PMID- 30391538 OWN - NLM STAT- MEDLINE DCOM- 20200724 LR - 20220408 IS - 1522-9653 (Electronic) IS - 1063-4584 (Linking) VI - 27 IP - 5 DP - 2019 May TI - Cartilage oligomeric matrix protein, C-terminal cross-linking telopeptide of type II collagen, and matrix metalloproteinase-3 as biomarkers for knee and hip osteoarthritis (OA) diagnosis: a systematic review and meta-analysis. PG - 726-736 LID - S1063-4584(18)31513-9 [pii] LID - 10.1016/j.joca.2018.10.009 [doi] AB - OBJECTIVE: This study was design to examine the diagnostic performance of cartilage oligomeric matrix protein (COMP), C-terminal cross-linking telopeptide of type II collagen (CTX-II), and matrix metalloproteinase-3 (MMP-3) as biomarker for knee and hip OA. METHODS: Systematic search on multiple databases was completed in January 2018 using certain keywords. COMP, CTX-II, MMP-3 levels in knee and hip OA patients and healthy individuals were collected and calculated. Differences between subgroups were expressed as standardized mean differences (SMD). Subgroup analyses were performed to compare COMP, CTX-II, and MMP-3 performance between measuring sources, genders, large and small sample size and diagnostic criteria for OA patients. RESULTS: A moderate performance of COMP in distinguishing between knee (SMD: 0.68; 95% confidence intervals (CI): 0.43-0.93; P < 0.0001) or hip (SMD: 0.25; 95% CI, 0.10, 0.40; P = 0.0008) OA patients and controls were found. CTX-II showed a moderated standardised mean differences (SMD) of 0.48 (95% CI, 0.32, 0.64; P < 0.0001) in the detection of knee OA and a large SMD of 0.76 (95% CI, 0.09, 1.42; P = 0.03) in diagnosing hip OA. A small SMD of 0.32 (95% CI, -0.03, 0.67; P = 0.07) was found for MMP-3 performance and the results did not reach statistic significance. Progression study revealed potential effectiveness of serum COMP in predicting OA progression. Subgroup analysis showed that serum COMP and urinary CTX-II performed better in male than female. Study size and diagnostic criteria did not significantly influence the pooled SMD, but they might be the sources of heterogeneity among studies. CONCLUSION: The overall results indicates that serum COMP and urinary CTX-II can distinguish between knee or hip OA patients and control subjects. Serum COMP is effective in predicting OA progression.Further researches with rigorous study design and a larger sample size are required to validate our findings. CI - Copyright (c) 2018. Published by Elsevier Ltd. FAU - Hao, H Q AU - Hao HQ AD - School of Basic Medicine, Shanxi University of Chinese Medicine, Taiyuan 030001, Shanxi, China. FAU - Zhang, J F AU - Zhang JF AD - School of Management, Shanxi Medical University, Taiyuan 030001, Shanxi, China; Shanxi Medical Health Media Group Co.,Ltd, Taiyuan 030001, Shanxi, China. Electronic address: sxzhangjf163@163.com. FAU - He, Q Q AU - He QQ AD - School of Management, Shanxi Medical University, Taiyuan 030001, Shanxi, China. FAU - Wang, Z AU - Wang Z AD - School of Basic Medicine, Shanxi University of Chinese Medicine, Taiyuan 030001, Shanxi, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20181102 PL - England TA - Osteoarthritis Cartilage JT - Osteoarthritis and cartilage JID - 9305697 RN - 0 (Biomarkers) RN - 0 (C-terminal cross-linking telopeptide of type II collagen, human) RN - 0 (Cartilage Oligomeric Matrix Protein) RN - 0 (Collagen Type II) RN - 0 (Peptide Fragments) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Biomarkers/*analysis MH - Cartilage Oligomeric Matrix Protein/analysis MH - Collagen Type II/analysis MH - Humans MH - Matrix Metalloproteinase 3/analysis MH - Osteoarthritis, Hip/*diagnosis MH - Osteoarthritis, Knee/*diagnosis MH - Peptide Fragments/analysis MH - Prognosis OTO - NOTNLM OT - Biomarker OT - COMP OT - CTX-II OT - MMP-3 OT - Osteoarthritis EDAT- 2018/11/06 06:00 MHDA- 2020/07/25 06:00 CRDT- 2018/11/05 06:00 PHST- 2018/07/11 00:00 [received] PHST- 2018/09/25 00:00 [revised] PHST- 2018/10/08 00:00 [accepted] PHST- 2018/11/06 06:00 [pubmed] PHST- 2020/07/25 06:00 [medline] PHST- 2018/11/05 06:00 [entrez] AID - S1063-4584(18)31513-9 [pii] AID - 10.1016/j.joca.2018.10.009 [doi] PST - ppublish SO - Osteoarthritis Cartilage. 2019 May;27(5):726-736. doi: 10.1016/j.joca.2018.10.009. Epub 2018 Nov 2.