOSS and SSc sera versus HC sera (p < 0.01 for both). Capillarogenesis was decreased in H-MVEC stimulated with VEDOSS sera (p < 0.01) and SSc sera (p < 0.001) compared with cells stimulated with HC sera. CONCLUSION Similar to patients with SSc, patients with VEDOSS already present biological signs of endothelial dysfunction. Our data demonstrate that VEDOSS sera significantly modify endothelial cell behavior and impair the angiogenic potential of the microvascular system.
Collapse
Affiliation(s)
- Inês Chora
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy. .,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence.
| | - Eloisa Romano
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Mirko Manetti
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Celestina Mazzotta
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Raquel Costa
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Vera Machado
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Alice Cortez
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Cosimo Bruni
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Gemma Lepri
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Serena Guiducci
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Amato De Paulis
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Raquel Soares
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| | - Marco Matucci-Cerinic
- From the Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro; I3S, Instituto de Investigação e Inovação em Saúde, University of Porto; Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; Nobre Laboratory, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Experimental and Clinical Medicine, Division of Rheumatology, Azienda Ospedaliero-Universitaria Careggi (AOUC), University of Florence; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence; Department of Translational Medical Sciences, Centre for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.,I. Chora, MD, Department of Internal Medicine, São João Hospital Center, Al Prof Hernâni Monteiro, and I3S, University of Porto; E. Romano, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; M. Manetti, PhD, Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence; C. Mazzotta, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; R. Costa, MSc, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; V. Machado, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; A. Cortez, MSc, Nobre Laboratory, Faculty of Medicine, University of Porto; C. Bruni, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; G. Lepri, MD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; S. Guiducci, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence; A. De Paulis, MD, Department of Translational Medical Sciences, CISI, University of Naples Federico II; R. Soares, PhD, I3S, University of Porto, and Departamento de Biomedicina, Unidade de Bioquímica, Faculty of Medicine, University of Porto; M. Matucci-Cerinic, MD, PhD, Department of Experimental and Clinical Medicine, Division of Rheumatology, AOUC, University of Florence
| |
Collapse
|