PMID- 20156944 OWN - NLM STAT- MEDLINE DCOM- 20100622 LR - 20100402 IS - 1499-2752 (Electronic) IS - 0315-162X (Linking) VI - 37 IP - 4 DP - 2010 Apr TI - Thrombin-cleaved osteopontin is increased in urine of patients with rheumatoid arthritis. PG - 704-10 LID - 10.3899/jrheum.090582 [doi] AB - OBJECTIVE: To measure concentrations of the thrombin-cleaved isoform of osteopontin (OPN) in urine and plasma of patients with rheumatoid arthritis (RA), and to assess whether levels of thrombin-cleaved OPN are associated with measures of RA. METHODS: Subjects comprised 70 patients with RA, 20 patients with osteoarthritis (OA), and 46 healthy controls. RA disease activity was evaluated by tender joint count, swollen joint count, patient's global assessment of disease activity, erythrocyte sedimentation rate (ESR), and levels of C-reactive protein (CRP), matrix metalloproteinase-3 (MMP-3), and rheumatoid factor (RF), as well as 28-joint count Disease Activity Score (DAS28). OPN levels in plasma and urine were measured by ELISA. RESULTS: Median levels of thrombin-cleaved OPN in urine (U-half) were significantly higher in RA patients (143.5 pmol/mmol Cr) than in healthy controls (67.9 pmol/mmol Cr) or OA patients (69.8 pmol/mmol Cr). Thrombin-cleaved OPN was not detected in plasma. U-half levels correlated significantly with levels of CRP (r = 0.26, p = 0.03), ESR (r = 0.26, p = 0.03), and RF (r = 0.28, p = 0.03). Median U-half levels were significantly higher in patients with stage III (249.9 pmol/mmol Cr) and IV (251.6 pmol/mmol Cr) disease than in patients with stage I (98.6 pmol/mmol Cr) disease. CONCLUSION: Our results suggest that urine levels of the thrombin-cleaved isoform of OPN may reflect the severity of active inflammatory arthritis in patients with RA. FAU - Shio, Kiori AU - Shio K AD - Department of Internal Medicine II, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima, Japan. FAU - Kobayashi, Hiroko AU - Kobayashi H FAU - Asano, Tomoyuki AU - Asano T FAU - Saito, Rie AU - Saito R FAU - Iwadate, Haruyo AU - Iwadate H FAU - Watanabe, Hiroshi AU - Watanabe H FAU - Sakuma, Hirofumi AU - Sakuma H FAU - Segawa, Tetsuya AU - Segawa T FAU - Maeda, Masahiro AU - Maeda M FAU - Ohira, Hiromasa AU - Ohira H LA - eng PT - Journal Article DEP - 20100215 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Protein Isoforms) RN - 106441-73-0 (Osteopontin) RN - 9007-41-4 (C-Reactive Protein) RN - 9009-79-4 (Rheumatoid Factor) RN - EC 3.4.21.5 (Thrombin) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Arthritis, Rheumatoid/blood/*urine MH - Blood Sedimentation MH - C-Reactive Protein/metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Inflammation/blood/*urine MH - Male MH - Matrix Metalloproteinase 3/blood MH - Middle Aged MH - Osteoarthritis/blood/urine MH - Osteopontin/blood/*urine MH - Pain Measurement MH - Protein Isoforms/blood/urine MH - Rheumatoid Factor/blood MH - Severity of Illness Index MH - Thrombin/*metabolism EDAT- 2010/02/17 06:00 MHDA- 2010/06/23 06:00 CRDT- 2010/02/17 06:00 PHST- 2010/02/17 06:00 [entrez] PHST- 2010/02/17 06:00 [pubmed] PHST- 2010/06/23 06:00 [medline] AID - jrheum.090582 [pii] AID - 10.3899/jrheum.090582 [doi] PST - ppublish SO - J Rheumatol. 2010 Apr;37(4):704-10. doi: 10.3899/jrheum.090582. Epub 2010 Feb 15.