Genes significantly down-regulated in OA synovial fibroblasts during low to high serum transition and not included in classical GO classifiers included tumour suppressor and pro-apoptotic genes PTEN, SLIT3, TRERF1 (TReP-132), SHOX, SH3D19, ubr5 and EDD; genes with roles in cytoskeletal rearrangement supervillin, paxillin, and genes involved in ubiquitination and signalling included PIAS1, crebbp and the IGFBP family of genes. The gene discussed is TRERF1; the disease is neoplasm.