PMID- 31102776 OWN - NLM STAT- MEDLINE DCOM- 20200825 LR - 20200825 IS - 1522-9653 (Electronic) IS - 1063-4584 (Linking) VI - 27 IP - 8 DP - 2019 Aug TI - The ratio adipsin/MCP-1 is strongly associated with structural changes and CRP/MCP-1 with symptoms in obese knee osteoarthritis subjects: data from the Osteoarthritis Initiative. PG - 1163-1173 LID - S1063-4584(19)30978-1 [pii] LID - 10.1016/j.joca.2019.04.016 [doi] AB - OBJECTIVE: There is a need to identify reliable biomarkers that can predict knee osteoarthritis (OA) progression. We investigated a panel of adipokines and some related inflammatory factors alone and their ratios for their associative value at assessing cartilage volume loss over time and symptoms in obese [High body mass index (BMI)] and non-obese (Low BMI) OA subjects. DESIGN: Human OA serum was from the Osteoarthritis Initiative Progression subcohort. Baseline levels of adiponectin (high and low molecular weight forms), adipsin, chemerin, leptin, visfatin, C-reactive protein (CRP), interleukin-8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1) were evaluated with specific assays. Cartilage volume was assessed at baseline and 48 months by quantitative magnetic resonance imaging (MRI), and symptoms using baseline Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. Data were analysed by linear regression with confounding factors at baseline, followed by multiple comparison adjustment. RESULTS: The levels of the nine biomarkers and their ratios (36) were studied. Among High BMI subjects, only the ratio adipsin/MCP-1 was associated with cartilage volume loss over time in the lateral compartment [beta, -2.95; 95% confidence interval (CI), -4.42, -1.49; P = 0.010], whereas MCP-1 was associated with WOMAC pain (-1.74; -2.75, -0.73; P = 0.030) and the ratio CRP/MCP-1 with WOMAC pain (0.76; 0.37, 1.14; P = 0.023), function (2.43; 1.20, 3.67; P = 0.020) and total (3.29; 1.58, 5.00; P = 0.027). No associations were found for biomarkers or ratios in Low BMI OA. CONCLUSION: In this study, the ratio adipsin/MCP-1 was found to be associated with the knee structural changes and that of CRP/MCP-1 with symptoms in obese OA subjects. Our data further underline the relevance of ratios as biomarkers to a stronger association to OA progression and symptoms. CI - Copyright (c) 2019 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved. FAU - Martel-Pelletier, J AU - Martel-Pelletier J AD - Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, Quebec, Canada. Electronic address: jm@martelpelletier.ca. FAU - Tardif, G AU - Tardif G AD - Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, Quebec, Canada. Electronic address: tardifgi@yahoo.com. FAU - Rousseau Trepanier, J AU - Rousseau Trepanier J AD - Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, Quebec, Canada. Electronic address: jtrepanier@arthrolab.com. FAU - Abram, F AU - Abram F AD - Medical Imaging Research & Development, ArthroLab Inc., Montreal, Quebec, Canada. Electronic address: fabram@arthrovision.biz. FAU - Dorais, M AU - Dorais M AD - StatSciences Inc., Notre-Dame-de-l'Ile-Perrot, Quebec, Canada. Electronic address: marc.dorais.statsciences@gmail.com. FAU - Raynauld, J-P AU - Raynauld JP AD - Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, Quebec, Canada. Electronic address: jp.raynauld@videotron.ca. FAU - Pelletier, J-P AU - Pelletier JP AD - Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, Quebec, Canada. Electronic address: dr@jppelletier.ca. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190516 PL - England TA - Osteoarthritis Cartilage JT - Osteoarthritis and cartilage JID - 9305697 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.21.46 (Complement Factor D) SB - IM MH - Biomarkers/blood MH - Body Mass Index MH - C-Reactive Protein/*analysis MH - Cartilage, Articular/*diagnostic imaging MH - Chemokine CCL2/*blood MH - Complement Factor D/*analysis MH - *Disease Progression MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Obesity/epidemiology MH - Osteoarthritis, Knee/*diagnostic imaging/epidemiology MH - Pain Measurement OTO - NOTNLM OT - Adipokines OT - Biomarkers OT - Inflammatory factors OT - Magnetic resonance imaging OT - Osteoarthritis EDAT- 2019/05/19 06:00 MHDA- 2020/08/26 06:00 CRDT- 2019/05/19 06:00 PHST- 2018/10/09 00:00 [received] PHST- 2019/04/18 00:00 [revised] PHST- 2019/04/27 00:00 [accepted] PHST- 2019/05/19 06:00 [pubmed] PHST- 2020/08/26 06:00 [medline] PHST- 2019/05/19 06:00 [entrez] AID - S1063-4584(19)30978-1 [pii] AID - 10.1016/j.joca.2019.04.016 [doi] PST - ppublish SO - Osteoarthritis Cartilage. 2019 Aug;27(8):1163-1173. doi: 10.1016/j.joca.2019.04.016. Epub 2019 May 16.