阿格里坎
骨关节炎
II型胶原
滑液
软骨
硫酸可拉坦
表位
医学
软骨寡聚基质蛋白
N-末端末端肽
内科学
内分泌学
病理
蛋白多糖
化学
免疫学
抗体
解剖
关节软骨
生物化学
碱性磷酸酶
酶
替代医学
骨钙素
作者
John R. Matyas,Lynne Atley,Mirela Ionescu,David R. Eyre,A. Robin Poole
摘要
Abstract Objective To study 3 body fluids for changes in the levels of 5 biomarkers of cartilage metabolism during the early phases of experimental osteoarthritis (OA). Methods Twenty skeletally mature mixed‐breed canines underwent unilateral surgical transection of the anterior cruciate ligament. Samples of joint fluid, serum, and urine were obtained preoperatively and just before necropsy (3 weeks or 12 weeks postoperatively). Biomarkers included 2 markers of cartilage matrix synthesis/turnover (aggrecan 846 epitope and C‐propeptide of type II collagen) and 3 markers of cartilage degradation (keratan sulfate proteoglycan epitope, the collagenase‐generated cleavage epitope of type II collagen [Col2‐3/4C long mono , or CIIC], and crosslinked peptides from the C‐telopeptide domain of type II collagen [Col2CTx]). Significant changes in the levels of these biomarkers were determined by paired analyses. Results Joint pathology was more severe in the 12‐week group compared with the 3‐week group. In joint fluid, due to limited volume, only Col2‐3/4C long mono and Col2CTx were measured. Significant elevations in the levels of both of these markers were observed in experimental joints in both the 3‐week group and the 12‐week group. In serum, the level of aggrecan 846 epitope was elevated at both 3 weeks and 12 weeks, the level of Col2‐3/4C long mono was elevated at 12 weeks, and the level of Col2CTx was elevated at both 3 weeks and 12 weeks. In urine, the level of Col2‐3/4C long mono was elevated at 12 weeks after surgery. Conclusion Levels of biomarkers of intact aggrecan proteoglycan (aggrecan 846 epitope) and type II collagen degradation (Col2‐3/4C long mono and Col2CTx) were elevated early after unilateral stifle joint injury, suggesting that these markers are sensitive and specific for early cartilage changes associated with isolated joint injury in this established model of experimental OA.
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