Abstract
Background
Osteoarthritis (OA) is considered as one of the most common cause of chronic pain and functional disabilities in the elderly.
Aim
To examine serum levels of complement-C1q TNF-related protein 3 (CTRP3) in postmenopausal women with knee OA.
Methods
A population-based cross-sectional study was performed in women who complained of chronic knee pain. All subjects were followed by clinical and weight-bearing bilateral anteroposterior radiographical examinations. The Kellgren and Lawrence (K&L) score was used for knee OA classification. Two groups of postmenopausal women were chosen to investigate CTRP3 as an OA marker who had the K&L score ≥ 3 as a case group and K&L ≤ 1 as a control group. Serum levels of CTRP3 were measured in two groups.
Results
According to K&L classification, 36 subjects with knee OA and 54 age-matched without or mild OA were selected. After adjusting the obtained data for taking NSAID drugs, the concentration of Ln CTRP3 in serum of patients with OA was lower compared to control group [mean ± SE, (0.39 ± 0.05 ng/ml vs. 0.48 ± 0.03 ng/ml, respectively, p = 0.04)].
Discussion
There is a possible role for CTRP3 as an anti-inflammatory mediator in knee OA in postmenopausal women.
Conclusions
Our results indicate an association between CTRP3 and knee OA. However, a much more robust study is required to draw that circulating CTRP3 could be a clinical marker for osteoarthritis.
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References
Issa SN, Sharma L (2006) Epidemiology of osteoarthritis: an update. Curr Rheumatol Rep 8:7–15
Sanghi D, Mishra A, Singh A et al (2011) Is radiology a determinant of pain, stiffness, and functional disability in knee osteoarthritis? A cross-sectional study. J Orthop Sci 16:719–725
Michael J, Schlüter-Brust KU et al (2010) The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int 107:152–162
Felson DT, Naimark A, Anderson J et al (1987) The prevalence of knee osteoarthritis in the elderly. Framingham Osteoarthr Study Arthritis Rheum 30:914–918
Heiden TL, Lloyd DG, Ackland TR (2009) Knee extension and flexion weakness in people with knee osteoarthritis: is antagonist cocontraction a factor? J Orthop Sports Phys Therapy 39:807–815. https://doi.org/10.2519/jospt.2009.3079
Thijssen E, van Caam A, van der Kraan PM (2015) Obesity and osteoarthritis, more than just wear and tear: pivotal roles for inflamed adipose tissue and dyslipidaemia in obesity-induced osteoarthritis. Rheumatology 54:588–600. https://doi.org/10.1093/rheumatology/keu464
Cheung KP, Taylor KR, Jameson JM (2012) Immunomodulation at epithelial sites by obesity and metabolic disease. Immunol Res 52:182–199. https://doi.org/10.1007/s12026-011-8261-7
Kim MJ, Park EJ, Lee W et al (2012) Regulation of the transcriptional activation of CTRP3 in chondrocytes by c-Jun. Mol Cell Biochem 368:111–117. https://doi.org/10.1007/s11010-012-1349-0
Kopp A, Bala M, Buechler C et al (2010) C1q/TNF-related protein-3 represents a novel and endogenous lipopolysaccharide antagonist of the adipose tissue. Endocrinology 151:5267–5278. https://doi.org/10.1210/en.2010-0571
Murayama MA, Kakuta S, Maruhashi T et al (2014) CTRP3 plays an important role in the development of collagen-induced arthritis in mice. Biochem Biophys Res Commun 443:42–48. https://doi.org/10.1016/j.bbrc.2013.11.040
Kellgren J, Lawrence J (1963) Atlas of standard radiographs: the epidemiology of chronic rheumatism, vol 2. Blackwell Scientific, Oxford
Mahajan A, Tandon V, Verma S et al (2005) Osteoarthritis and menopause. J Indian Rheumatol Assoc 13:21–25
Gokhale JA, Frenkel SR, Dicesare PE (2004) Estrogen and osteoarthritis. Am J Orthop (Belle Mead NJ) 33:71–80
Srikanth VK, Fryer JL, Zhai G et al (2005) A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthr Cartil 13:769–781. https://doi.org/10.1016/j.joca.2005.04.014
Huang Y, Wan G, Tao J (2017) C1q/TNF-related protein-3 exerts the chondroprotective effects in IL-1beta-treated SW1353 cells by regulating the FGFR1 signaling. Biomed Pharmacother 85:41–46. https://doi.org/10.1016/j.biopha.2016.11.128
Yokohama-Tamaki T, Maeda T, Tanaka TS et al (2011) Functional analysis of CTRP3/cartducin in Meckel’s cartilage and developing condylar cartilage in the fetal mouse mandible. J Anatomy 218:517–533. https://doi.org/10.1111/j.1469-7580.2011.01354.x
Sellam J, Berenbaum F (2013) Is osteoarthritis a metabolic disease? Joint Bone Spine 80:568–573. https://doi.org/10.1016/j.jbspin.2013.09.007
Kluzek S, Newton JL, Arden NK (2015) Is osteoarthritis a metabolic disorder? Br Med Bull 115:111–121. https://doi.org/10.1093/bmb/ldv028
Bliddal H, Leeds AR, Christensen R (2014) Osteoarthritis, obesity and weight loss: evidence, hypotheses and horizons—a scoping review. Obes Rev 15:578–586. https://doi.org/10.1111/obr.12173
Felson DT, Anderson JJ, Naimark A et al (1988) Obesity and knee osteoarthritis. Framingham Study Ann Internal Med 109:18–24
Cooper C, Snow S, McAlindon TE et al (2000) Risk factors for the incidence and progression of radiographic knee osteoarthritis. Arthritis Rheum 43:995–1000. https://doi.org/10.1002/1529-0131(200005)43:5%3C995::aid-anr6%3E3.0.co;2-1
Reijman M, Pols HA, Bergink AP et al (2007) Body mass index associated with onset and progression of osteoarthritis of the knee but not of the hip: the Rotterdam Study. Ann Rheum Dis 66:158–162. https://doi.org/10.1136/ard.2006.053538
Wolf RM, Steele KE, Peterson LA et al (2015) Lower circulating C1q/TNF-related protein-3 (CTRP3) levels are associated with obesity: a cross-sectional study. PloS one 10:e0133955. https://doi.org/10.1371/journal.pone.0133955
Ban B, Bai B, Zhang M et al (2014) Low serum cartonectin/CTRP3 concentrations in newly diagnosed type 2 diabetes mellitus: in vivo regulation of cartonectin by glucose. PloS one 9:e112931. https://doi.org/10.1371/journal.pone.0112931
Li X, Jiang L, Yang M et al (2014) CTRP3 improves the insulin sensitivity of 3T3-L1 adipocytes by inhibiting inflammation and ameliorating insulin signalling transduction. Endokrynol Polska 65:252–258. https://doi.org/10.5603/ep.2014.0034
Jin X, Beguerie JR, Zhang W et al (2015) Circulating C reactive protein in osteoarthritis: a systematic review and meta-analysis. Ann Rheum Dis 74:703–710. https://doi.org/10.1136/annrheumdis-2013-204494
Stannus OP, Jones G, Blizzard L et al (2013) Associations between serum levels of inflammatory markers and change in knee pain over 5 years in older adults: a prospective cohort study. Ann Rheum Dis 72:535–540. https://doi.org/10.1136/annrheumdis-2011-201047
Vlad SC, Neogi T, Aliabadi P et al (2011) No association between markers of inflammation and osteoarthritis of the hands and knees. J Rheumatol 38:1665–1670. https://doi.org/10.3899/jrheum.100971
Blumenfeld O, Williams FM, Hart DJ et al (2013) Association between cartilage and bone biomarkers and incidence of radiographic knee osteoarthritis (RKOA) in UK females: a prospective study. Osteoarthr cartil 21:923–929. https://doi.org/10.1016/j.joca.2013.04.009
Arendt-Nielsen L, Eskehave TN, Egsgaard LL et al (2014) Association between experimental pain biomarkers and serologic markers in patients with different degrees of painful knee osteoarthritis. Arthritis Rheumatol (Hoboken, NJ) 66:3317–3326. https://doi.org/10.1002/art.38856
Engstrom G, Gerhardsson de Verdier M, Rollof J et al (2009) C-reactive protein, metabolic syndrome and incidence of severe hip and knee osteoarthritis. A population-based cohort study. Osteoarthr Cartil 17:168–173. https://doi.org/10.1016/j.joca.2008.07.003
Bos SD, Suchiman HE, Kloppenburg M et al (2008) Allelic variation at the C-reactive protein gene associates to both hand osteoarthritis severity and serum high sensitive C-reactive protein levels in the GARP study. Ann Rheum Dis 67:877–879. https://doi.org/10.1136/ard.2007.079228
Kerkhof HJ, Bierma-Zeinstra SM, Castano-Betancourt MC et al (2010) Serum C reactive protein levels and genetic variation in the CRP gene are not associated with the prevalence, incidence or progression of osteoarthritis independent of body mass index. Ann Rheum Dis 69:1976–1982. https://doi.org/10.1136/ard.2009.125260
Valdes AM, Meulenbelt I, Chassaing E et al (2014) Large scale meta-analysis of urinary C-terminal telopeptide, serum cartilage oligomeric protein and matrix metalloprotease degraded type II collagen and their role in prevalence, incidence and progression of osteoarthritis. Osteoarthr Cartil 22:683–689. https://doi.org/10.1016/j.joca.2014.02.007
Hoch JM, Mattacola CG, Medina McKeon JM et al (2011) Serum cartilage oligomeric matrix protein (sCOMP) is elevated in patients with knee osteoarthritis: a systematic review and meta-analysis. Osteoarthr Cartil 19:1396–1404. https://doi.org/10.1016/j.joca.2011.09.005
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We thank Neighborhood (Mahalle)’s Houses, Tehran, Iran for allowing us to conduct this study.
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The study was approved by the Ethics Committee of the EMRI (IR.Tums.EMRI.REC.1395.00130).
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Maghbooli, Z., Hossein-nezhad, A., Khoshechin, G. et al. Possible association between circulating CTRP3 and knee osteoarthritis in postmenopausal women. Aging Clin Exp Res 31, 927–934 (2019). https://doi.org/10.1007/s40520-018-1035-5
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DOI: https://doi.org/10.1007/s40520-018-1035-5