Molecular Biomarkers Associated With Degenerative Joint Disease in the Knee

Scuderi, Gaetano J., M.D.

Status: Completed

Conditions: Cartilage Diseases

Study type: Observational

Funder types: Other

Identifiers

NCT01006278

Cyt.002

Details and patient eligibility

About

This investigation describes a novel complex of structural degradation proteins that is associated with pain in individuals with meniscal pathology undergoing arthroscopic partial meniscectomy. The presence of the complex in the synovial fluid of the knee is sensitive and specific for the painful state compared with similar aged controls. The absence of the complex in asymptomatic controls makes it a useful biomarker for the disease state.

Full description

Background: Molecular biomarkers associated with knee pain may be useful as diagnostic tools, prognostic indicators, and surrogate endpoints for therapeutic trials. This study describes a novel complex of structural degradation proteins which are present in the knees of patients with meniscal pathology.

Methods: This prospective cohort study included 30 patients with knee pain, mechanical symptoms, and MRI positive for meniscus tear who elected for arthroscopic partial meniscectomy after failing conservative management. Synovial fluid was aspirated at the time of surgery and assayed for a complex of structural degradation proteins by means of heterogeneous ELISA. The results were compared to knee aspirates from 10 asymptomatic volunteers with no pain. The complex was identified by a proteomic analysis of including multiplexed-bead immunoassay, purification by anion exchange and size exclusion chromatography, and mass spectrometry of individual chromatographic fractions.

Enrollment: 40 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• the presence of mechanical symptoms including locking, catching, or giving way;
• positive physical exam findings including joint line tenderness, McMurray's exam, or Steinman's exam; and
• MRI of the knee positive for meniscus tear in a location correlating with physical examination.

Exclusion criteria

• the presence of high grade gonarthrosis including Kellgren-Lawrence grade IV;
• a history of prior knee surgery or trauma; ligamentous incompetence on examination or MRI; and
• diagnosis of inflammatory arthritides, crystalline arthropathies, or other rheumatologic diseases.

Trial design

40 participants in 2 patient groups

Surgical group with knee pain

Description:

patients 18 years of age or greater with a history of knee pain for more than three but less than six months who failed conservative management with the presence of mechanical symptoms including locking, catching, or giving way; positive physical exam findings including joint line tenderness, McMurray's exam, or Steinman's exam; and MRI of the knee positive for meniscus tear in a location correlating with physical examination. Exclusion criteria were as follows: the presence of high grade gonarthrosis including Kellgren-Lawrence grade IV; a history of prior knee surgery or trauma; ligamentous incompetence on examination or MRI; and diagnosis of inflammatory arthritides, crystalline arthropathies, or other rheumatologic diseases.

Group 2

Description:

volunteer group