Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis

Adipokines are related to knee osteoarthritis, but their exact role is not well known. The aim of this study was to evaluate the association between adipokines in synovial fluid and clinical severity in patients with knee osteoarthritis with joint effusion. Cross-sectional study with systematic incl...

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Autores: Calvet, Joan|||0000-0002-0888-5152, Orellana, Cristóbal, Gratacós, Jordi|||0000-0003-4007-4103, Berenguer-Llergo, Antoni|||0000-0002-3742-8161, Caixàs i Pedragós, Assumpta|||0000-0001-8472-9189, Chillaron, Juan Jose|||0000-0002-8096-1703, Pedro Botet Montoya, Juan|||0000-0001-7366-6821, García-Manrique, María, Navarro, Noemí, Larrosa, Marta|||0000-0001-9891-4561
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:185982
Acceso en línea:https://ddd.uab.cat/record/185982
https://dx.doi.org/urn:doi:10.1186/s13075-016-1103-1
Access Level:acceso abierto
Palabra clave:Knee osteoarthritis
Adipokines
Inflammation
Synovial fluid
Clinical severity
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spelling Synovial fluid adipokines are associated with clinical severity in knee osteoarthritisa cross-sectional study in female patients with joint effusionCalvet, Joan|||0000-0002-0888-5152Orellana, CristóbalGratacós, Jordi|||0000-0003-4007-4103Berenguer-Llergo, Antoni|||0000-0002-3742-8161Caixàs i Pedragós, Assumpta|||0000-0001-8472-9189Chillaron, Juan Jose|||0000-0002-8096-1703Pedro Botet Montoya, Juan|||0000-0001-7366-6821García-Manrique, MaríaNavarro, NoemíLarrosa, Marta|||0000-0001-9891-4561Knee osteoarthritisAdipokinesInflammationSynovial fluidClinical severityAdipokines are related to knee osteoarthritis, but their exact role is not well known. The aim of this study was to evaluate the association between adipokines in synovial fluid and clinical severity in patients with knee osteoarthritis with joint effusion. Cross-sectional study with systematic inclusion of female patients with symptomatic primary knee osteoarthritis with ultrasound-confirmed joint effusion. Age, physical exercise, knee osteoarthritis symptoms duration, classical cardiovascular risk factors and different anthropometric measurements were collected. Metabolic syndrome was defined in accordance to National Cholesterol Education Program-Adult Treatment Panel III. Radiographic severity was evaluated according to Kellgren-Lawrence scale and Lequesne index was used to assess clinical severity. Seven adipokines (leptin, adiponectin, resistin, visfatin, osteopontin, omentin and chemerin) and three inflammatory markers (tumor necrosis factor α, interleukin 6 and high sensitivity C-reactive protein) were measured by enzyme-linked immunosorbent assay in synovial fluid. Kellgren-Lawrence grade, physical exercise, all anthropometric measurements (especially waist circumference), tumor necrosis factor α, and high levels of leptin, resistin, and ostepontin were related to knee osteoarthritis severity. After adjustment for clinical confounders (age, symptom duration, and radiology), anthropometric measurements, inflammatory markers, and all evaluated adipokines, there were independent associations with clinical severity for resistin (directly associated) and visfatin (inversely associated). No other adipokines or inflammatory markers were independently associated with Lequesne index. The association of radiological parameters, physical exercise, and waist circumference with Lequesne index remained after adjustment. Resistin was directly associated, and visfatin was inversely associated, with clinical severity in female patients with knee osteoarthritis with joint effusion. These associations were more important after adjustment for confounders, especially when all adipokines were evaluated. The online version of this article (doi:10.1186/s13075-016-1103-1) contains supplementary material, which is available to authorized users. 22016-01-0120162016-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/185982https://dx.doi.org/urn:doi:10.1186/s13075-016-1103-1reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1859822026-06-06T12:50:31Z
dc.title.none.fl_str_mv Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
a cross-sectional study in female patients with joint effusion
title Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
spellingShingle Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
Calvet, Joan|||0000-0002-0888-5152
Knee osteoarthritis
Adipokines
Inflammation
Synovial fluid
Clinical severity
title_short Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
title_full Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
title_fullStr Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
title_full_unstemmed Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
title_sort Synovial fluid adipokines are associated with clinical severity in knee osteoarthritis
dc.creator.none.fl_str_mv Calvet, Joan|||0000-0002-0888-5152
Orellana, Cristóbal
Gratacós, Jordi|||0000-0003-4007-4103
Berenguer-Llergo, Antoni|||0000-0002-3742-8161
Caixàs i Pedragós, Assumpta|||0000-0001-8472-9189
Chillaron, Juan Jose|||0000-0002-8096-1703
Pedro Botet Montoya, Juan|||0000-0001-7366-6821
García-Manrique, María
Navarro, Noemí
Larrosa, Marta|||0000-0001-9891-4561
author Calvet, Joan|||0000-0002-0888-5152
author_facet Calvet, Joan|||0000-0002-0888-5152
Orellana, Cristóbal
Gratacós, Jordi|||0000-0003-4007-4103
Berenguer-Llergo, Antoni|||0000-0002-3742-8161
Caixàs i Pedragós, Assumpta|||0000-0001-8472-9189
Chillaron, Juan Jose|||0000-0002-8096-1703
Pedro Botet Montoya, Juan|||0000-0001-7366-6821
García-Manrique, María
Navarro, Noemí
Larrosa, Marta|||0000-0001-9891-4561
author_role author
author2 Orellana, Cristóbal
Gratacós, Jordi|||0000-0003-4007-4103
Berenguer-Llergo, Antoni|||0000-0002-3742-8161
Caixàs i Pedragós, Assumpta|||0000-0001-8472-9189
Chillaron, Juan Jose|||0000-0002-8096-1703
Pedro Botet Montoya, Juan|||0000-0001-7366-6821
García-Manrique, María
Navarro, Noemí
Larrosa, Marta|||0000-0001-9891-4561
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Knee osteoarthritis
Adipokines
Inflammation
Synovial fluid
Clinical severity
topic Knee osteoarthritis
Adipokines
Inflammation
Synovial fluid
Clinical severity
description Adipokines are related to knee osteoarthritis, but their exact role is not well known. The aim of this study was to evaluate the association between adipokines in synovial fluid and clinical severity in patients with knee osteoarthritis with joint effusion. Cross-sectional study with systematic inclusion of female patients with symptomatic primary knee osteoarthritis with ultrasound-confirmed joint effusion. Age, physical exercise, knee osteoarthritis symptoms duration, classical cardiovascular risk factors and different anthropometric measurements were collected. Metabolic syndrome was defined in accordance to National Cholesterol Education Program-Adult Treatment Panel III. Radiographic severity was evaluated according to Kellgren-Lawrence scale and Lequesne index was used to assess clinical severity. Seven adipokines (leptin, adiponectin, resistin, visfatin, osteopontin, omentin and chemerin) and three inflammatory markers (tumor necrosis factor α, interleukin 6 and high sensitivity C-reactive protein) were measured by enzyme-linked immunosorbent assay in synovial fluid. Kellgren-Lawrence grade, physical exercise, all anthropometric measurements (especially waist circumference), tumor necrosis factor α, and high levels of leptin, resistin, and ostepontin were related to knee osteoarthritis severity. After adjustment for clinical confounders (age, symptom duration, and radiology), anthropometric measurements, inflammatory markers, and all evaluated adipokines, there were independent associations with clinical severity for resistin (directly associated) and visfatin (inversely associated). No other adipokines or inflammatory markers were independently associated with Lequesne index. The association of radiological parameters, physical exercise, and waist circumference with Lequesne index remained after adjustment. Resistin was directly associated, and visfatin was inversely associated, with clinical severity in female patients with knee osteoarthritis with joint effusion. These associations were more important after adjustment for confounders, especially when all adipokines were evaluated. The online version of this article (doi:10.1186/s13075-016-1103-1) contains supplementary material, which is available to authorized users.
publishDate 2016
dc.date.none.fl_str_mv 2
2016-01-01
2016
2016-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/185982
https://dx.doi.org/urn:doi:10.1186/s13075-016-1103-1
url https://ddd.uab.cat/record/185982
https://dx.doi.org/urn:doi:10.1186/s13075-016-1103-1
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
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dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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