PMID- 20460120 OWN - NLM STAT- MEDLINE DCOM- 20101103 LR - 20151119 IS - 1873-2933 (Electronic) IS - 0009-9120 (Linking) VI - 43 IP - 10-11 DP - 2010 Jul TI - Identification of a complex between fibronectin and aggrecan G3 domain in synovial fluid of patients with painful meniscal pathology. PG - 808-14 LID - 10.1016/j.clinbiochem.2010.04.069 [doi] AB - OBJECTIVES: We previously described a panel of four cytokines biomarkers in knee synovial fluid for acute knee pain associated with meniscal pathology. The cytokine biomarkers included interferon gamma (IFN-gamma), interleukin 6 (IL-6), monocyte chemotactic protein 1 (MCP-1), and macrophage inflammatory protein-1 beta (MIP-1beta). Validation studies using other immunologic techniques confirmed the presence of IL-6, MCP-1 and MIP-1beta, but not IFN-gamma. Therefore we sought the identity of the IFN-gamma signal in synovial fluid. METHODS: Knee synovial fluid was collected from patients with an acute, painful meniscal injury, as well as asymptomatic volunteers. A combination of high-pressure chromatography, mass spectrometry and immunological techniques were used to enrich and identify the protein components representing the IFN-gamma signal. RESULTS: A protein complex of fibronectin and the aggrecan G3 domain was identified in the synovial fluid of patients with a meniscal tear and pain that was absent in asymptomatic controls. This protein complex correlated to the IFN-gamma signal. A novel enzyme-linked immunosorbent assay (ELISA) was developed to specifically identify the complex in synovial fluid. CONCLUSIONS: We have identified a protein complex of fibronectin and aggrecan G3 domain that is a candidate biomarker for pain associated with meniscal injury. CI - Copyright 2010 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved. FAU - Scuderi, Gaetano J AU - Scuderi GJ AD - Stanford University, Stanford, CA, USA. FAU - Woolf, Naruewan AU - Woolf N FAU - Dent, Kaitlyn AU - Dent K FAU - Golish, S Raymond AU - Golish SR FAU - Cuellar, Jason M AU - Cuellar JM FAU - Cuellar, Vanessa G AU - Cuellar VG FAU - Yeomans, David C AU - Yeomans DC FAU - Carragee, Eugene J AU - Carragee EJ FAU - Angst, Martin S AU - Angst MS FAU - Bowser, Robert AU - Bowser R FAU - Hanna, Lewis S AU - Hanna LS LA - eng PT - Journal Article DEP - 20100511 PL - United States TA - Clin Biochem JT - Clinical biochemistry JID - 0133660 RN - 0 (Aggrecans) RN - 0 (Biomarkers) RN - 0 (Fibronectins) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adolescent MH - Adult MH - Aggrecans/*analysis/chemistry/*metabolism MH - Biomarkers/analysis MH - Chromatography, High Pressure Liquid MH - Enzyme-Linked Immunosorbent Assay MH - Fibronectins/*analysis/chemistry/*metabolism MH - Humans MH - Interferon-gamma/immunology MH - Mass Spectrometry MH - Menisci, Tibial/chemistry/*pathology MH - Prospective Studies MH - Protein Structure, Tertiary MH - Signal Transduction/immunology MH - Synovial Fluid/*chemistry MH - Young Adult EDAT- 2010/05/13 06:00 MHDA- 2010/11/04 06:00 CRDT- 2010/05/13 06:00 PHST- 2010/02/10 00:00 [received] PHST- 2010/04/06 00:00 [revised] PHST- 2010/04/22 00:00 [accepted] PHST- 2010/05/13 06:00 [entrez] PHST- 2010/05/13 06:00 [pubmed] PHST- 2010/11/04 06:00 [medline] AID - S0009-9120(10)00202-X [pii] AID - 10.1016/j.clinbiochem.2010.04.069 [doi] PST - ppublish SO - Clin Biochem. 2010 Jul;43(10-11):808-14. doi: 10.1016/j.clinbiochem.2010.04.069. Epub 2010 May 11.