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关节疾病滑液分析的诊断和预后价值。

The Diagnostic and Prognostic Value of Synovial Fluid Analysis in Joint Diseases.

机构信息

Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.

出版信息

Methods Mol Biol. 2023;2695:295-308. doi: 10.1007/978-1-0716-3346-5_20.

DOI:10.1007/978-1-0716-3346-5_20
PMID:37450127
Abstract

Liquid biopsy is an emergent test method for the diagnosis and prognosis in the clinic. Joint fluid, also known as synovial fluid, contains a variety of bioactive constituents that can be selectively detected and further evaluated in a convenient fashion. Therefore, synovial fluid analysis functions as a specific form of liquid biopsy and plays a vital role in numerous joint diseases. In spite of the component analysis of aspirated synovial fluid beingconsidered as the gold standard for diagnosis of joint infections, biopsy of joint fluid benefits the initial diagnosis and long-term prognosis of degenerative, inflammatory, autoimmune, traumatic, congenital, and even neoplastic joint diseases. The convenience and accuracy for disease evaluation are significantly elevated as a result of the combination of synovial fluid analysis and other novel clinical technologies. In this review, we shed light on the latent role of synovial fluid in the diagnosis and prognosis of articular diseases and proposed future prospects for relevant research in this field.

摘要

液体活检是临床诊断和预后的一种新兴检测方法。关节液,也称为滑液,含有多种生物活性成分,可以以方便的方式进行选择性检测和进一步评估。因此,滑膜液分析作为一种特殊形式的液体活检,在许多关节疾病中发挥着重要作用。尽管关节液抽吸的成分分析被认为是关节感染诊断的金标准,但关节液活检有利于退行性、炎症性、自身免疫性、外伤性、先天性,甚至肿瘤性关节疾病的初步诊断和长期预后。由于滑膜液分析与其他新型临床技术的结合,疾病评估的便利性和准确性显著提高。在这篇综述中,我们探讨了关节液在关节疾病诊断和预后中的潜在作用,并对该领域的相关研究提出了未来展望。

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本文引用的文献

1
Proteomics Profiling of Human Synovial Fluid Suggests Increased Protein Interplay in Early-Osteoarthritis (OA) That Is Lost in Late-Stage OA.人类滑液的蛋白质组学分析表明,在早期骨关节炎(OA)中,蛋白质相互作用增加,而在晚期 OA 中则丢失。
Mol Cell Proteomics. 2022 Mar;21(3):100200. doi: 10.1016/j.mcpro.2022.100200. Epub 2022 Jan 21.
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Liquid biopsy: the value of different bodily fluids.液体活检:不同体液的价值。
Biomark Med. 2022 Feb;16(2):127-145. doi: 10.2217/bmm-2021-0370. Epub 2022 Jan 25.
3
Changes in the Synovial Fluid Cytokine Profile of the Knee Between an Acute Anterior Cruciate Ligament Injury and Surgical Reconstruction.
膝关节前交叉韧带急性损伤与手术重建之间滑液细胞因子谱的变化。
Am J Sports Med. 2022 Feb;50(2):451-460. doi: 10.1177/03635465211062264. Epub 2022 Jan 20.
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Immune cell profiles in synovial fluid after anterior cruciate ligament and meniscus injuries.前交叉韧带和半月板损伤后滑液中的免疫细胞谱。
Arthritis Res Ther. 2021 Nov 4;23(1):280. doi: 10.1186/s13075-021-02661-1.
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The Diagnostic Value of Synovial Fluid Lymphocytes in Gout Patients.滑液中淋巴细胞对痛风患者的诊断价值。
Dis Markers. 2021 Sep 15;2021:4385611. doi: 10.1155/2021/4385611. eCollection 2021.
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Extensive cytokine analysis in synovial fluid of osteoarthritis patients.骨关节炎患者滑液中细胞因子的广泛分析。
Cytokine. 2021 Jul;143:155546. doi: 10.1016/j.cyto.2021.155546. Epub 2021 Apr 22.
7
Synovial fluid presepsin as a novel biomarker for the rapid differential diagnosis of native joint septic arthritis from crystal arthritis.滑膜液前降钙素作为一种新型生物标志物用于从晶体性关节炎中快速鉴别诊断原发性关节化脓性关节炎。
Int J Infect Dis. 2021 Jan;102:472-477. doi: 10.1016/j.ijid.2020.10.030. Epub 2020 Dec 2.
8
Synovial fluid peptidase activity as a biomarker for knee osteoarthritis clinical progression.滑液肽酶活性作为膝关节骨关节炎临床进展的生物标志物
Bone Joint Res. 2020 Nov;9(11):789-797. doi: 10.1302/2046-3758.911.BJR-2020-0022.R2.
9
One year in review 2020: gout.2020 年回顾:痛风。
Clin Exp Rheumatol. 2020 Sep-Oct;38(5):807-821. Epub 2020 Oct 2.
10
Mesenchymal Stem Cells in Synovial Fluid Increase in Knees with Degenerative Meniscus Injury after Arthroscopic Procedures through the Endogenous Effects of CGRP and HGF.滑液中的间充质干细胞通过 CGRP 和 HGF 的内源性作用在关节镜手术后半月板退行性损伤的膝关节中增加。
Stem Cell Rev Rep. 2020 Dec;16(6):1305-1315. doi: 10.1007/s12015-020-10047-0. Epub 2020 Sep 30.