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Association of serum levels of inflammatory markers and adipokines with joint symptoms and structures in participants with knee osteoarthritis

journal contribution
posted on 2023-05-21, 16:45 authored by Zhu, JM, Ruan, G, Cen, H, Meng, T, Zheng, S, Wang, Y, Li, B, Zhu, Z, Han, W, Tania WinzenbergTania Winzenberg, Wluka, AE, Cicuttini, F, Wang, B, Chang-Hai DingChang-Hai Ding

Objective: To investigate the longitudinal associations of serum inflammatory markers and adipokines with joint symptoms and structures in participants with knee OA.

Methods: Two hundred participants (46.5% female, mean age 63.1 years, mean BMI 29.5 kg/m2) from Tasmania, part of the VIDEO (Vitamin D Effect on OA) study, were randomly selected in the current study. Serum levels of 19 biomarkers, scores of WOMAC and MRI-assessed knee structures were evaluated at baseline and month 24. The patterns of biomarkers were derived from principal component analysis and their association with knee symptoms and structures were examined using adjusted generalized estimating equations.

Results: Five components explained 78% of the total variance. IL-1β, -2, -4, -6, -8, -17 A, -17 F, -21, -22 and -23 loaded the highest on the first component, which was associated with increased bone marrow lesions (BMLs) and WOMAC dysfunction score. IL-10, -12 and GM-CSF loaded on the second component, which was associated with increased cartilage volume, and decreased effusion synovitis and WOMAC scores. Leptin, adipsin and CRP loaded on the third component, which was positively associated with WOMAC scores. Resistin loaded on the fourth component, which was associated with increased BMLs and cartilage defects. Apelin-36 and adiponectin loaded on the fifth component, which was associated with increased BMLs.

Conclusion: Various inflammatory and metabolic components were associated differently with joint symptoms and structural changes in knee OA, suggesting a complex inflammatory and metabolic interrelationship in the pathogenesis of knee OA.

History

Publication title

Rheumatology

Volume

61

Pagination

1044-1052

ISSN

1462-0324

Department/School

Menzies Institute for Medical Research

Publisher

Oxford Univ Press

Place of publication

Great Clarendon St, Oxford, England, Ox2 6Dp

Rights statement

Copyright The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology.

Repository Status

  • Restricted

Socio-economic Objectives

Health related to ageing

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