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Rocchetti MT, Bizzoca D, Moretti L, Ragni E, Moretti FL, Vicenti G, Solarino G, Rizzello A, Petruzzella V, Palese LL, Scacco S, Banfi G, Moretti B, Gnoni A. A Gel-Based Proteomic Analysis Reveals Synovial α-Enolase and Fibrinogen β-Chain Dysregulation in Knee Osteoarthritis: A Controlled Trial. J Pers Med 2023; 13:916. [PMID: 37373906 PMCID: PMC10305339 DOI: 10.3390/jpm13060916] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 05/28/2023] [Accepted: 05/28/2023] [Indexed: 06/29/2023] Open
Abstract
BACKGROUND The identification of synovial fluid (SF) biomarkers that could anticipate the diagnosis of osteoarthritis (OA) is gaining increasing importance in orthopaedic clinical practice. This controlled trial aims to assess the differences between the SF proteome of patients affected by severe OA undergoing Total Knee Replacement (TKR) compared to control subjects (i.e., subjects younger than 35, undergoing knee arthroscopy for acute meniscus injury). METHODS The synovial samples were collected from patients with Kellgren Lawrence grade 3 and 4 knee osteoarthritis undergoing THR (study group) and young patients with meniscal tears and no OA signs undergoing arthroscopic surgery (control group). The samples were processed and analyzed following the protocol defined in our previous study. All of the patients underwent clinical evaluation using the International Knee Documentation Committee (IKDC) subjective knee evaluation (main outcome), Knee Society Clinical Rating System (KSS), Knee injury and Osteoarthritis Outcome Score (KOOS), and Visual Analogue Scale (VAS) for pain. The drugs' assumptions and comorbidities were recorded. All patients underwent preoperative serial blood tests, including complete blood count and C-Reactive Protein (CRP). RESULTS The synovial samples' analysis showed a significantly different fibrinogen beta chain (FBG) and alpha-enolase 1 (ENO1) concentration in OA compared to the control samples. A significant correlation between clinical scores, FBG, and ENO1 concentration was observed in osteoarthritic patients. CONCLUSIONS Synovial fluid FBG and ENO1 concentrations are significantly different in patients affected by knee OA compared with non-OA subjects.
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Affiliation(s)
- Maria Teresa Rocchetti
- Department of Clinical and Experimental Medicine, University of Foggia, Via Pinto 1, 71122 Foggia, Italy
| | - Davide Bizzoca
- Orthopaedics Unit-UOSD Vertebral Surgery, DAI Neuroscience, Sense Organs and Locomotor System, AOU Consorziale Policlinico, 70124 Bari, Italy
- PhD Course in Public Health, Clinical Medicine and Oncology, DiMePre-J, University of Bari "Aldo Moro", Piazza Giulio Cesare 11, 70124 Bari, Italy
| | - Lorenzo Moretti
- Orthopaedics Unit-UOSD Vertebral Surgery, DAI Neuroscience, Sense Organs and Locomotor System, AOU Consorziale Policlinico, 70124 Bari, Italy
| | - Enrico Ragni
- IRCCS Istituto Ortopedico Galeazzi, Laboratorio di Biotecnologie Applicate all'Ortopedia, Via R. Galeazzi 4, 20161 Milano, Italy
| | - Francesco Luca Moretti
- IRCCS Istituto Ortopedico Galeazzi, Laboratorio di Biotecnologie Applicate all'Ortopedia, Via R. Galeazzi 4, 20161 Milano, Italy
- National Centre for Chemicals, Cosmetic Products and Consumer Protection, National Institute of Health, 00161 Rome, Italy
| | - Giovanni Vicenti
- Orthopaedics Unit-UOSD Vertebral Surgery, DAI Neuroscience, Sense Organs and Locomotor System, AOU Consorziale Policlinico, 70124 Bari, Italy
| | - Giuseppe Solarino
- Orthopaedics Unit-UOSD Vertebral Surgery, DAI Neuroscience, Sense Organs and Locomotor System, AOU Consorziale Policlinico, 70124 Bari, Italy
| | - Alessandro Rizzello
- Clinical Biochemistry, DiBraiN, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Vittoria Petruzzella
- Clinical Biochemistry, DiBraiN, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Luigi Leonardo Palese
- Clinical Biochemistry, DiBraiN, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Salvatore Scacco
- Clinical Biochemistry, DiBraiN, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Giuseppe Banfi
- IRCCS Galeazzi-Sant'Ambrogio, Via Cristina Belgioioso 173, 20157 Milano, Italy
- Faculty of Medicine, Università Vita-Salute San Raffaele, Via Olgettina 58, 20132 Milano, Italy
| | - Biagio Moretti
- Orthopaedics Unit-UOSD Vertebral Surgery, DAI Neuroscience, Sense Organs and Locomotor System, AOU Consorziale Policlinico, 70124 Bari, Italy
| | - Antonio Gnoni
- Clinical Biochemistry, DiBraiN, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
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Afifi N, M Medhat B, Abdel Ghani AM, Mohamed Ali Hassan HGE, Behiry ME. Value of Albumin-Fibrinogen Ratio and CRP-Albumin Ratio as Predictor Marker of Disease Activity in Egyptian RA Patients, Correlated with Musculoskeletal Sonography. Open Access Rheumatol 2020; 12:241-248. [PMID: 33173359 PMCID: PMC7646446 DOI: 10.2147/oarrr.s268668] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Accepted: 09/25/2020] [Indexed: 01/04/2023] Open
Abstract
Purpose To evaluate the albumin-fibrinogen ratio (AFR) and C-reactive protein-albumin ratio (CAR) as inflammatory markers in rheumatoid arthritis (RA) and to investigate their association with disease activity correlating with musculoskeletal ultrasonographic findings. Patients and Methods A total of 125 cases of RA patients were consecutively enrolled in a multicenter cross-sectional study compared to 100 healthy controls, all subjects were investigated for fibrinogen, albumin, CRP, erythrocyte sedimentation rate, AFR, and CAR measurements. Patients' disease activity was assessed by disease activity score (DAS28-ESR), and they were subjected to high-frequency ultrasound both in greyscale and power Doppler. Results RA patients had lower AFR and higher CAR than those in the control group (P < 0.001). A positive correlation was demonstrated between CAR and DAS score (r=0.589, P = 0.0001), whilst there was a precise negative correlation between AFR and DAS 28-ESR (r=-0.74, p<0.001). ROC curve analyses revealed fibrinogen showed the best sensitivity (92.1%) for the area under the curve of 0.928, at a criterion of 2.47, while AFR has an area under the curve of 0.826 with sensitivity and specificity (86.84% and 75%, respectively) at cut-off value 1.46. Actively diseased patients had elevated CAR than those in remission (P < 0.001). Patients with synovial thickening and bone erosions had lower AFR than those without, CAR was higher in patients with power doppler changes than those without (p=0.015). Conclusion Higher CAR and lower AFR were expressed in active RA than those in remission. CAR and AFR could be useful markers of ongoing inflammation and joint affection detected by musculoskeletal ultrasonography.
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Affiliation(s)
- Naglaa Afifi
- Internal Medicine and Rheumatology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Internal Medicine, Armed Forces College of Medicine (AFCM), Cairo, Egypt
| | - Basma M Medhat
- Rheumatology and Rehabilitation, Faculty of Medicine, Cairo University, Cairo, Egypt
| | | | | | - Mervat E Behiry
- Internal Medicine, Armed Forces College of Medicine (AFCM), Cairo, Egypt.,Internal Medicine, and Rheumatology, Faculty of Medicine, Cairo University, Cairo, Egypt
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Yang WM, Zhang WH, Ying HQ, Xu YM, Zhang J, Min QH, Huang B, Lin J, Chen JJ, Wang XZ. Two new inflammatory markers associated with disease activity score-28 in patients with rheumatoid arthritis: Albumin to fibrinogen ratio and C-reactive protein to albumin ratio. Int Immunopharmacol 2018; 62:293-298. [PMID: 30048859 DOI: 10.1016/j.intimp.2018.07.007] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Revised: 07/07/2018] [Accepted: 07/10/2018] [Indexed: 01/08/2023]
Abstract
BACKGROUND The albumin to fibrinogen ratio (AFR) and C-reactive protein to albumin ratio (CAR) have emerged as useful biomarkers to predict systemic inflammation. The aim here is to investigate the relation between AFR/CAR and Disease Activity Score of 28 joints (DAS 28) in rheumatoid arthritis (RA). METHODS This retrospective study included 160 patients with RA and 159 healthy controls. We divided the RA patients into two groups according to the DAS 28-ESR score. Group 1 included 40 patients with a score of lower than 2.6 (patients in remission) and Group 2 included 120 patients with a score of 2.6 or higher (patients with active disease). The correlations between AFR, CAR and the disease activity were analyzed. RESULTS For RA patients, the AFR was lower than those in the control group (P < 0.001). Patients in group 2 had higher CAR than those in group 1 (P < 0.001). The AFR was lower in group 2 than that in group 1. A positively correlation was observed between DAS 28-ESR score and CAR (r = 0.645, P < 0.001), while the correlation between DAS 28-ESR and AFR (r = -0.836, P < 0.001) was negative. AFR was related with decreased risk of RA disease activity (EXP (B) = 0.33, 95% CI (0.21-0.53), P < 0.001). CONCLUSIONS AFR and CAR are two novel inflammatory markers for monitoring disease activity in patients with RA.
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Affiliation(s)
- Wei-Ming Yang
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Wei-Heng Zhang
- Department of Oncology, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Hou-Qun Ying
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Yan-Mei Xu
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Jing Zhang
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Qing-Hua Min
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Bo Huang
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Jin Lin
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Juan-Juan Chen
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China.
| | - Xiao-Zhong Wang
- Department of Clinical Laboratory, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China.
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Dür M, Steiner G, Stoffer MA, Fialka-Moser V, Kautzky-Willer A, Dejaco C, Ekmekcioglu C, Prodinger B, Binder A, Smolen J, Stamm TA. Initial evidence for the link between activities and health: Associations between a balance of activities, functioning and serum levels of cytokines and C-reactive protein. Psychoneuroendocrinology 2016; 65:138-48. [PMID: 26773841 DOI: 10.1016/j.psyneuen.2015.12.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Revised: 12/12/2015] [Accepted: 12/15/2015] [Indexed: 01/07/2023]
Abstract
Growing evidence shows interrelations of psychological factors, neurological and immunological processes. Therefore, constructs like a balance of activities, the so called "occupational balance", could also have biological correlates. The aim of this study was to investigate potential associations between occupational balance, functioning, cytokines and C-reactive protein (CRP) in patients suffering from a chronic inflammatory disease like rheumatoid arthritis (RA) and healthy people. Moreover, we wanted to explore potential differences in gender and employment status. A descriptive study in patients with RA and healthy people was conducted using the Occupational Balance-Questionnaire (OB-Quest) and the Short-Form 36 Health Survey (SF-36). Serum levels of cytokines, such as interleukin 6 (IL-6) and 8 (IL-8), interferon alpha (INFα), tumour necrosis factor alpha (TNFα), rheumatoid factor (RF) and of CRP were measured. Descriptive statistics, as well as Mann-Whitney U tests and Spearmen's rank correlation coefficients (rs) were calculated. One-hundred-thirty-two patients with RA and 76 healthy people participated. Occupational balance was associated with functioning, cytokines and CRP. The strongest associations were identified in the unemployed healthy-people sample with cytokines and CRP being within the normal range. For example, the OB-Quest item challenging activities was associated with IL-8 (rs=-0.63, p=0.04) and the SF-36 sub-scale bodily pain was associated with IFNα (rs=-0.69, p=0.02). The items rest and sleep (rs=-0.71, p=0.01) and variety of different activities (rs=-0.74, p<0.01) correlated with the SF-36 sub-scale social functioning. Employed and unemployed people differed in their age and CRP levels. Additionally, gender differences were found in two OB-Quest items in that fewer women were able to adapt their activities to changing living conditions and fewer men were overstressed. In conclusion, we found preliminary biological evidence for the link between occupation and health in that the concepts encompassed in the construct of occupational balance were associated with functioning, cytokines and CRP.
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Affiliation(s)
- Mona Dür
- IMC University of Applied Sciences, Department of Health Sciences, Bachelor Program Occupational Therapy, Piaristengasse 1, 3500 Krems, Austria; Medical University of Vienna, Department of Internal Medicine III, Division of Rheumatology, Währinger Gürtel 18-20, 1090 Vienna, Austria; Medical University of Vienna, Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Währinger Gürtel 18-20, 1090 Vienna, Austria.
| | - Günter Steiner
- Medical University of Vienna, Department of Internal Medicine III, Division of Rheumatology, Währinger Gürtel 18-20, 1090 Vienna, Austria; Ludwig Boltzmann Society, Cluster Rheumatology, Balneology and Rehabilitation, Nussdorfer Strasse 64, 1090 Vienna, Austria.
| | - Michaela Alexandra Stoffer
- University of Applied Sciences for Health Professions Upper Austria, Bachelor Program Occupational Therapy, Niedernharter Straße 20, 4020 Linz, Austria.
| | - Veronika Fialka-Moser
- Medical University of Vienna, Department of Physical Medicine and Rehabilitation, Währinger Gürtel 18-20, 1090 Vienna, Austria.
| | - Alexandra Kautzky-Willer
- Medical University of Vienna, Department of Internal Medicine III, Division of Gender Medicine, Währinger Gürtel 18-20, 1090 Vienna, Austria.
| | - Clemens Dejaco
- Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Währinger Gürtel 18-20, 1090 Vienna, Austria.
| | - Cem Ekmekcioglu
- Medical University of Vienna, Institute of Environmental Health, Kinderspitalgasse 15, 1090 Vienna, Austria.
| | - Birgit Prodinger
- Swiss Paraplegic Research ICF Unit, Guido A. Zäch Strasse 4, 6207 Nottwil, Switzerland.
| | - Alexa Binder
- Medical University of Vienna, Department of Internal Medicine III, Division of Rheumatology, Währinger Gürtel 18-20, 1090 Vienna, Austria.
| | - Josef Smolen
- Medical University of Vienna, Department of Internal Medicine III, Division of Rheumatology, Währinger Gürtel 18-20, 1090 Vienna, Austria; Hospital Hietzing and Neurological Centre Rosenhügel, Wolkersbergenstraße 1, 1130 Vienna, Austria.
| | - Tanja Alexandra Stamm
- Medical University of Vienna, CeMSIIS-Center for Medical Statistics, Informatics and Intelligent Systems, Section for Outcomes Research, Spitalgasse 23, 1090 Vienna, Austria; Medical University of Vienna, Department of Internal Medicine III, Division of Rheumatology, Währinger Gürtel 18-20, 1090 Vienna, Austria; Ludwig Boltzmann Society, Cluster Rheumatology, Balneology and Rehabilitation, Nussdorfer Strasse 64, 1090 Vienna, Austria.
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