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犬骨关节炎和关节疾病中关节组织代谢的生物标志物

Biomarkers of joint tissue metabolism in canine osteoarthritic and arthritic joint disorders.

作者信息

Hegemann N, Kohn B, Brunnberg L, Schmidt M F

机构信息

Institute of Immunology and Molecular Biology, Faculty of Veterinary Medicine, Free University of Berlin, Germany

出版信息

Osteoarthritis Cartilage. 2002 Sep;10(9):714-21. doi: 10.1053/joca.2002.0820.

DOI:10.1053/joca.2002.0820
PMID:12202124
Abstract

OBJECTIVE

To explore the levels of matrix metalloprotease-3 (MMP-3), tissue inhibitor of metalloproteases-1 (TIMP-1), 5D4 keratan sulfate, and two 3B3 chondroitin-sulfate epitopes in several canine osteoarthritic and inflammatory arthropathies.

METHODS

Blood and synovial fluid were obtained from 103 dogs with rupture of the anterior cruciate ligament (ACLR), osteochondritis dissecans (OCD), fragmented coronoid process (FPC), patella luxation (PL), hip dysplasia (HD) or infectious arthritis. Dogs with non-musculosceletal disorders were used as controls. The biomarkers were measured by immunoassays.

RESULTS

Median levels of synovial MMP-3, TIMP-1 and molar ratios of MMP/TIMP-1 were significantly higher in the arthritis than in the control group. The release of 5D4 keratan sulfate epitope and serum 3B3 neoepitope was reduced in arthritis patients. Increases in synovial TIMP-1 in OA were less pronounced and the molar ratio of MMP-3/TIMP-1 remained far below 1.0, demonstrating a surplus of the protease inhibitor. In osteoarthritic patients median levels of synovial 5D4 keratan sulfate were up-regulated after ACLR and PL and were inversely correlated with increasing duration of lameness. Serum TIMP-1 levels were significantly reduced in the joint disorder group when compared with the control group.

CONCLUSION

Our observations present the TIMP-1 serum level as a potential marker for the detection of degenerative changes in cartilage and also indicate that in canine OA, the MMP-3 mediated matrix destruction is not of major importance. However MMP-3 seems to be a sensitive marker for the local inflammation in canine arthritis.

摘要

目的

探究基质金属蛋白酶-3(MMP-3)、金属蛋白酶组织抑制剂-1(TIMP-1)、5D4硫酸角质素以及两种3B3硫酸软骨素表位在几种犬类骨关节炎和炎性关节病中的水平。

方法

从103只患有前交叉韧带断裂(ACLR)、剥脱性骨软骨炎(OCD)、冠状突骨折(FPC)、髌骨脱位(PL)、髋关节发育不良(HD)或感染性关节炎的犬只中获取血液和滑液。将患有非肌肉骨骼疾病的犬只作为对照。通过免疫测定法测量生物标志物。

结果

与对照组相比,关节炎组滑液中MMP-3、TIMP-1的中位数水平以及MMP/TIMP-1的摩尔比显著更高。关节炎患者中5D4硫酸角质素表位和血清3B3新表位的释放减少。骨关节炎(OA)中滑液TIMP-1的升高不太明显,MMP-3/TIMP-1的摩尔比仍远低于1.0,表明蛋白酶抑制剂过剩。在骨关节炎患者中,ACLR和PL后滑液5D4硫酸角质素的中位数水平上调,且与跛行持续时间的增加呈负相关。与对照组相比,关节疾病组血清TIMP-1水平显著降低。

结论

我们的观察结果表明,TIMP-1血清水平可作为检测软骨退行性变化的潜在标志物,同时也表明在犬类OA中,MMP-3介导的基质破坏并非主要因素。然而,MMP-3似乎是犬类关节炎局部炎症的敏感标志物。

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