Inflammatory arthritis such as rheumatoid arthritis (RA) and psoriatic arthritis (PsA) are characterized by synovial inflammation of joints, potentially leading to joint destruction and functional disability. Inflamed joints have lower oxygen levels. Studying how oxygen level within the joint affect inflammation may lead to new treatments for patients with arthritis. Anti-inflammatory corticosteroid injection into the joint is well tolerated and widely used in clinical practice but its effects on oxygen level within joints is unknown. Therefore, patients who require corticosteroid injection into the joint as routine clinical care will have biological samples collected before and after the injection. This will give new information to put into context the biological effects within the joint, and accelerate development of new treatment approaches in the future.
Study Type
OBSERVATIONAL
Enrollment
10
Nuffield Orthopaedic Centre
Oxford, Oxfordshire, United Kingdom
Effects of intra-articular corticosteroid injection on joint oxygen tension in patients with rheumatoid and psoriatic arthritis
Change from Baseline Synovial fluid partial pressure of oxygen at Day 28
Time frame: Day 28
Effects of intra-articular corticosteroid injection on joint hypoxia in patients with rheumatoid and psoriatic arthritis
Hypoxia-inducible factor 1α (HIF-1α) protein levels in synovial tissues
Time frame: Day 1 and 28
Effects of intra-articular corticosteroid injection on synovial fibroblast protein expression
Change from baseline protein expression levels in synovial fibroblasts at Day 28
Time frame: Day 28
Effects of intra-articular corticosteroid injection on patient satisfaction
Treatment Satisfaction Questionnaire (TSQM)©
Time frame: Day 28
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