Synovial fluid omentin-1 levels are inversely correlated with radiographic severity of knee osteoarthritis.

OBJECTIVE

The purpose of this study was to demonstrate omentin-1 levels in serum and synovial fluid (SF) of patients with knee osteoarthritis (OA) and to investigate their correlation with radiographic disease severity.

METHODS

One hundred and ninety-seven patients with OA and 65 sex- and age-matched healthy controls were enrolled in this study. The radiographic disease severity of OA was assessed by the Kellgren- Lawrence (KL) grading system. The omentin-1 levels in serum and SF were determined by enzyme-linked immunosorbent assay.

RESULTS

There were no significant differences in serum omentin-1 levels between patients with OA and healthy controls (P>0.05). There were also no significant differences in serum omentin-1 levels among patients with OA with different KL grades (P>0.05). However, SF omentin-1 levels decreased significantly as the KL grades increased (KL grade 4 < KL grade 3 < KL grade 2; all P<0.01) in the patients with OA. Furthermore, SF omentin-1 levels were negatively correlated with KL grades (r=-0.643; P<0.001). Multinomial logistic regression analysis revealed that there was still a negative correlation between the SF omentin-1 levels and the KL grades after adjusting for confounding factors (P<0.001).

CONCLUSIONS

Synovial fluid omentin-1 levels showed an independent and negative correlation with radiographic severity of the disease in patients with knee OA. Omentin-1 in SF might serve as a potential biomarker for reflecting the degenerative process of primary knee OA.