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关节镜评估与受累跗关节骨软骨病马血液和滑液中 Coll2-1、Coll2-1NO(2) 和髓过氧化物酶水平的关系。

Relationship between arthroscopic joint evaluation and the levels of Coll2-1, Coll2-1NO(2), and myeloperoxidase in the blood and synovial fluid of horses affected with osteochondrosis of the tarsocrural joint.

机构信息

Department of Companion Animals and Equids, Faculty of Veterinary Medicine of Liege, Sart-Tilman B41, B-4000 Liege, Belgium.

出版信息

Osteoarthritis Cartilage. 2011 Nov;19(11):1323-9. doi: 10.1016/j.joca.2011.08.002. Epub 2011 Aug 16.

DOI:10.1016/j.joca.2011.08.002
PMID:21884810
Abstract

OBJECTIVE

To evaluate the levels of plasmatic and synovial Coll2-1, Coll2-1NO(2) and myeloperoxidase (MPO) in horses with osteochondral lesions of the tarsocrural joint and to investigate how these levels relate to arthroscopic findings of inflammation and degeneration.

MATERIALS AND METHODS

Venous blood and synovial fluid samples were collected from 63 horses presented for arthroscopic removal of osteochondral fragments in the tarsocrural joint. Prior to removal of the osteochondral fragment, an exploration of the joint was performed and an inflammatory and degenerative score was determined. The blood and synovial levels of Coll2-1, Coll2-1NO(2) and MPO were also measured. The effects of the arthroscopic evaluation (inflammatory and degenerative classes) on the blood and synovial markers were evaluated using a linear model (GLM procedure), and correlations between biochemical markers in the blood and synovial fluid and the arthroscopic evaluation (inflammatory and degenerative classes) were established (Pearson's correlations).

RESULTS

Significantly higher levels of Coll2-1 were detected in synovial fluid of higher degenerative classes. There was a significant correlation between the degenerative score and the synovial levels of Coll2-1 (r=0.27). According to the logistic regression model, there was a significant effect of the degenerative class on synovial levels of Coll2-1.

CONCLUSIONS

Coll2-1 correlates well with the degenerative state of tarsocrural joints as evaluated by arthroscopy. This marker can therefore be classified as a burden-of-disease marker in the assessment of joint disease in horses.

摘要

目的

评估跗关节骨软骨病变马的血浆和滑膜 Coll2-1、Coll2-1NO(2) 和髓过氧化物酶 (MPO) 水平,并研究这些水平与关节镜检查发现的炎症和变性的关系。

材料和方法

从 63 匹因跗关节关节镜下切除骨软骨碎片而就诊的马中采集静脉血和滑膜液样本。在切除骨软骨碎片之前,对关节进行探查,并确定炎症和变性评分。还测量了血液和滑膜中 Coll2-1、Coll2-1NO(2) 和 MPO 的水平。使用线性模型 (GLM 过程) 评估关节镜评估 (炎症和变性等级) 对血液和滑膜标志物的影响,并建立血液和滑膜生化标志物与关节镜评估 (炎症和变性等级) 之间的相关性 (Pearson 相关性)。

结果

在退行性等级较高的滑膜液中检测到明显较高水平的 Coll2-1。退行性评分与滑膜 Coll2-1 水平之间存在显著相关性 (r=0.27)。根据逻辑回归模型,退行性等级对滑膜 Coll2-1 水平有显著影响。

结论

Coll2-1 与关节镜评估的跗关节退行性状态密切相关。因此,该标志物可作为评估马关节疾病的疾病负担标志物进行分类。

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