PMID- 19447929 OWN - NLM STAT- MEDLINE DCOM- 20090805 LR - 20151119 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 36 IP - 6 DP - 2009 Jun TI - High serum cartilage oligomeric matrix protein determines the subset of patients with early-stage rheumatoid arthritis with high serum C-reactive protein, matrix metalloproteinase-3, and MRI-proven bone erosion. PG - 1126-9 LID - 10.3899/jrheum.080926 [doi] AB - OBJECTIVE: To identify the significance of serum cartilage oligomeric matrix protein (COMP), a marker of cartilage turnover, in patients with early-stage rheumatoid arthritis (RA) in relation to other serologic variables and magnetic resonance imaging (MRI) features. METHODS: Ninety-eight patients with early-stage RA, whose disease duration from onset was less than 2 years, were enrolled. The objective measures at baseline were Disease Activity Score (DAS28), serum C-reactive protein (CRP), serum matrix metalloproteinase-3 (MMP-3), serum antibodies against cyclic citrullinated peptide (anti-CCP), and MRI features of both wrist and finger joints. The MRI features included the number of sites scored positive for synovitis, bone edema, and bone erosion. RESULTS: Serum COMP concentration was not different among groups identified with low, moderate, and high DAS28-CRP values. However, COMP values were statistically high in subjects positive for bone erosions on MRI compared with the subjects who were negative for bone erosions. A positive correlation of COMP with CRP and with MMP-3 values was also identified. CONCLUSION: Elevation of COMP may reflect joint damage that is dependent on the synovial inflammatory process in early-stage RA. FAU - Fujikawa, Keita AU - Fujikawa K AD - Unit of Translational Medicine, Department of Immunology and Rheumatology, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Kawakami, Atsushi AU - Kawakami A FAU - Tamai, Mami AU - Tamai M FAU - Uetani, Masataka AU - Uetani M FAU - Takao, Shoichiro AU - Takao S FAU - Arima, Kazuhiko AU - Arima K FAU - Iwamoto, Naoki AU - Iwamoto N FAU - Aramaki, Toshiyuki AU - Aramaki T FAU - Kawashiri, Shinya AU - Kawashiri S FAU - Ichinose, Kunihiro AU - Ichinose K FAU - Kamachi, Makoto AU - Kamachi M FAU - Nakamura, Hideki AU - Nakamura H FAU - Origuchi, Tomoki AU - Origuchi T FAU - Ida, Hiroaki AU - Ida H FAU - Aoyagi, Kiyoshi AU - Aoyagi K FAU - Eguchi, Katsumi AU - Eguchi K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090515 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Biomarkers) RN - 0 (Cartilage Oligomeric Matrix Protein) RN - 0 (Extracellular Matrix Proteins) RN - 0 (Glycoproteins) RN - 0 (Matrilin Proteins) RN - 0 (TSP5 protein, human) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Arthritis, Rheumatoid/*blood/pathology/physiopathology MH - Biomarkers/blood MH - Bone and Bones/*pathology MH - C-Reactive Protein/*analysis MH - Cartilage Oligomeric Matrix Protein MH - Extracellular Matrix Proteins/*blood MH - Female MH - Glycoproteins/*blood MH - Health Status MH - Humans MH - Joints/pathology MH - Magnetic Resonance Imaging/*methods MH - Male MH - Matrilin Proteins MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Severity of Illness Index MH - Synovitis/pathology MH - Young Adult EDAT- 2009/05/19 09:00 MHDA- 2009/08/06 09:00 CRDT- 2009/05/19 09:00 PHST- 2009/05/19 09:00 [entrez] PHST- 2009/05/19 09:00 [pubmed] PHST- 2009/08/06 09:00 [medline] AID - jrheum.080926 [pii] AID - 10.3899/jrheum.080926 [doi] PST - ppublish SO - J Rheumatol. 2009 Jun;36(6):1126-9. doi: 10.3899/jrheum.080926. Epub 2009 May 15.