PMID- 23917391 OWN - NLM STAT- MEDLINE DCOM- 20140929 LR - 20211021 IS - 1434-9949 (Electronic) IS - 0770-3198 (Linking) VI - 33 IP - 2 DP - 2014 Feb TI - Association of biomarkers of inflammation, cartilage and bone turnover with gender, disease activity, radiological damage and sacroiliitis by magnetic resonance imaging in patients with early spondyloarthritis. PG - 237-41 LID - 10.1007/s10067-013-2349-5 [doi] AB - To assess the association between biomarkers of inflammation, cartilage and bone turnover with gender, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Spondylitis Disease Activity Score (ASDAS) and bone marrow oedema in resonance magnetic imaging (MRI) of sacroiliac joints (SIJs) and radiological damage in early spondyloarthritis (SpA). Cross-sectional study of 60 patients (56.7 % females; mean age, 32.4 years) with early SpA. Sociodemographic data, clinical features, serum matrix metalloproteinase 3 (MMP-3), high sensitivity C-reactive protein (hsCRP), C-terminal cross-linking telopeptides of type I collagen (CTX-I) and urinary deoxypyridinoline, ASDAS, BASDAI, BASFI, BASRI and MRI of the SIJs were collected. The mean (SD) disease duration was 12.4 (6.8 months). Twenty-two (68.7 %) of the 32 patients had active sacroiliitis by MRI. MMP-3 and CTX I correlated with swollen joint (r = 0.515, r = 0.386, p = 0.01). hsCRP correlated with ESR (r = 0.303, p = 0.05), with CRP (r = 0.455, p = 0.01) and with total BASRI (r = 0.95, p = 0.05). Biomarkers were unrelated with the rest of variables. Levels of MMP-3 (44.3 +/- 52.4 vs 24.7 +/- 33.4, p < 0.05) and CTX-I (0.53 +/- 0.45 vs 0.24 +/- 0.38; p < 0.05) were higher in men. Our study shows that CTX-I and MMP-3 are a marker of peripheral disease activity in early SpA. Male gender had higher levels of CTX-I and MMP-3, which may indicate higher disease activity. Higher hsCRP levels trended towards correlation with more baseline radiographic damage. Therefore, these biomarkers may help identify a subgroup of patients who will need closer monitoring and more intensive treatment. FAU - Almodovar, Raquel AU - Almodovar R AD - Rheumatology Unit, Hospital Universitario Fundacion Alcorcon, Avda. Budapest s/n, 28922, Alcorcon, Madrid, Spain, ralmodovar@fhalcorcon.es. FAU - Rios, Valeria AU - Rios V FAU - Ocana, Sara AU - Ocana S FAU - Gobbo, Milena AU - Gobbo M FAU - Casas, Maria-Luisa AU - Casas ML FAU - Zarco-Montejo, Pedro AU - Zarco-Montejo P FAU - Juanola, Xavier AU - Juanola X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130807 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (Amino Acids) RN - 0 (Biomarkers) RN - 0 (Collagen Type I) RN - 0 (Peptides) RN - 0 (collagen type I trimeric cross-linked peptide) RN - 90032-33-0 (deoxypyridinoline) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Amino Acids/urine MH - Biomarkers/blood MH - *Bone Remodeling MH - Bone and Bones/metabolism MH - C-Reactive Protein/metabolism MH - Cartilage/*metabolism MH - Collagen Type I/blood MH - Cross-Sectional Studies MH - Female MH - Humans MH - Inflammation/*blood MH - Magnetic Resonance Imaging MH - Male MH - Matrix Metalloproteinase 3/blood MH - Middle Aged MH - Peptides/blood MH - Sacroiliitis/*blood/pathology MH - Sex Factors MH - Spondylitis, Ankylosing/*blood/*pathology MH - Treatment Outcome EDAT- 2013/08/07 06:00 MHDA- 2014/09/30 06:00 CRDT- 2013/08/07 06:00 PHST- 2013/06/07 00:00 [received] PHST- 2013/07/21 00:00 [accepted] PHST- 2013/07/08 00:00 [revised] PHST- 2013/08/07 06:00 [entrez] PHST- 2013/08/07 06:00 [pubmed] PHST- 2014/09/30 06:00 [medline] AID - 10.1007/s10067-013-2349-5 [doi] PST - ppublish SO - Clin Rheumatol. 2014 Feb;33(2):237-41. doi: 10.1007/s10067-013-2349-5. Epub 2013 Aug 7.