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Changes in biochemical parameters after anterior cruciate ligament injury

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Abstract

We studied the biochemical characteristics of human knees with deficient anterior cruciate ligaments (ACL) and analysed their relationship to the time after ligamentous injury. Thirty-two patients with isolated ACL-injured knees and six healthy volunteers were enrolled. Synovial fluid samples were centrifuged after aspiration during arthroscopic examination, and aliquots of supernatant were frozen and stored at −80°C. The samples were analysed for interleukin (IL)-1β, tumour necrosis factor (TNF)-α, IL-6, matrix metalloproteinase (MMP)-3, and tissue inhibitor of metalloproteinase (TIMP)-1 using commercially available sandwich enzyme-linked immunosorbent assay. In fluid from ACL-injured knees, the average concentrations of IL-6, MMP-3 and TIMP-1 were highly elevated in comparison with normal controls. There was a statistically significant correlation between the concentrations of MMP-3 and IL-6. The IL-6 and TIMP-1 concentrations were interrelated. The concentration of MMP-3 remained high, independent of the duration since the injury, whereas the TIMP-1 and IL-6 levels decreased. The results suggest that the timing of the treatment of an ACL-injured knee might be of importance.

Résumé

Nous avons étudié les caractéristiques biochimiques des genoux humains avec un ligament croisé antérieur défectueux (LCA) et avons analysé leur rapport au temps après la lésion ligamentaire. Trente-deux malades avec une lésion isolée du LCA et six volontaires sains ont été enrôlés. Des échantillons du liquide synovial ont été centrifugés après aspiration pendant un examen arthroscopique, et le surnageant a été congelé et entreposé à −80 degrés Celsius. Les échantillons ont été analysés pour l'interleukine (IL)-1β, le facteur de nécrose tumorale (TNF), IL 6, la métalloprotéinase de la matrice (MMP)-3 et l'inhibiteur tissulaire de la métalloproteinase (TIMP)-1. Dans le liquide des genoux traumatisés les concentrations moyennes de IL 6, MMP-3 et TIMP-1 étaient très élevées en comparaison des contrôles normaux. Il y avait une corrélation statistiquement significative entre les concentrations de MMP-3 et IL 6. Les concentrations de IL 6 et TIMP-1 ont été mises en corrélation. La concentration de MMP-3 est restée élevée, indépendante du délai de la lésion ligamentaire, alors que le niveau de TIMP-1 et IL6 a diminué. Les résultats suggèrent que le délai d'intervention sur un genou ayant une rupture du croisé antérieur peut être un élément d'importance.

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Acknowledgements

This study was partly presented at the 69th annual meeting of the American Academy of Orthopaedic Surgeons. We thank Kiichi Osawa, Technician, for his help in preparing the figures. This study was supported by Grant of Japan Sports Medicine Foundation, in 2000.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi-shi, Gunma-ken, 371-8511, Japan

    H. Higuchi, M. Terauchi, T. Shinozaki, H. Watanabe & K. Takagishi

  2. Unit of Rehabilitation, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi-shi, Gunma-ken, 371-8511, Japan

    K. Shirakura

  3. Gunma Sports Medicine Research Center, Zenshukai Hospital, 1381 Ninomiya-machi, Maebashi-shi, Gunma-ken, 379-2117, Japan

    M. Kimura

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  1. H. Higuchi
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  2. K. Shirakura
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  3. M. Kimura
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  4. M. Terauchi
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  5. T. Shinozaki
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  6. H. Watanabe
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  7. K. Takagishi
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Correspondence to H. Higuchi.

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Higuchi, H., Shirakura, K., Kimura, M. et al. Changes in biochemical parameters after anterior cruciate ligament injury. International Orthopaedics (SICO 30, 43–47 (2006). https://doi.org/10.1007/s00264-005-0023-5

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  • DOI: https://doi.org/10.1007/s00264-005-0023-5

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