Assessment of Cartilage Acidic Protein 1 and other Biomarkers in Pre- and Post-Menopausal Iraqi Women with Osteoarthritis Disease
DOI:
https://doi.org/10.30526/37.4.3390Keywords:
Cartilage acidic protein 1, follicle-stimulating hormone, luteinizing hormones, menopause, osteoarthritisAbstract
Osteoarthritis (OA) is a degenerative disease that causes pain in humans' joints during movement, especially in the elderly and many women. Since cartilage plays a major destructive role during OA incidence, its chemical components can serve as a sensitive biomarker for diagnosing the onset and severity of OA disease. Cartilage acidic protein 1 (CRTAC1) is a critical component of the cartilage's extracellular matrix. We have aimed to test the sensitivity of CRTAC1 to the prognosis of OA disease in pre-and post-menopausal women with OA disease. The results showed that the levels of CRTAC1 in the serum of pre-and postmenopausal women with OA disease were significantly higher than those in control groups of the same age. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were also higher in these patients. Nonetheless, follicle-stimulating hormone (FSH), luteinizing hormones (LH), and testosterone were non-significantly changed in OA patients and the corresponding control group at both pre-and post-menopausal age. Pearson’s correlation was non-significant between CRTAC1 and the rest of the biomarkers. Finally, using CRTAC1 as a biomarker to predict when OA will start and how bad it will get has shown that it works well as a very sensitive and specific biomarker for the disease in women before and after menopause.
References
Buckwalter, J.A.;Saltzman, C.; Brown, T. The Impact of Osteoarthritis: Implications for Research. Clinical Orthopaedics and Related Research (1976-2007) 2004, 427, S6-S15.
https://doi.org/10.1097/01.blo.0000143938.30681.9d.
Chow, Y.Y.;Chin, K.Y. The Role of Inflammation in the Pathogenesis of Osteoarthritis. Mediators of Inflammation 2020, 1 , 1-19. https://doi.org/10.1155/2020/8293921.
Lindler, B.N.; Long, K.E.; Taylor, N.A.; Lei, W. Use of Herbal Medications for Treatment of Osteoarthritis and Rheumatoid Arthritis. Medicines 2020, 7(11), 67.
https://doi.org/10.3390/medicines7110067.
Allen, K.; Thoma, L.; Golightly, Y. Epidemiology of Osteoarthritis. Osteoarthritis and Cartilage 2022, 30, 184-195. https://doi.org/10.1016/j.joca.2021.04.020.
Quicke, J.; Conaghan, P.; Corp, N.; Peat, G. Osteoarthritis Year in Review 2021: Epidemiology & Therapy. Osteoarthritis and Cartilage 2022, 30(2), 196-206. https://doi.org/10.1016/j.joca.2021.10.003.
Kloppenburg, M.;Berenbaum, F. Osteoarthritis Year in Review 2019: Epidemiology and Therapy. Osteoarthritis and Cartilage 2020, 28(3), 242-248. https://doi.org/10.1016/j.joca.2020.01.002.
Wise, B.L.; Niu, J.; Yang, M.;Lane, N.E.; Harvey, W.; Felson, D.T.; Hietpas, J.; Nevitt, M.; Sharma, L.; Torner, J. Patterns of Compartment Involvement in Tibiofemoral Osteoarthritis in Men and Women and in Whites and African Americans. Arthritis Care & Research 2012, 64(6), 847-852.
https://doi.org/10.1002/acr.21606.
Johnson, V.L.; Hunter, D.J. The Epidemiology of Osteoarthritis. Best Practice & Research Clinical Rheumatology 2014, 28(1), 5-15. https://doi.org/10.1016/j.berh.2014.01.004.
Hunter, D.J.;March, L.;Chew, M. Osteoarthritis in 2020 and Beyond: A Lancet Commission. The Lancet 2020, 396(10264), 1711-1712. https://doi.org/10.1016/S0140-6736(20)32230-3.
Slavich, G.M.; Sacher, J. Stress, Sex Hormones, Inflammation, and Major Depressive Disorder: Extending Social Signal Transduction Theory of Depression to Account for Sex Differences in Mood Disorders. Psychopharmacology 2019, 236(10),3063-3079. https://doi.org/10.1007/s00213-019-05326-9.
Hughes-Fulford, M. Signal Transduction and Mechanical Stress. Science's STKE 2004, 249, re12-re12. https://doi.org/10.1126/stke.2492004re12.
Taleb-Belkadi, O.; Chaib, H.; Zemour, L.; Fatah, A.; Chafi, B.; Mekki, K. Lipid Profile, Inflammation, and Oxidative Status In Peri-and Postmenopausal Women. Gynecological Endocrinology 2016, 32(12), 982-985. https://doi.org/10.1080/09513590.2016.1214257.
Kumavat, R.; Kumar, V.; Malhotra, R.; Pandit, H.; Jones, E.; Ponchel, F.; Biswas, S. Biomarkers of Joint Damage in Osteoarthritis: Current Status and Future Directions. Mediators of Inflammation 2021, 2021(1), 1-15. https://doi.org/10.1155/2021/5574582.
Kraus, V.B.; Karsdal, M.A. Osteoarthritis: Current Molecular Biomarkers and the Way Forward. Calcified Tissue International 2021, 109(3), 329-338. https://doi.org/10.1007/s00223-020-00701-7.
Roemer, F.; Collins, J.; Neogi, T.; Crema, M.; Guermazi, A. Association of Knee OA Structural Phenotypes to Risk for Progression: A Secondary Analysis from the Foundation for National Institutes of Health Osteoarthritis Biomarkers Study (FNIH). Osteoarthritis and Cartilage 2020, 28(9), 1220-1228. https://doi.org/10.1016/j.joca.2020.05.008.
Berenbaum, F.; Walker, C. Osteoarthritis and Inflammation: A Serious Disease with Overlapping Phenotypic Patterns. Postgraduate Medicine 2020, 132(4), 377-384.
https://doi.org/10.1080/00325481.2020.173066918.
Chow, Y.Y.; Chin, K.Y. The Role of Inflammation in the Pathogenesis of Osteoarthritis. Mediators of Inflammation 2020, 2020(1), 1-19. https://doi.org/10.1177/0004563215610142.
Tennant, F. Erythrocyte Sedimentation Rate and C-Reactive Protein: Old But Useful Biomarkers for Pain Treatment. Practical Pain Management 2013, 13(2), 61-65.
Yang, J.; Fan, L.; Liao, X.; Cui, G.; Hu, H. CRTAC1 (Cartilage acidic protein 1) inhibits Cell Proliferation, Migration, Invasion and Epithelial-Mesenchymal Transition (EMT) Process in Bladder Cancer by Downregulating Yin Yang 1 (YY1) to Inactivate the TGF-Β Pathway. Bioengineered 2021, 12(2), 9377-9389. https://doi.org/10.1080/21655979.2021.1974645.
Steck, E.; Bräun, J.; Pelttari, K.; Kadel, S.; Kalbacher, H.; Richter, W. Chondrocyte secreted CRTAC1: A Glycosylated Extracellular Matrix Molecule of Human Articular Cartilage. Matrix Biology 2007, 26(1), 30-41. https://doi.org/10.1016/j.matbio.2006.09.006.
Palmieri, B.; Lodi, D.; Capone, S. Osteoarthritis and Degenerative Joint Disease: Local Treatment Options Update. Acta Biomed 2010, 81(2), 94-100. PMID: 21305873.
Letsiou, S.; Félix, R.C.; Cardoso, J.C.; Anjos, L.; Mestre, A.L.; Gomes, H.L.; Power, D.M. Cartilage Acidic Protein 1 Promotes Increased Cell Viability, Cell Proliferation and Energy Metabolism in Primary Human Dermal Fibroblasts. Biochimie 2020, 171, 72-78.
https://doi.org/10.1016/j.biochi.2020.02.008.
Jin, X.; Beguerie, J.R.; Zhang, W.; Blizzard, L.; Otahal, P.; Jones, G.; Ding, C. Circulating C Reactive Protein In Osteoarthritis: A Systematic Review and Meta-Analysis. Annals of the Rheumatic Diseases 2015, 74(4), 703-710. https://doi.org/10.1136/annrheumdis-2013-204494.
Smith, J.W.; Martins, T.B.; Gopez, E.; Johnson, T.; Hill, H.R.; Rosenberg, T.D. Significance of C-Reactive Protein In Osteoarthritis and Total Knee Arthroplasty Outcomes. Therapeutic Advances in Musculoskeletal Disease 2012, 4(5), 315-325. https://doi.org/10.1177/1759720X12455959.
Kerkhof, H.J.; Bierma-Zeinstra, S.M.; Castano-Betancourt, M.C.; de Maat, M.P.; Hofman, A.; Pols, H.A.; Rivadeneira, F.; Witteman, J.C.; Uitterlinden, A.G.; van Meurs, J.B. 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. Annals of the Rheumatic Diseases 2010, 69(11), 1976-1982. https://doi.org/10.1136/ard.2009.125260.
Dainese, P.; Wyngaert, K.V.; De Mits, S.; Wittoek, R.; Van Ginckel, A.; Calders, P. Association Between Knee Inflammation and Knee Pain in Patients with Knee Osteoarthritis: A Systematic Review. Osteoarthritis and Cartilage 2022, 30(4), 516-534. https://doi.org/10.1016/j.joca.2021.12.003.
Wolfe, F. The C-Reactive Protein but Not Erythrocyte Sedimentation Rate is Associated with Clinical Severity in Patients with Osteoarthritis of the Knee or Hip. Journal of Rheumatology 1997, 24(8), 1486-1488. https://europepmc.org/article/med/9263139.
Styrkarsdottir, U.; Lund, S.H.; Saevarsdottir, S.; Magnusson, M.I.; Gunnarsdottir, K.; Norddahl, G.L.; Frigge, M.L.; Ivarsdottir, E.V.; Bjornsdottir, G.; Holm, H. The CRTAC1 Protein in Plasma Is Associated with Osteoarthritis and Predicts Progression to Joint Replacement: A Large‐Scale Proteomics Scan in Iceland. Arthritis & Rheumatology 2021, 73(11), 2025-2034. https://doi.org/10.1002/art.41793.
Szilagyi, I.A.; Vallerga, C.L.; Boer, C.G.; Schiphof, D.; Ikram, M.A.; Bierma-Zeinstra, S.M.;van Meurs, J.B. Plasma Proteomics Identifies CRTAC1 as a Biomarker for Osteoarthritis Severity and Progression. Rheumatology 2023, 62(3), 1286-1295. https://doi.org/10.1093/rheumatology/keac415.
Mutar, H.S.; Hasan, B.F.; Muhi, S.A. Study the Level of Cartilage Acidic protein (CRTAC1) in Serum of Iraqi Patients with osteoarthritis. NeuroQuantology 2022, 20(7), 153-158.
https://doi.org/10.14704/nq.2022.20.7.NQ33018.
Liu, Y.; Zhang, M.; Kong, D.; Wang, Y.; Li, J.; Liu, W.; Fu, Y.; Xu, J. High Follicle-Stimulating Hormone Levels Accelerate Cartilage Damage of Knee Osteoarthritis in Postmenopausal Women Through The PI3K/AKT/NF-Κb Pathway. FEBS Open Bio 2020, 10(10), 2235-2245.
https://doi.org/10.1002/2211-5463.12975.
Xu, J.; Xiao, J.; Shi, Z.J. Correlation Between Age-Related Serum Follicle Stimulating Hormone Levels and Osteoarthritis in Postmenopausal Women. Biomedical Research 2017, 28(13), 5772-5775.
Santos-Baez, L.S.; Ginsberg, H.N. Hypertriglyceridemia—Causes, Significance, And Approaches To Therapy. Frontiers In Endocrinology 2020, 11, 616. https://doi.org/10.3389/fendo.2020.00616.
Taay, Y.; Mohammed, M.; Abbas, R.; Ayad, A.; Mahdi, M. Determination of Some Biochemical Parameters in Sera of Normotensive and Hypertensive Obese Female in Baghdad. Journal of Physics: Conference Series. 2021. IOP Publishing 2021, 1853(1), 01237. https://doi.org/10.1088/1742-6596/1853/1/012037.
Paiva, E.S.; Andretta, A.; Batista, E.D.; Lobo, M.M.M.T.; Miranda, R.C.D.; Nisihara, R.; Schieferdecker, M.E.M.; Boguszewski, C.L. Serum levels of Leptin and Adiponectin and Clinical Parameters in Women with Fibromyalgia and Overweight/Obesity. Archives of Endocrinology and Metabolism 2017, 61, 249-256. https://doi.org/10.1590/2359-3997000000248.
Hamza, M.A.; Al Tamer, Y.Y.; Al habib, O.A. Modification of Irisin Level in Overweight/Obese Women During Pregnancy and Its Association with Some Metabolic Risk Factors. Baghdad Science Journal 2020, 17(3), 1124. http://dx.doi.org/10.21123/bsj.2020.17.3(Suppl.).1124.
Peng, X.; Wu, H. Inflammatory Links between Hypertriglyceridemia and Atherogenesis. Current Atherosclerosis Reports 2022, 24(5), 297-306. https://doi.org/10.1007/s11883-022-01006-w.
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