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Jia H, Chen M, Cai Y, Luo X, Hou G, Li Y, Cai C, Chen J, Li Q, Miu KK, Fung SH, Wang Z, Huang R, Shen H, Lu L. A new and spontaneous animal model for ankylosing spondylitis is found in cynomolgus monkeys. Arthritis Res Ther 2022; 24:1. [PMID: 34980262 PMCID: PMC8722021 DOI: 10.1186/s13075-021-02679-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 11/11/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Ankylosing spondylitis is a progressive, disabling joint disease that affects millions worldwide. Given its unclear etiology, studies of ankylosing spondylitis relied heavily on drug-induced or transgenic rodent models which retain only partial clinical features. There is obviously a lack of a useful disease model to conduct comprehensive mechanistic studies. METHODS We followed a group of cynomolgus monkeys having joint lesions reported of spinal stiffness for 2 years by conducting hematological testing, radiographic examination, family aggregation analysis, pathological analysis, and genetic testing. RESULTS The results confirmed that these diseased animals suffered from spontaneous ankylosing spondylitis with clinical features recapitulating human ankylosing spondylitis disease progression, manifested by pathological changes and biochemical indicators similar to that of ankylosing spondylitis patients. CONCLUSION The study offers a promising non-human primate model for spontaneous ankylosing spondylitis which may serve as an excellent substitute for its pre-clinical research.
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Affiliation(s)
- Huanhuan Jia
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China
- Guangdong Key Laboratory of Laboratory Animals, Guangdong Laboratory Animals Monitoring Institute, Guangzhou, China
| | - Meili Chen
- Guangdong Key Laboratory of Laboratory Animals, Guangdong Laboratory Animals Monitoring Institute, Guangzhou, China
| | - Yanzhen Cai
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China
| | - Xiaoling Luo
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China
| | - Gang Hou
- Department of Orthopedics, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Yongfeng Li
- Guangzhou Blooming-Spring Biological Research Institute, Guangzhou, China
| | - Chunmei Cai
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China
| | - Jun Chen
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China
| | - Qingnan Li
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China
- Guangdong Key Laboratory of Laboratory Animals, Guangdong Laboratory Animals Monitoring Institute, Guangzhou, China
| | - Kai-Kei Miu
- Developmental and Regenerative Biology Theme, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Sin-Hang Fung
- Developmental and Regenerative Biology Theme, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Zhangting Wang
- Developmental and Regenerative Biology Theme, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Ren Huang
- Guangdong Key Laboratory of Laboratory Animals, Guangdong Laboratory Animals Monitoring Institute, Guangzhou, China
| | - Huiyong Shen
- Department of Orthopedics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, China
| | - Li Lu
- School of Life Science and Biopharmacy, Guangdong Provincial Key Laboratory of Pharmaceutical Bioactive Substances, Guangdong Pharmaceutical University, Guangzhou, China.
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Affiliation(s)
- C B Wynn Parry
- Central Medical Establishment, RAF, Kelvin House, London
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Affiliation(s)
- R M Mason
- The London Hospital, Whitechapel, London
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Bowie EA, Glasgow GL. Cauda Equina Lesions Associated with Ankylosing Spondylitis. BRITISH MEDICAL JOURNAL 2011; 2:24-7. [PMID: 20789178 DOI: 10.1136/bmj.2.5243.24] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
We reviewed 13 patients with Ankylosing Spondylitis and radiologically demonstrated peripheral arthritis. Due to seriousness and extensiveness, we could distinguish three subgroups.
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Affiliation(s)
- R B Landewe
- Department of Rheumatology, Wever Hospital Henri Dunantstraat, Heerlen, The Netherlands
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Hoppmann RA, Wise CM, Challa VR, Peacock JE. Subacute bacterial endocarditis in a patient with ankylosing spondylitis. Ann Rheum Dis 1988; 47:423-7. [PMID: 3389930 PMCID: PMC1003538 DOI: 10.1136/ard.47.5.423] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
A 57 year old white man with aortic insufficiency and previously undiagnosed ankylosing spondylitis, who developed subacute bacterial endocarditis (SBE), is described. Emergency aortic valve replacement was necessary, and the aortic valve pathology showed diffusely fibrosed and thickened valve leaflets with bacterial vegetations. This is the first recorded case of SBE in ankylosing spondylitis.
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Affiliation(s)
- R A Hoppmann
- Department of Medicine, Bowman Gray School of Medicine, Wake Forest University, NC
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Neumann V. Biochemical aspects of infection in rheumatoid arthritis and ankylosing spondylitis. BAILLIERE'S CLINICAL RHEUMATOLOGY 1988; 2:259-69. [PMID: 3046758 DOI: 10.1016/s0950-3579(88)80012-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Abstract
Criteria for ankylosing spondylitis are useful for two main purposes. First, to provide unity of diagnosis in population surveys; secondly, in the field of therapeutic assessment. This paper is concerned with criteria used largely in the former role, i.e. as an epidemiological tool. Critical formulation and subsequent evaluation of criteria is important if a realistic measure of disease prevalence is to be obtained. The New York criteria have provided the general currency for diagnosis epidemiologically in recent years, but their value, in their originally published form, has been questioned for various reasons. Attempts have been made to improve these criteria or to suggest alternatives. Although increased sophistication of the original New York criteria has doubtless been achieved, the position regarding the diagnosis of ankylosing spondylitis continues to represent a challenge. The main concern is that the present "index of truth" for the disease, radiological sacroiliitis, is all too often a delayed feature, presenting only after pain has been present for some time. A second problem is the difficulty in diagnosing with confidence the early changes of sacroiliac sclerosis and erosion, and the degree of intra- and inter-observer error arising from these changes. Newer techniques such as radioisotope scintigraphy and computerised tomography (CT) are unlikely to replace the traditional pelvic radiograph. The way forward is more likely to be in the direction of how existing data are processed rather than what is used to obtain them. In this vein, suitable mathematical/biological models coupled with computer technology could provide realistic tools through a system of probability weighting of existing criteria.
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Affiliation(s)
- J M Moll
- Sheffield Centre for Rheumatic Diseases, Nether Edge Hospital, UK
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Beckingsale AB, Davies J, Gibson JM, Rosenthal AR. Acute anterior uveitis, ankylosing spondylitis, back pain, and HLA-B27. Br J Ophthalmol 1984; 68:741-5. [PMID: 6236842 PMCID: PMC1040457 DOI: 10.1136/bjo.68.10.741] [Citation(s) in RCA: 37] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
One hundred and sixty-nine patients with acute anterior uveitis were studied for the presence of HLA-B27 tissue type, radiological evidence of ankylosing spondylitis, and a history of back pain. 60% were male; 45% were HLA-B27+. The male:female ratio in the HLA-B27+ group was the same as in the whole group. 24% had radiological evidence of ankylosing spondylitis, and, of these, 83% were HLA-B27+ while 17% were HLA-B27-. There was a definite correlation between the severity of the ankylosing spondylitis and preponderance of males in the HLA-B27+ group of patients. Significant back pain occurred in 60% of HLA-B27+ patients but in only 14% of HLA-B27- patients. The importance of the selection of patients and of consistency in the use of diagnostic criteria in studies relating to ankylosing spondylitis and acute anterior uveitis is stressed.
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Pelkonen P, Byring R, Pesonen E, Leijala M, Haapasaari J. Rapidly progressive aortic incompetence in juvenile ankylosing spondylitis: a case report. ARTHRITIS AND RHEUMATISM 1984; 27:698-700. [PMID: 6233987 DOI: 10.1002/art.1780270615] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Carette S, Graham D, Little H, Rubenstein J, Rosen P. The natural disease course of ankylosing spondylitis. ARTHRITIS AND RHEUMATISM 1983; 26:186-90. [PMID: 6600615 DOI: 10.1002/art.1780260210] [Citation(s) in RCA: 179] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
One hundred fifty war veterans with ankylosing spondylitis were entered into a prospective study in 1947. In 1957, 142 were traced, and they have been reviewed periodically. Eighty-one of these patients were still alive in 1980. Information was obtained from 67 (83%) of the survivors and 51 were reexamined. This report is based on the clinical findings in these 51 patients, who have a mean disease duration of 38 years. Forty-seven (92%) were functioning well. The disease in 21 (41%) had progressed to cause severe spinal restriction. Of those, 12 had peripheral joint involvement early in their course and 9 had iritis. Seventy-four percent of the patients who had mild spinal restriction after 10 years did not progress to having more severe restriction. Eighty-one percent of the patients who had severe spinal restriction in 1980 were severely restricted within the first 10 years. Hips that were normal after 10 years of disease did not become diseased subsequently. This study suggests that a predictable pattern of ankylosing spondylitis emerges within the first 10 years of the disease.
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Abstract
Seventy-six patients treated for ankylosing spondylitis at the Rheumatism Foundation Hospital during the 1950s were re-examined. The mean duration of the disease was 30.5 years. The main interest was in the clinical and radiological progression of the disease, functional and working ability and the number of complications and their severity. The results seem to show that the long-term prognosis for AS is good, on average. A detailed description of the results is presented.
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García-Morteo O, Maldonado-Cocco JA, Suárez-Almazor ME, Garay E. Ankylosing spondylitis of juvenile onset: comparison with adult onset disease. Scand J Rheumatol 1983; 12:246-8. [PMID: 6623013 DOI: 10.3109/03009748309098542] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Although less frequently, ankylosing spondylitis (AS) may also occur during childhood. The present report describes the clinical features in 24 patients with AS of juvenile onset and its comparison with those found in 71 patients with adult onset AS. A slightly increased prevalence of female patients was found in the juvenile onset group. Peripheral joint involvement as a mono- or oligoarticular arthritis was significantly more frequent in juvenile onset patients, not only as a mode of onset but also during the course of the disease. 5.4 years after onset all these patients had developed axial involvement. Extra-articular manifestations occurred with similar frequency in juvenile and adult onset patients. One juvenile patient had associated multiple sclerosis; one juvenile and one adult onset patient developed amyloidosis. Impairment of functional capacity was more severe in the juvenile onset group; hip joint involvement was closely related to a poorer prognosis.
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Rosenberg AM, Petty RE. A syndrome of seronegative enthesopathy and arthropathy in children. ARTHRITIS AND RHEUMATISM 1982; 25:1041-7. [PMID: 7126288 DOI: 10.1002/art.1780250902] [Citation(s) in RCA: 138] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Thirty-nine children with a syndrome of seronegative enthesopathy and arthropathy were evaluated. The group included 25 patients with no apparent underlying primary disease and 13 with either ankylosing spondylitis, inflammatory bowel disease, reactive arthritis, or Reiter's syndrome. Significant distinguishing characteristics of the group included male predominance, late age at onset, positive family histories of arthritis, oligoarthropathy, axial skeleton involvement, and the presence of the B27 histocompatibility antigen. This syndrome is distinguishable from other childhood rheumatic disorders, including juvenile rheumatoid arthritis. Its recognition may reliably identify children with the prodromal manifestations of seronegative spondylarthropathies.
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Eastmond CJ, Willshaw HE, Burgess SE, Shinebaum R, Cooke EM, Wright V. Frequency of faecal Klebsiella aerogenes in patients with ankylosing spondylitis and controls with respect to individual features of the disease. Ann Rheum Dis 1980; 39:118-23. [PMID: 6992718 PMCID: PMC1000493 DOI: 10.1136/ard.39.2.118] [Citation(s) in RCA: 62] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
A study of 59 patients with definite ankylosing spondylitis and 41 comparable hospital outpatients with fractures has been undertaken to determine if the presence of faecal Klebsiella aerogenes is related to clinical activity of the spinal disease and its extraspinal features. The frequencies of fecal K. aerogenes were similar in both patients and controls and were not significantly related to spinal disease activity. Careful inquiry about antibiotic treatment, dietary habits, and hospitalisation did not significantly influence the results. A significant association was found between the presence of faecal K. aerogenes and both acute non-granulomatous anterior uveitis (P less than 0.01) and peripheral synovitis in HLA B27 positive patients (P less than 0.05). These results suggest that K. aerogenes may have an aetiological role in the development of non-granulomatous anterior uveitis and peripheral arthritis in patients with ankylosing spondylitis but do not lend support to this organism having such a role in the spinal disease itself.
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Spencer DG, Sturrock RD, Buchanan WW. Ankylosing spondylitis: yesterday and today. MEDICAL HISTORY 1980; 24:60-69. [PMID: 6990121 PMCID: PMC1082619 DOI: 10.1017/s0025727300039788] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
MESH Headings
- Animals
- HLA Antigens
- History, 15th Century
- History, 16th Century
- History, 17th Century
- History, 18th Century
- History, 19th Century
- History, 20th Century
- History, Ancient
- History, Medieval
- Humans
- Spondylitis, Ankylosing/history
- Spondylitis, Ankylosing/immunology
- Spondylitis, Ankylosing/veterinary
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Abstract
Pain threshold was measured in 106 patients with rheumatoid arthritis, 50 with ankylosing spondylitis, and 50 normal controls using Keele's algometer. In rheumatoid arthritis patients with a low pain threshold had more severe pain for a greater part of the day and required more tablets for pain relief. In ankylosing spondylitis the pain threshold was higher and was not related to pain or analgesic requirements. There was no evidence that pain threshold affected the course or outcome of rheumatoid arthritis in any way.
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Mobility of chest. BRITISH MEDICAL JOURNAL 1972; 3:308-9. [PMID: 5046505 PMCID: PMC1785550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Ladd JR, Cassidy JT, Martel W. Juvenile ankylosing spondylitis. ARTHRITIS AND RHEUMATISM 1971; 14:579-90. [PMID: 5315295 DOI: 10.1002/art.1780140505] [Citation(s) in RCA: 62] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Huskisson EC, Hart FD. Ankylosing spondylitis and rheumatoid arthritis. Proc R Soc Med 1970; 63:620. [PMID: 5453463 PMCID: PMC1811555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Wynn Parry CB. Some problems in rehabilitation in the services. Management of ankylosing spondylitis. Proc R Soc Med 1966; 59:619-23. [PMID: 5939510 PMCID: PMC1901010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Hart FD. Lessons learnt in a twenty-year study of ankylosing spondylitis. Proc R Soc Med 1966; 59:456-8. [PMID: 5933137 PMCID: PMC1900898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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DREW JF. TRAUMA AND ANKYLOSING SPONDYLITIS. Med J Aust 1960; 47(2):852-4. [PMID: 13724372 DOI: 10.5694/j.1326-5377.1960.tb23833.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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TRAVIS DM, COOK CD, JULIAN DG, CRUMP CH, HELLIESEN P, ROBIN ED, BAYLES TB, BURWELL CS. The lungs in rheumatoid spondylitis. Gas exchange and lung mechanics in a form of restrictive pulmonary disease. Am J Med 1960; 29:623-32. [PMID: 13777935 DOI: 10.1016/0002-9343(60)90095-4] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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ANKYLOSING spondylitis and urogenital infection. BRITISH MEDICAL JOURNAL 1960; 1:865-6. [PMID: 13856816 PMCID: PMC1967081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/24/2023]
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MASON RM, MURRAY RS, OATES JK, YOUNG AC. Prostatitis and Ankylosing Spondylitis. BRITISH MEDICAL JOURNAL 1958; 1:748-51. [PMID: 13510788 PMCID: PMC2028198 DOI: 10.1136/bmj.1.5073.748] [Citation(s) in RCA: 86] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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