PMID- 24399456 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20220331 IS - 1437-160X (Electronic) IS - 0172-8172 (Linking) VI - 34 IP - 8 DP - 2014 Aug TI - Involvement of BDNF in knee osteoarthritis: the relationship with inflammation and clinical parameters. PG - 1153-7 LID - 10.1007/s00296-013-2943-5 [doi] AB - The aim of this study was to analyze the levels of brain-derived neurotrophic factor (BDNF) in both the plasma and synovial fluid of patients with primary knee osteoarthritis compared with control individuals and to investigate the relationship between BDNF levels and self-reported pain. Twenty-seven patients with knee osteoarthritis (OA) and 19 healthy subjects were enrolled in the study. Anteroposterior knee radiographs were taken to determine the disease severity of the affected knee. Radiographic grading of OA in the knee was performed using the Kellgren-Lawrence criteria. The BDNF levels in the plasma and synovial fluid were measured by enzyme-linked immunosorbent assay. The mean plasma BDNF levels of the knee OA patients were significantly higher than that of the healthy controls (2,378 +/- 1,067.2 vs. 1,756 +/- 804.3 pg/mL, p < 0.05). BDNF levels in the synovial fluid of OA patients (358.9 +/- 178.4 pg/mL) were sixfold lower than in corresponding blood samples (p < 0.0001) and fourfold lower than in the plasma of healthy controls (p < 0.0001). Subsequent analyses showed that the plasma BDNF levels significantly correlated with self-reported pain (Western Ontario and McMaster Universities Osteoarthritis Index) (r s = 0.39, p = 0.04). Furthermore, no correlation was found between the plasma and synovial fluid BDNF concentrations and knee OA severity. The findings of this study suggest that systemic BDNF levels are most likely associated with the mechanism of joint pain in knee OA in the acute stage of joint inflammatory process. Further studies are necessary to address the functional role of BDNF in the modulation of pain to establish new therapeutic implications. FAU - Simao, Adriano Prado AU - Simao AP AD - Integrated Center for Graduate Studies and Research Health (CIPq-Health), Federal University of Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil, adrianopsimao@ig.com.br. FAU - Mendonca, Vanessa Amaral AU - Mendonca VA FAU - de Oliveira Almeida, Tassio Malber AU - de Oliveira Almeida TM FAU - Santos, Sergio Antunes AU - Santos SA FAU - Gomes, Wellington Fabiano AU - Gomes WF FAU - Coimbra, Candido Celso AU - Coimbra CC FAU - Lacerda, Ana Cristina Rodrigues AU - Lacerda AC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140109 PL - Germany TA - Rheumatol Int JT - Rheumatology international JID - 8206885 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Biomarkers MH - Brain-Derived Neurotrophic Factor/*blood MH - Case-Control Studies MH - Cross-Sectional Studies MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Osteoarthritis, Knee/blood/*diagnosis/diagnostic imaging MH - Pain Measurement MH - Predictive Value of Tests MH - Radiography MH - Severity of Illness Index MH - Synovial Fluid/*chemistry EDAT- 2014/01/09 06:00 MHDA- 2015/03/31 06:00 CRDT- 2014/01/09 06:00 PHST- 2013/10/03 00:00 [received] PHST- 2013/12/30 00:00 [accepted] PHST- 2014/01/09 06:00 [entrez] PHST- 2014/01/09 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] AID - 10.1007/s00296-013-2943-5 [doi] PST - ppublish SO - Rheumatol Int. 2014 Aug;34(8):1153-7. doi: 10.1007/s00296-013-2943-5. Epub 2014 Jan 9.