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Publications of Virginia B Kraus    :chronological  combined listing:

%% Papers Published   
@article{fds188644,
   Author = {VB Kraus and B Burnett and J Coindreau and S Cottrell and D Eyre and M
             Gendreau, J Gardiner and P Garnero and J Hardin and Y Henrotin and D
             Heinegård, A Ko and LS Lohmander and G Matthews and J Menetski and R
             Moskowitz, S Persiani and AR Poole and JC Rousseau and M Todman and OARSI FDA Osteoarthritis Biomarkers Working
             Group},
   Title = {Application of biomarkers in the development of drugs
             intended for the treatment of osteoarthritis.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {19},
   Number = {5},
   Pages = {515-42},
   Year = {2011},
   Month = {May},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.08.019},
   Keywords = {Biological Markers • Clinical Trials as Topic •
             Drug Discovery • Drug Monitoring • Humans •
             Osteoarthritis • Specimen Handling • Treatment
             Outcome • diagnosis • drug therapy* •
             metabolism* • methods • methods*},
   Abstract = {OBJECTIVE: Osteoarthritis (OA) is a chronic and slowly
             progressive disease for which biomarkers may be able to
             provide a more rapid indication of therapeutic responses to
             therapy than is currently available; this could accelerate
             and facilitate OA drug discovery and development programs.
             The goal of this document is to provide a summary and guide
             to the application of in vitro (biochemical and other
             soluble) biomarkers in the development of drugs for OA and
             to outline and stimulate a research agenda that will further
             this goal. METHODS: The Biomarkers Working Group
             representing experts in the field of OA biomarker research
             from both academia and industry developed this consensus
             document between 2007 and 2009 at the behest of the
             Osteoarthritis Research Society International Federal Drug
             Administration initiative (OARSI FDA initiative). RESULTS:
             This document summarizes definitions and classification
             systems for biomarkers, the current outcome measures used in
             OA clinical trials, applications and potential utility of
             biomarkers for development of OA therapeutics, the current
             state of qualification of OA-related biomarkers, pathways
             for biomarker qualification, critical needs to advance the
             use of biomarkers for drug development, recommendations
             regarding practices and clinical trials, and a research
             agenda to advance the science of OA-related biomarkers.
             CONCLUSIONS: Although many OA-related biomarkers are
             currently available they exist in various states of
             qualification and validation. The biomarkers that are likely
             to have the earliest beneficial impact on clinical trials
             fall into two general categories, those that will allow
             targeting of subjects most likely to either respond and/or
             progress (prognostic value) within a reasonable and
             manageable time frame for a clinical study (for instance
             within 1-2 years for an OA trial), and those that provide
             early feedback for preclinical decision-making and for trial
             organizers that a drug is having the desired biochemical
             effect. As in vitro biomarkers are increasingly investigated
             in the context of specific drug treatments, advances in the
             field can be expected that will lead to rapid expansion of
             the list of available biomarkers with increasing
             understanding of the molecular processes that they
             represent.},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.08.019},
   Key = {fds188644}
}

@article{fds188662,
   Author = {VB Kraus},
   Title = {Osteoarthritis year 2010 in review: biochemical
             markers.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {19},
   Number = {4},
   Pages = {346-53},
   Year = {2011},
   Month = {April},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2011.02.002},
   Keywords = {Biological Markers • Biomedical Research • Humans
             • Osteoarthritis • metabolism •
             metabolism*},
   Abstract = {At the 2010 Osteoarthritis Research Society International
             (OARSI) congress in Brussels I was asked to present on
             "Biochemical Markers" in the "Year in Review" session. This
             provided an opportunity to summarize ongoing work and
             consensus building in the osteoarthritis research community
             related to osteoarthritis biomarkers, and second, and an
             opportunity to briefly overview a subset of studies from the
             previous 12 months related to soluble biomarkers that
             provided novel insights in the field. This review therefore
             briefly summarizes the progress in 2010 of the OARSI OA
             Biomarkers Global Initiative and the OARSI FDA Biomarkers
             Working Group, and provides a summary of selected
             osteoarthritis biomarker studies reported over the previous
             12 months based on a review of articles from seven
             musculoskeletal journals and a PubMed search using the terms
             biomarkers and osteoarthritis.},
   Language = {eng},
   Doi = {10.1016/j.joca.2011.02.002},
   Key = {fds188662}
}

@article{fds188635,
   Author = {H Lum and R Sloane and KM Huffman and VB Kraus and DK Thompson and WE
             Kraus, JR Bain and R Stevens and CF Pieper and GA Taylor and CB Newgard and HJ Cohen and MC Morey},
   Title = {Plasma Acylcarnitines Are Associated With Physical
             Performance in Elderly Men.},
   Journal = {The journals of gerontology. Series A, Biological sciences
             and medical sciences},
   Year = {2011},
   Month = {March},
   ISSN = {1758-535X},
   url = {http://dx.doi.org/10.1093/gerona/glr006},
   Abstract = {BACKGROUND: Metabolic profiling might provide insight into
             the biologic underpinnings of disability in older adults.
             METHODS: A targeted mass spectrometry-based platform was
             used to identify and quantify 45 plasma acylcarnitines in 77
             older men with a mean age of 79 years and average body mass
             index of 28.4 kg/m(2). To control for type I error inherent
             in a test of multiple analytes, principal components
             analysis was employed to reduce the acylcarnitines from 45
             separate metabolites, into a single "acylcarnitine factor."
             We then tested for an association between this acylcarnitine
             factor and multiple indices of physical performance and
             self-reported function. RESULTS: The acylcarnitine factor
             accounted for 40% of the total variance in 45
             acylcarnitines. Of the metabolites analyzed, those that
             contributed most to our one-factor solution were
             even-numbered medium and long-chain species with side chains
             containing 10-18 carbons (factor loadings ≥0.70).
             Odd-numbered chain species, in contrast, had factor loadings
             0.50 or less. Acylcarnitine factor scores were inversely
             related to physical performance as measured by the Short
             Physical Performance Battery total score, two of its three
             component scores (gait and chair stands Short Physical
             Performance Battery), and usual and maximal gait speeds (ρ
             = -0.324, -0.348, -0.309, -0.241, and -0.254, respectively;
             p < .05). CONCLUSIONS: Higher acylcarnitine factor scores
             were associated with lower levels of objectively measured
             physical performance in this group of older, largely
             overweight men. Metabolic profiles of rodents exhibiting
             lipid-induced mitochondrial dysfunction show a similar
             phenotypic predominance of medium- and long-chain
             acylcarnitines.},
   Language = {ENG},
   Doi = {10.1093/gerona/glr006},
   Key = {fds188635}
}

@article{fds188617,
   Author = {KD Allen and JM Jordan and M Doherty and JB Renner and VB
             Kraus},
   Title = {Performance of global assessments of hip, knee, and back
             symptom change.},
   Journal = {Clinical rheumatology},
   Volume = {30},
   Number = {3},
   Pages = {331-8},
   Year = {2011},
   Month = {March},
   ISSN = {1434-9949},
   url = {http://dx.doi.org/10.1007/s10067-010-1536-x},
   Abstract = {The objective of this study is to compare patients' global
             assessments of change in knee, hip, and back symptoms with
             actual changes over time in pain, function, and radiographic
             severity. The participants (n = 894, 80% female, mean
             age = 66 years) completed two assessments (mean of
             4 years apart) as part of a study on the genetics of
             generalized osteoarthritis. At both assessments,
             participants completed the Western Ontario and McMaster
             Universities OA Index (WOMAC), and radiographic severity was
             assessed for knees, hips, and low back. At the second
             assessment, participants described changes in knee, hip, and
             low back symptoms as worse, better, same, or never had
             symptoms. Analysis of covariance models examined mean
             changes in WOMAC scores and radiographic severity according
             to categories of the global assessment measures. Statistical
             significance was examined for linear trend. Mean WOMAC
             total, pain, and function scores decreased (indicating
             improvement) among participants who indicated joint symptoms
             were better, showed little change among those who reported
             symptoms were the same/never had symptoms, and increased
             among those who reported symptoms were worse. For all
             analyses except the comparison of WOMAC pain change
             according to global assessment of low back symptom change,
             there was a statistically significant linear trend
             (p < 0.05). Patterns were similar for changes in
             radiographic severity, but the tests of linear trend were
             not statistically significant. Results support the
             concordance of these global assessments of joint symptom
             change with actual changes in self-reported symptoms. These
             global assessments may be useful for assessing change over
             time when baseline data are unavailable.},
   Language = {eng},
   Doi = {10.1007/s10067-010-1536-x},
   Key = {fds188617}
}

@article{fds188634,
   Author = {G McDaniel and JB Renner and R Sloane and VB Kraus},
   Title = {Association of knee and ankle osteoarthritis with physical
             performance.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Year = {2011},
   Month = {February},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2011.01.016},
   Abstract = {OBJECTIVE: The direct measurement of the ability to perform
             physical tasks yields information about factors contributing
             to poor function and insights into strategies for preventing
             disability. Our goal was to evaluate the relationship of
             walking speed and balance tests with specific radiographic
             features of knee and ankle osteoarthritis (OA). METHODS: A
             timed eight foot walk and a standing balance test were
             performed by 138 participants of a longitudinal
             observational study of knee OA progression. Radiographic
             features of OA severity, joint space narrowing (JSN), a
             surrogate for cartilage loss and osteophyte (OST) formation,
             were assessed for the knee and ankle. The association of
             these performance measures with radiographic OA was
             evaluated using correlation analysis, adjusted for age,
             gender, body mass index (BMI), and number of comorbidities.
             RESULTS: Knee and ankle JSN, but not OST, was negatively
             associated with specific performance tests: walking speed
             was associated with knee JSN (Spearman rho = -0.20,
             P = 0.02) and balance was associated with ankle (subtalar
             joint) JSN (Spearman rho = -0.22, P = 0.01). These
             relationships remained significant upon further control for
             knee and ankle pain. CONCLUSIONS: Structural joint damage
             due to OA (JSN in contrast to OST) negatively impacted
             specific domains of physical performance. These results
             indicate that targeting specific joints for specific
             functional outcomes may be indicated, and suggest that
             prevention of cartilage damage in these joints is a sensible
             target for OA disease modification to prevent
             disability.},
   Language = {ENG},
   Doi = {10.1016/j.joca.2011.01.016},
   Key = {fds188634}
}

@article{fds188649,
   Author = {LM Redman and KM Huffman and LR Landerman and CF Pieper, JR Bain and MJ
             Muehlbauer, RD Stevens and BR Wenner and VB Kraus and CB Newgard and WE
             Kraus, E Ravussin},
   Title = {Effect of caloric restriction with and without exercise on
             metabolic intermediates in nonobese men and
             women.},
   Journal = {The Journal of clinical endocrinology and
             metabolism},
   Volume = {96},
   Number = {2},
   Pages = {E312-21},
   Year = {2011},
   Month = {February},
   ISSN = {1945-7197},
   url = {http://dx.doi.org/10.1210/jc.2010-1971},
   Keywords = {Adiposity • Adult • Aging • Amino Acids
             • Body Composition • Caloric Restriction* •
             Carnitine • Cross-Sectional Studies • Data
             Interpretation, Statistical • Exercise • Fatty
             Acids • Female • Humans • Insulin Resistance
             • Male • Metabolism • Middle Aged •
             Overweight • Principal Component Analysis • Sex
             Characteristics • Spectrum Analysis • Weight Loss
             • analogs & derivatives • blood • metabolism
             • physiology • physiology*},
   Abstract = {OBJECTIVE: The objective of the study was to evaluate
             whether serum concentrations of metabolic intermediates are
             related to adiposity and insulin sensitivity (Si) in
             overweight healthy subjects and compare changes in metabolic
             intermediates with similar weight loss achieved by diet only
             or diet plus exercise. METHODS: This was a randomized
             controlled trial. METHODS: The cross-sectional study
             included 46 (aged 36.8 ± 1.0 yr) overweight (body mass
             index 27.8 ± 0.7 kg/m(2)) subjects enrolled in a 6-month
             study of calorie restriction. To determine the effect of
             diet only or diet plus exercise on metabolic intermediates,
             35 subjects were randomized to control (energy intake at
             100% of energy requirements); CR (25% calorie restriction),
             or CR+EX: (12.5% CR plus 12.5% increase in energy
             expenditure by exercise). METHODS: Serum concentrations of
             eight fatty acids, 15 amino acids, and 45 acylcarnitines
             (ACs) measured by targeted mass spectrometry. RESULTS: In
             overweight subjects, the concentrations of C2 AC and
             long-chain ACs were positively associated with percent fat
             (R(2) = 0.75, P = 0.0001) and Si (R(2) = 0.12, P = 0.05).
             The percent fat (R(2) = 0.77, P < 0.0001), abdominal
             visceral fat (R(2) = 0.64, P < 0.0001), and intrahepatic fat
             (R(2) = 0.30, P = 0.0002) were positively associated with
             fatty acid concentrations. There was a significant increase
             in an AC factor (comprised of C2 and several medium chain
             ACs) in the CR group (P = 0.01). CONCLUSIONS: In nonobese
             subjects, fasted serum ACs are associated with Si and fat
             mass. Despite similar weight loss, serum ACs increase with
             CR alone but not CR+EX. A greater improvement in Si with
             weight loss during CR+EX interventions may be related to
             improved coupling of β-oxidation and tricarboxylic acid
             cycle flux induced by exercise.},
   Language = {eng},
   Doi = {10.1210/jc.2010-1971},
   Key = {fds188649}
}

@article{fds188655,
   Author = {AE Denoble and KM Huffman and TV Stabler and SJ Kelly and MS Hershfield and GE McDaniel and RE Coleman and VB Kraus},
   Title = {Uric acid is a danger signal of increasing risk for
             osteoarthritis through inflammasome activation.},
   Journal = {Proceedings of the National Academy of Sciences of the
             United States of America},
   Volume = {108},
   Number = {5},
   Pages = {2088-93},
   Year = {2011},
   Month = {February},
   ISSN = {1091-6490},
   url = {http://dx.doi.org/10.1073/pnas.1012743108},
   Keywords = {Aged • Carrier Proteins • Cohort Studies •
             Female • Humans • Interleukin-1 •
             Interleukin-18 • Knee • Male • Middle Aged
             • Osteoarthritis • Risk Factors • Severity of
             Illness Index • Uric Acid • biosynthesis •
             blood • blood* • genetics • immunology •
             pathology*},
   Abstract = {Uric acid (UA) is known to activate the NLRP3 (Nacht,
             leucine-rich repeat and pyrin domain containing protein 3)
             inflammasome. When activated, the NLRP3 (also known as
             NALP3) inflammasome leads to the production of IL-18 and
             IL-1β. In this cohort of subjects with knee osteoarthritis
             (OA), synovial fluid uric acid was strongly correlated with
             synovial fluid IL-18 and IL-1β. Synovial fluid uric acid
             and IL-18 were strongly and positively associated with OA
             severity as measured by both radiograph and bone
             scintigraphy, and synovial fluid IL-1β was associated with
             OA severity but only by radiograph. Furthermore, synovial
             fluid IL-18 was associated with a 3-y change in OA severity,
             on the basis of the radiograph. We conclude that synovial
             fluid uric acid is a marker of knee OA severity. The
             correlation of synovial fluid uric acid with the two
             cytokines (IL-18 and IL-1β) known to be produced by uric
             acid-activated inflammasomes and the association of synovial
             fluid IL-18 with OA progression, lend strong support to the
             potential involvement of the innate immune system in OA
             pathology and OA progression.},
   Language = {eng},
   Doi = {10.1073/pnas.1012743108},
   Key = {fds188655}
}

@article{fds188616,
   Author = {KM Huffman and CA Slentz and LA Bateman and D Thompson and MJ
             Muehlbauer, JR Bain and RD Stevens and BR Wenner and VB Kraus and CB
             Newgard, WE Kraus},
   Title = {Exercise-induced changes in metabolic intermediates,
             hormones, and inflammatory markers associated with
             improvements in insulin sensitivity.},
   Journal = {Diabetes care},
   Volume = {34},
   Number = {1},
   Pages = {174-6},
   Year = {2011},
   Month = {January},
   ISSN = {1935-5548},
   url = {http://dx.doi.org/10.2337/dc10-0709},
   Abstract = {OBJECTIVE: To understand relationships between exercise
             training-mediated improvements in insulin sensitivity (S(I))
             and changes in circulating concentrations of metabolic
             intermediates, hormones, and inflammatory mediators.
             METHODS: Targeted mass spectrometry and enzyme-linked
             immunosorbent assays were used to quantify metabolic
             intermediates, hormones, and inflammatory markers at
             baseline, after 6 months of exercise training, and 2 weeks
             after exercise training cessation (n = 53). A principal
             components analysis (PCA) strategy was used to relate
             changes in these intermediates to changes in S(I). RESULTS:
             PCA reduced the number of intermediates from 90 to 24
             factors composed of biologically related components. With
             exercise training, improvements in S(I) were associated with
             reductions in by-products of fatty acid oxidation and
             increases in glycine and proline (P < 0.05, R² = 0.59);
             these relationships were retained 15 days after cessation of
             exercise training (P < 0.05, R² = 0.34). CONCLUSIONS: These
             observations support prior observations in animal models
             that exercise training promotes more efficient mitochondrial
             β-oxidation and challenges current hypotheses regarding
             exercise training and glycine metabolism.},
   Language = {eng},
   Doi = {10.2337/dc10-0709},
   Key = {fds188616}
}

@article{fds188631,
   Author = {AW Cheng and TV Stabler and M Bolognesi and VB Kraus},
   Title = {Selenomethionine inhibits IL-1β inducible nitric oxide
             synthase (iNOS) and cyclooxygenase 2 (COX2) expression in
             primary human chondrocytes.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {19},
   Number = {1},
   Pages = {118-25},
   Year = {2011},
   Month = {January},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.10.019},
   Keywords = {Aged • Blotting, Western • Cells, Cultured •
             Chondrocytes • Cyclooxygenase 2 • Dinoprostone
             • Humans • Interleukin-1beta • Middle Aged
             • Nitric Oxide Synthase • RNA, Messenger •
             Selenomethionine • antagonists & inhibitors* •
             drug effects • drug effects* • metabolism •
             metabolism* • pharmacology*},
   Abstract = {OBJECTIVE: Several lines of evidence show that selenium (Se)
             has potential protective effects in osteoarthritis (OA),
             however the exact mechanism is still unclear. As
             interleukin-1β (IL-1β) is one of the key proinflammatory
             cytokines contributing to the progression in OA, we
             investigated the effect of Se in neutralizing the
             inflammatory effects of IL-1β on nitric oxide (NO) and
             prostaglandin E₂ (PGE₂) production, and the signaling
             pathways involved. METHODS: Isolated primary human
             chondrocytes were pretreated with selenomethionine (SeMet)
             (0.5 μM SeMet) for 24 h then co-treated without or with
             IL-1β (10 pg/ml or 50 pg/ml) for another 24 h followed by
             RNA isolation. Gene expression of inducible nitric oxide
             synthase (iNOS) and cyclooxygenase-2 (COX2) was determined
             by quantitative Real Time-Polymerase Chain Reaction. Culture
             media concentrations of NO and PGE₂ were determined by
             nitrite (NO₂⁻) assay and immunoassay respectively. For
             analysis of cell signaling pathways, chondrocytes were
             pretreated with SeMet then stimulated with IL-1β for 0-45
             min. The activity of IL-1β signaling pathways was
             determined by Western blot screening of phosphorylation
             states of signal transduction proteins. RESULTS: SeMet
             inhibited chondrocyte gene expression of IL-1β induced iNOS
             (31-54%, P=0.031) and COX2 (50-65%, P=0.031) with
             corresponding reductions in both NO (19-47%, P=0.031) and
             PGE₂ (24-32%, P=0.031) production. Pretreatment with SeMet
             attenuated IL-1β induced activation of p38 MAPK (39%,
             P=0.039) but not the extracellular signal-regulated kinase
             pathways (ERK) 1/2, c-Jun N-terminal kinases (JNK) or
             nuclear factor κB (NFκB). CONCLUSIONS: This study
             elucidates one potential protective mechanism of Se, namely
             through the alteration of cell signaling and downstream
             transcription of pro-inflammatory effects of
             IL-1β.},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.10.019},
   Key = {fds188631}
}

@article{fds188615,
   Title = {Schmitz N, Laverty S, Kraus VB, Aigner T. Response to Letter
             to the Editor: 'India ink and cartilage'. Osteoarthritis
             Cartilage. 2011 Mar;19(3):333-5.},
   Year = {2011},
   Key = {fds188615}
}

@article{fds188613,
   Author = {VB Kraus and JL Huebner and J DeGroot and A Bendele},
   Title = {The OARSI histopathology initiative - recommendations for
             histological assessments of osteoarthritis in the guinea
             pig.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18 Suppl 3},
   Pages = {S35-52},
   Year = {2010},
   Month = {October},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.04.015},
   Keywords = {Animals • Arthritis, Experimental • Disease
             Models, Animal • Guinea Pigs • Histocytological
             Preparation Techniques • Joints • Osteoarthritis
             • Severity of Illness Index • Synovial Membrane
             • Synovitis • methods • pathology •
             pathology*},
   Abstract = {OBJECTIVE: This review focuses on the criteria for assessing
             osteoarthritis (OA) in the guinea pig at the macroscopic and
             microscopic levels, and recommends particular assessment
             criteria to assist standardization in the conduct and
             reporting of preclinical trails in guinea pig models of OA.
             METHODS: A review was conducted of all OA studies from 1958
             until the present that utilized the guinea pig. The PubMed
             database was originally searched August 1, 2006 using the
             following search terms: guinea pig and OA. We continued to
             check the database periodically throughout the process of
             preparing this chapter and the final search was conducted
             January 7, 2009. Additional studies were found in a review
             of abstracts from the OsteoArthritis Research Society
             International (OARSI) conferences, Orthopaedic Research
             Society (ORS) conferences, and literature related to
             histology in other preclinical models of OA reviewed for
             relevant references. Studies that described or used systems
             for guinea pig joint scoring on a macroscopic, microscopic,
             or ultrastructural basis were included in the final
             comprehensive summary and review. General recommendations
             regarding methods of OA assessment in the guinea pig were
             derived on the basis of a comparison across studies and an
             inter-rater reliability assessment of the recommended
             scoring system. RESULTS: A histochemical-histological
             scoring system (based on one first introduced by H. Mankin)
             is recommended for semi-quantitative histological assessment
             of OA in the guinea pig, due to its already widespread
             adoption, ease of use, similarity to scoring systems used
             for OA in humans, its achievable high inter-rater
             reliability, and its demonstrated correlation with synovial
             fluid biomarker concentrations. Specific recommendations are
             also provided for histological scoring of synovitis and
             scoring of macroscopic lesions of OA. CONCLUSIONS: As
             summarized herein, a wealth of tools exist to aid both in
             the semi-quantitative and quantitative assessment of OA in
             the guinea pig and provide a means of comprehensively
             characterizing the whole joint organ. In an ongoing effort
             at standardization, we recommend specific criteria for
             assessing the guinea pig model of OA as part of an OARSI
             initiative, termed herein the OARSI-HISTOgp
             recommendations.},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.04.015},
   Key = {fds188613}
}

@article{fds188621,
   Author = {N Schmitz and S Laverty and VB Kraus and T Aigner},
   Title = {Basic methods in histopathology of joint
             tissues.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18 Suppl 3},
   Pages = {S113-6},
   Year = {2010},
   Month = {October},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.05.026},
   Keywords = {Animals • Arthritis, Experimental • Collagen
             • Disease Models, Animal • Histocytological
             Preparation Techniques • Humans • Osteoarthritis
             • Proteoglycans • Staining and Labeling •
             metabolism • methods • pathology*},
   Abstract = {Histological and histochemical methods are important tools
             in the evaluation of joint tissue samples for degenerative
             joint diseases, both in humans and in animal models. In this
             respect, standardized, simple, and reliable techniques are
             mandatory. This chapter describes five basic staining
             procedures appropriate for macroscopic (Indian ink) and
             histologic (HE/hematoxylin - eosin) visualization and
             scoring of cartilage proteoglycan and collagen content
             (toluidine blue/safranin O and picrosirius red/Goldner's
             trichrome).},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.05.026},
   Key = {fds188621}
}

@article{fds188623,
   Author = {T Aigner and JL Cook and N Gerwin and SS Glasson and S Laverty and CB
             Little, W McIlwraith and VB Kraus},
   Title = {Histopathology atlas of animal model systems - overview of
             guiding principles.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18 Suppl 3},
   Pages = {S2-6},
   Year = {2010},
   Month = {October},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.07.013},
   Keywords = {Animals • Arthritis, Experimental • Atlases as
             Topic* • Consensus Development Conferences as Topic
             • Disease Models, Animal* • Osteoarthritis •
             Severity of Illness Index* • Species Specificity •
             Terminology as Topic • pathology*},
   Abstract = {Animal model systems represent an important adjunct and
             surrogate for studies of osteoarthritis (OA) in humans. They
             provide a means to study OA pathophysiology as well as aid
             in the development of therapeutic agents and biological
             markers for diagnosing and prognosing the disease. Thus, it
             is of great importance for the OA scientific community, both
             in academic as well as industrial research, to standardize
             scoring systems for evaluating the OA disease process and to
             make results between different studies comparable. The task
             of the histopathology initiative of OARSI was to achieve a
             consensus of scoring systems for the most important species
             used in OA animal model research (dog, guinea pig, horse,
             mouse, rabbit, rat, and sheep/goat), which are presented in
             the various chapters in this special volume of
             Osteoarthritis & Cartilage together with extra chapters on
             basic methodology (histochemistry, statistics, morphometry),
             the specific terminology and a general discussion of animal
             models in OA research. Standardized definitions are
             suggested for basic but essential terms such as "grading"
             and "staging" in order to promote their consistent use and
             thereby promote improved understanding and data
             interpretation across all model systems. Thus, this
             introductory chapter presents an overview of the guiding
             principles for assessment of important OA animal model
             systems. Use of such systems, independently or in
             conjunction with other systems in parallel, should
             facilitate comparability of results across animal model
             studies.},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.07.013},
   Key = {fds188623}
}

@article{fds188629,
   Author = {B Chuckpaiwong and HC Charles and VB Kraus and F Guilak and JA
             Nunley},
   Title = {Age-associated increases in the size of the infrapatellar
             fat pad in knee osteoarthritis as measured by 3T
             MRI.},
   Journal = {Journal of orthopaedic research : official publication of
             the Orthopaedic Research Society},
   Volume = {28},
   Number = {9},
   Pages = {1149-54},
   Year = {2010},
   Month = {September},
   ISSN = {1554-527X},
   url = {http://dx.doi.org/10.1002/jor.21125},
   Keywords = {Adipokines • Adipose Tissue • Aged • Aging
             • Body Mass Index • Cohort Studies • Humans
             • Imaging, Three-Dimensional • Knee Joint •
             Magnetic Resonance Imaging • Middle Aged • Obesity
             • Osteoarthritis, Knee • Pain • Patella
             • Reproducibility of Results • Risk Factors •
             Weight-Bearing • epidemiology • metabolism •
             methods* • pathology • pathology* •
             physiology • physiopathology •
             standards},
   Abstract = {Obesity, as a primary risk factor for osteoarthritis (OA),
             has been shown to alter joint loading, but may also result
             in metabolic changes characterized by chronic, low-level
             inflammation due to increased circulating levels of
             adipose-derived cytokines, or "adipokines." The presence of
             the infrapatellar fat pad in the knee suggests that local
             changes in adipokine concentrations may influence knee OA.
             This study examined the hypotheses that the volume of the
             infrapatellar fat pad is correlated to the body mass index
             (BMI) of OA patients, and that fat pad volume is greater in
             subjects with OA. Fat pad volume was measured in sequential
             magnetic resonance (MR) images taken over one year in a
             cohort of 15 control and 15 knee OA subjects. No differences
             were observed in the fat pad volume between the two groups
             at baseline, 3, 6, or 12 months. In control subjects, no
             significant correlations were present between any parameters
             (age, BMI, weight, volume of fat pad at any time point).
             However, in the osteoarthritic group, fat pad volume was
             correlated with age at every time point. One possible
             explanation is that local factors related to knee OA may
             also induce enlargement of the fat pad with age.
             Alternatively, subjects who are prone to growth or
             enlargement of the fat pad may also be more prone to
             symptomatic OA. These findings provide intriguing
             preliminary data on the potential role of the infrapatellar
             fat pad in OA, although additional study is required to
             better understand the mechanisms of this
             relationship.},
   Language = {eng},
   Doi = {10.1002/jor.21125},
   Key = {fds188629}
}

@article{fds188632,
   Author = {F Kempta Lekpa and JC Piette and S Bastuji-Garin and VB Kraus and TV
             Stabler, AR Poole and A Marini-Portugal and X Chevalier},
   Title = {Serum cartilage oligomeric matrix protein (COMP) level is a
             marker of disease activity in relapsing polychondritis.},
   Journal = {Clinical and experimental rheumatology},
   Volume = {28},
   Number = {4},
   Pages = {553-5},
   Year = {2010},
   Month = {August},
   ISSN = {0392-856X},
   Keywords = {Adult • Biological Markers • Chondroitin Sulfates
             • Extracellular Matrix Proteins • Female •
             Glycoproteins • Humans • Male • Matrix
             Metalloproteinase 8 • Middle Aged •
             Polychondritis, Relapsing • Prognosis •
             Retrospective Studies • Severity of Illness Index*
             • Steroids • blood • blood* • diagnosis
             • drug therapy • therapeutic use},
   Abstract = {OBJECTIVE: Relapsing polychondritis (RP) is a rare and
             severe disease which may lead to destruction of elastic
             cartilages. Until now, no reliable biomarker of disease
             activity in RP has been available. This study was designed
             to measure serum levels of cartilage biomarkers during both
             active and inactive phases of the disease. METHODS: Serum
             levels of cartilage oligomeric matrix protein (COMP),
             chondroitin sulfate 846 epitope (CS846) of proteoglycan
             aggrecan and collagen type II collagenase cleavage
             neoepitope (C2C) were measured retrospectively in 21
             subjects with RP. The Wilcoxon matched-pairs signed-rank
             test was used for statistical comparisons of biomarker
             levels in active and inactive phases of RP. RESULTS: Only
             the serum level of COMP was significantly increased during
             disease flares. Steroids did not alter the serum
             cartilage-related biomarker levels. However, during the
             active phase, C2C levels were significantly higher in
             steroid treated patients compared with non-steroid treated
             patients. CONCLUSIONS: This study suggests that serum COMP
             level may be useful for monitoring disease activity of RP.
             Further prospective studies are required to confirm this
             result.},
   Language = {eng},
   Key = {fds188632}
}

@article{fds188630,
   Author = {VB Kraus and M Nevitt and LJ Sandell},
   Title = {Summary of the OA biomarkers workshop 2009--biochemical
             biomarkers: biology, validation, and clinical
             studies.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18},
   Number = {6},
   Pages = {742-5},
   Year = {2010},
   Month = {June},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.02.014},
   Keywords = {Biological Markers • Biomedical Research • Disease
             Progression • Humans • Osteoarthritis •
             Reproducibility of Results • analysis •
             classification* • standards},
   Abstract = {Osteoarthritis (OA) biomarkers that can measure and predict
             the full spectrum of disease progression and outcomes are
             needed, but few, if any, such biomarkers have been validated
             for this purpose. The Osteoarthritis Research Society
             International (OARSI) has organized an OA Biomarkers Global
             Initiative. As a part of this Initiative, three workshops
             have been planned to occur over the next 4 years to focus on
             identifying and removing obstacles to progress in the field
             and planning the way forward. In addition to OARSI, the
             National Institute of Arthritis, Musculoskeletal, and Skin
             Disease, the Arthritis Foundation, the Orthopaedic Research
             Society, and the American Orthopaedic Sports Medicine
             Society cosponsored the first meeting April 23-24, 2009.
             Organizers brought together thought and research leaders in
             the field, young investigators, biomarkers researchers with
             insights from other fields, clinical investigators with a
             responsibility for OA sample and resource management,
             funding agencies, and commercial entities with an interest
             in the commercial propagation as well as the application of
             markers in OA.},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.02.014},
   Key = {fds188630}
}

@article{fds188639,
   Author = {AE Nelson and YM Golightly and VB Kraus and T Stabler and JB Renner and CG
             Helmick, JM Jordan},
   Title = {Serum transforming growth factor-beta 1 is not a robust
             biomarker of incident and progressive radiographic
             osteoarthritis at the hip and knee: the Johnston County
             Osteoarthritis Project.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18},
   Number = {6},
   Pages = {825-9},
   Year = {2010},
   Month = {June},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2010.02.013},
   Keywords = {African Americans • African Continental Ancestry Group
             • Aged • Biological Markers • Disease
             Progression • European Continental Ancestry Group
             • Female • Humans • Longitudinal Studies
             • Male • Middle Aged • Osteoarthritis, Hip
             • Osteoarthritis, Knee • Predictive Value of Tests
             • Proportional Hazards Models • Transforming
             Growth Factor beta1 • blood • blood* •
             pathology • radiography},
   Abstract = {OBJECTIVE: To test whether serum transforming growth
             factor-beta 1 (TGF-beta1) predicts incident and progressive
             hip or knee radiographic OA (rOA). METHODS: Serum TGF-beta1
             was measured for 330 participants aged 45 years and older in
             the Johnston County Osteoarthritis Project, with paired
             longitudinal films available for 618 hips and 658 knees.
             Incident and progressive rOA were defined using
             Kellgren-Lawrence (K-L) grade as well as osteophyte (OST)
             and joint space narrowing (JSN) scores. Natural logarithm
             transformation was used to produce near-normal distributions
             for continuous TGF-beta1 (lnTGF-beta1). Separate
             multivariable Weibull regression models were used to provide
             hazard ratios (HRs) for a 1-unit increase lnTGF-beta1 with
             each rOA outcome, accounting for variable follow-up times
             and clustering by individual, adjusted for age, race,
             gender, and body mass index (BMI). Interaction terms were
             considered statistically significant at P<0.10. RESULTS: The
             mean (+/-SD) age of the sample was 61.9+/-9.7 years, the
             mean BMI was 30.3+/-6.9 kg/m(2), with 60.6% women and 42.4%
             AA. The mean (+/-SD) TGF-beta1 was 17.8+/-6.1 ng/ml;
             follow-up time was 6.1+/-1.3 years. There were no
             significant interactions by race or gender. HRs showed no
             significant relationship between lnTGF-beta1 and incident or
             progressive rOA, OST, or JSN, at the knee or the hip.
             CONCLUSIONS: Levels of TGF-beta1 do not predict incident or
             progressive rOA, OST, or JSN at the hip or knee in this
             longitudinal, population-based study, making it unlikely
             that TGF-beta1 will be a robust biomarker for rOA in future
             studies.},
   Language = {eng},
   Doi = {10.1016/j.joca.2010.02.013},
   Key = {fds188639}
}

@article{fds188620,
   Author = {N Schmitz and VB Kraus and T Aigner},
   Title = {Targets to tackle--the pathophysiology of the
             disease.},
   Journal = {Current drug targets},
   Volume = {11},
   Number = {5},
   Pages = {521-7},
   Year = {2010},
   Month = {May},
   ISSN = {1873-5592},
   Keywords = {Bone Matrix • Cartilage • Chondrocytes •
             Collagen • Drug Delivery Systems • Humans •
             Inflammation Mediators • Joint Capsule • Joints
             • Models, Biological • Osteoarthritis •
             Synovial Membrane • anatomy & histology •
             metabolism • methods* • pathology •
             physiology* • physiopathology*},
   Abstract = {Osteoarthritis, the degeneration of the joints, is the
             leading source of physical disability with severely impaired
             quality of life due to pain and loss of joint functioning in
             industrialized nations. Clinically, degeneration affects
             mostly the large weight bearing joints of the legs like the
             hip or the knees, but in principle it can affect any joint
             of the body. Osteoarthritis represents a disease group with
             disease subsets that have different underlying
             pathophysiological mechanisms. Therefore primary
             osteoarthritis has to be distinguished from secondary forms
             of the disease, which are due to traumatic events, endocrine
             or metabolic disorders etc. The enormous frequency of this
             disease makes osteoarthritis one of the most expensive
             conditions in the Western world, both in terms of direct as
             well as indirect costs. So far, despite intensive efforts
             over several decades, the success of disease-modifying
             approaches have been rather limited and mostly restricted to
             analgesis and non-pharmacologic therapy (e.g. nonsteroidal
             anti-inflammatory agents, exercise, and physiotherapy).
             Joint replacement is still the unsurpassed therapy for the
             symptomatic relief of advanced and incapacitating OA. It is
             evident that there is a great need for the development of
             disease modifying agents in order to improve quality of life
             as well as to relieve the community of the enormous
             socio-economic burden of the disease.},
   Language = {eng},
   Key = {fds188620}
}

@article{fds188636,
   Author = {M Attur and HY Wang and VB Kraus and JF Bukowski and N Aziz and S
             Krasnokutsky, J Samuels and J Greenberg and G McDaniel and SB
             Abramson, KS Kornman},
   Title = {Radiographic severity of knee osteoarthritis is conditional
             on interleukin 1 receptor antagonist gene
             variations.},
   Journal = {Annals of the rheumatic diseases},
   Volume = {69},
   Number = {5},
   Pages = {856-61},
   Year = {2010},
   Month = {May},
   ISSN = {1468-2060},
   url = {http://dx.doi.org/10.1136/ard.2009.113043},
   Keywords = {Adult • Aged • Aging • Female • Genetic
             Markers • Genetic Predisposition to Disease •
             Genotype • Haplotypes • Humans • Inflammation
             Mediators • Interleukin 1 Receptor Antagonist Protein
             • Male • Middle Aged • Osteoarthritis, Knee
             • Polymorphism, Single Nucleotide • Severity of
             Illness Index • Synovial Fluid • analysis •
             chemistry • genetics • genetics* • metabolism
             • pathology • radiography},
   Abstract = {BACKGROUND: A lack of biomarkers that identify patients at
             risk for severe osteoarthritis (OA) complicates development
             of disease-modifying OA drugs. OBJECTIVE: To determine
             whether inflammatory genetic markers could stratify patients
             with knee OA into high and low risk for destructive disease.
             METHODS: Genotype associations with knee OA severity were
             assessed in two Caucasian populations. Fifteen single
             nucleotide polymorphisms (SNPs) in six inflammatory genes
             were evaluated for association with radiographic severity
             and with synovial fluid mediators in a subset of the
             patients. RESULTS: Interleukin 1 receptor antagonist (IL1RN)
             SNPs (rs419598, rs315952 and rs9005) predicted
             Kellgren-Lawrence scores independently in each population.
             One IL1RN haplotype was associated with lower odds of
             radiographic severity (OR=0.15; 95% CI 0.065 to 0.349;
             p<0.0001), greater joint space width and lower synovial
             fluid cytokine levels. Carriage of the IL1RN haplotype
             influenced the age relationship with severity. CONCLUSIONS:
             IL1RN polymorphisms reproducibly contribute to disease
             severity in knee OA and may be useful biomarkers for patient
             selection in disease-modifying OA drug trials.},
   Language = {eng},
   Doi = {10.1136/ard.2009.113043},
   Key = {fds188636}
}

@article{fds188648,
   Author = {VB Kraus},
   Title = {Waiting for action on the osteoarthritis
             front.},
   Journal = {Current drug targets},
   Volume = {11},
   Number = {5},
   Pages = {518-20},
   Year = {2010},
   Month = {May},
   ISSN = {1873-5592},
   Keywords = {Disease Progression* • Humans • Osteoarthritis
             • therapy*},
   Language = {eng},
   Key = {fds188648}
}

@article{fds188618,
   Author = {JL Huebner and JM Williams and M Deberg and Y Henrotin and VB
             Kraus},
   Title = {Collagen fibril disruption occurs early in primary guinea
             pig knee osteoarthritis.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18},
   Number = {3},
   Pages = {397-405},
   Year = {2010},
   Month = {March},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2009.09.011},
   Keywords = {Animals • Biological Markers • Cartilage,
             Articular • Collagen Type II • Disease Models,
             Animal • Fibril-Associated Collagens • Guinea Pigs
             • Immunohistochemistry • Knee Joint • Male
             • Osteoarthritis, Knee • Time Factors •
             metabolism* • pathology • pathology*},
   Abstract = {OBJECTIVE: A major barrier inhibiting the discovery of
             structural modifying agents for osteoarthritis (OA) is an
             incomplete understanding of early disease events. Herein, we
             investigated the time course of collagen II cleavage and
             fibril disruption in the well-validated Hartley guinea pig
             model of spontaneous OA of the knee. METHODS: Knee joints of
             46 male Hartley guinea pigs were analyzed at 3 weeks, 2, 4,
             7, 10, 12, and 18 months of age for histological severity of
             OA, cartilage collagen fibril disruption by
             semi-quantitative polarized light microscopy, and expression
             of type II collagen degradation biomarkers, 9A4 and Coll2-1,
             by immunohistochemistry. In addition, serum biomarkers
             specific for collagen II degradation, CTX-II, C2C, and
             Coll2-1 were quantified. RESULTS: Collagen fibril disruption
             and expression of the collagenase-generated cleavage
             neoepitope, 9A4, were observed as early as 2 months of age,
             despite the appearance of histological OA at 4 months of
             age. Only serum Coll2-1 increased coincident with the early
             disruption of the collagen fibril between 3 weeks and 7
             months, in contrast to serum C2C, which did not change
             significantly or correlate with histological severity.
             Inversely, CTX-II declined dramatically from 3 weeks to 4
             months and remaining low thereafter, coincident with growth
             plate turnover. CONCLUSIONS: Collagenase cleavage and
             disruption of the type II collagen network are early OA
             disease events in this model, preceding histological
             evidence of proteoglycan loss. The markedly different serum
             profiles of collagen II-related biomarkers during the early
             stages of disease development suggest compartmental
             segregation and temporal regulation of collagen degrading
             enzymes.},
   Language = {eng},
   Doi = {10.1016/j.joca.2009.09.011},
   Key = {fds188618}
}

@article{fds188653,
   Author = {HC Chen and VB Kraus and YJ Li and S Nelson and C Haynes and J Johnson and T
             Stabler, ER Hauser and SG Gregory and WE Kraus and SH
             Shah},
   Title = {Genome-wide linkage analysis of quantitative biomarker
             traits of osteoarthritis in a large, multigenerational
             extended family.},
   Journal = {Arthritis and rheumatism},
   Volume = {62},
   Number = {3},
   Pages = {781-90},
   Year = {2010},
   Month = {March},
   ISSN = {1529-0131},
   url = {http://dx.doi.org/10.1002/art.27288},
   Keywords = {Biological Markers • Collagen Type II •
             Extracellular Matrix Proteins • Genetic Linkage* •
             Genetic Loci • Genome-Wide Association Study •
             Glycoproteins • Humans • Hyaluronic Acid •
             Lod Score • Osteoarthritis • Pedigree •
             Polymorphism, Single Nucleotide • analysis •
             blood* • genetics*},
   Abstract = {OBJECTIVE: The genetic contributions to the multifactorial
             disorder osteoarthritis (OA) have been increasingly
             recognized. The goal of the current study was to use
             OA-related biomarkers of severity and disease burden as
             quantitative traits to identify genetic susceptibility loci
             for OA. METHODS: In a large multigenerational extended
             family (n = 350), we measured 5 OA-related biomarkers:
             hyaluronan (HA), cartilage oligomeric matrix protein (COMP),
             N-propeptide of type IIA collagen (PIIANP), C-propeptide of
             type II procollagen (CPII), and type II collagen neoepitope
             (C2C). Single-nucleotide polymorphism markers (n = 6,090)
             covering the whole genome were genotyped using the Illumina
             HumanLinkage-12 BeadChip. Variance components analysis, as
             implemented in the Sequential Oligogenic Linkage Analysis
             Routines, was used to estimate heritabilities of the
             quantitative traits and to calculate 2-point and multipoint
             logarithm of odds (LOD) scores using a polygenic model.
             RESULTS: After adjusting for age and sex, we found that 4 of
             the 5 biomarkers exhibited significant heritability (PIIANP
             0.57, HA 0.49, COMP 0.43, C2C 0.30; P < or = 0.01 for all).
             Fourteen of the 19 loci that had multipoint LOD scores of
             >1.5 were near to or overlapped with previously reported OA
             susceptibility loci. Four of these loci were identified by
             more than 1 biomarker. The maximum multipoint LOD scores for
             the heritable quantitative biomarker traits were 4.3 for
             PIIANP (chromosome 8p23.2), 3.2 for COMP (chromosome
             8q11.1), 2.0 for HA (chromosome 6q16.3), and 2.0 for C2C
             (chromosome 5q31.2). CONCLUSIONS: Herein, we report the
             first evidence of genetic susceptibility loci identified by
             OA-related biomarkers in an extended family. Our results
             demonstrate that serum concentrations of PIIANP, HA, COMP,
             and C2C have substantial heritable components, and using
             these biomarkers, several genetic loci potentially
             contributing to the genetic diversity of OA were
             identified.},
   Language = {eng},
   Doi = {10.1002/art.27288},
   Key = {fds188653}
}

@article{fds188650,
   Author = {G McDaniel and KL Mitchell and C Charles and VB Kraus},
   Title = {A comparison of five approaches to measurement of anatomic
             knee alignment from radiographs.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {18},
   Number = {2},
   Pages = {273-7},
   Year = {2010},
   Month = {February},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2009.10.005},
   Keywords = {Adult • Aged • Bone Malalignment • Female
             • Femur • Humans • Male • Middle Aged
             • Observer Variation • Osteoarthritis, Knee •
             Reproducibility of Results • Tibia • diagnosis*
             • radiography*},
   Abstract = {OBJECTIVE: The recent recognition of the correlation of the
             hip-knee-ankle angle (HKA) with femur-tibia angle (FTA) on a
             standard knee radiograph has led to the increasing inclusion
             of FTA assessments in OA studies due to its clinical
             relevance, cost effectiveness and minimal radiation
             exposure. Our goal was to investigate the performance
             metrics of currently used methods of FTA measurement to
             determine whether a specific protocol could be recommended
             based on these results. METHODS: Inter- and intra-rater
             reliability of FTA measurements were determined by
             intraclass correlation coefficient (ICC) of two independent
             analysts. Minimal detectable differences were determined and
             the correlation of FTA and HKA was analyzed by linear
             regression. Differences among methods of measuring HKA were
             assessed by ANOVA. RESULTS: All five methods of FTA
             measurement demonstrated high precision by inter- and
             intra-rater reproducibility (ICCs>or=0.93). All five methods
             displayed good accuracy, but after correction for the offset
             of FTA from HKA, the femoral notch landmark method was the
             least accurate. However, the methods differed according to
             their minimal detectable differences; the FTA methods
             utilizing the center of the base of the tibial spines or the
             center of the tibial plateau as knee center landmarks
             yielded the smallest minimal detectable differences (1.25
             degrees and 1.72 degrees, respectively). CONCLUSIONS: All
             methods of FTA were highly reproducible, but varied in their
             accuracy and sensitivity to detect meaningful differences.
             Based on these parameters we recommend standardizing
             measurement angles with vertices at the base of the tibial
             spines or the center of the tibia and comparing single-point
             and two-point methods in larger studies.},
   Language = {eng},
   Doi = {10.1016/j.joca.2009.10.005},
   Key = {fds188650}
}

@article{fds188652,
   Author = {MP Le Graverand and RJ Buck and BT Wyman and E Vignon and SA Mazzuca and KD
             Brandt, M Piperno and HC Charles and M Hudelmaier and DJ Hunter and C
             Jackson, VB Kraus and TM Link and S Majumdar and PV Prasad and TJ
             Schnitzer, A Vaz and W Wirth and F Eckstein},
   Title = {Change in regional cartilage morphology and joint space
             width in osteoarthritis participants versus healthy
             controls: a multicentre study using 3.0 Tesla MRI and
             Lyon-Schuss radiography.},
   Journal = {Annals of the rheumatic diseases},
   Volume = {69},
   Number = {1},
   Pages = {155-62},
   Year = {2010},
   Month = {January},
   ISSN = {1468-2060},
   url = {http://dx.doi.org/10.1136/ard.2008.099762},
   Keywords = {Adult • Aged • Cartilage, Articular • Disease
             Progression • Female • Follow-Up Studies •
             Humans • Knee Joint • Magnetic Resonance Imaging
             • Middle Aged • Osteoarthritis, Knee •
             Severity of Illness Index • methods • pathology*
             • radiography},
   Abstract = {OBJECTIVE: Cartilage morphology displays sensitivity to
             change in osteoarthritis (OA) with quantitative MRI (qMRI).
             However, (sub)regional cartilage thickness change at 3.0
             Tesla (T) has not been directly compared with radiographic
             progression of joint space narrowing in OA participants and
             non-arthritic controls. METHODS: A total of 145 women were
             imaged at 7 clinical centres: 86 were non-obese and
             asymptomatic without radiographic OA and 55 were obese with
             symptomatic and radiographic OA (27 Kellgren-Lawrence grade
             (KLG)2 and 28 KLG3). Lyon-Schuss (LS) and fixed flexion (FF)
             radiographs were obtained at baseline, 12 and 24 months, and
             coronal spoiled gradient echo MRI sequences at 3.0 T at
             baseline, 6, 12 and 24 months. (Sub)regional, femorotibial
             cartilage thickness and minimum joint space width (mJSW) in
             the medial femorotibial compartment were measured and the
             standardised response means (SRMs) determined. RESULTS: At 6
             months, qMRI demonstrated a -3.7% "annualised" change in
             cartilage thickness (SRM -0.33) in the central medial
             femorotibial compartment (cMFTC) of KLG3 subjects, but no
             change in KLG2 subjects. The SRM for mJSW in 12-month LS/FF
             radiographs of KLG3 participants was -0.68/-0.13 and at 24
             months was -0.62/-0.20. The SRM for cMFTC changes measured
             with qMRI was -0.32 (12 months; -2.0%) and -0.48 (24 months;
             -2.2%), respectively. CONCLUSIONS: qMRI and LS radiography
             detected significant change in KLG3 participants at high
             risk of progression, but not in KLG2 participants, and only
             small changes in controls. At 12 and 24 months, LS displayed
             greater, and FF less, sensitivity to change in KLG3
             participants than qMRI.},
   Language = {eng},
   Doi = {10.1136/ard.2008.099762},
   Key = {fds188652}
}

@article{fds188628,
   Title = {Lotz MK, Kraus VB. Correction: Posttraumatic osteoarthritis:
             pathogenesis and pharmacological treatment options.
             Arthritis Res Ther. 2010;12(6):408.},
   Year = {2010},
   Key = {fds188628}
}

@article{fds188625,
   Author = {TM Griffin and B Fermor and JL Huebner and VB Kraus and RM Rodriguiz and WC
             Wetsel, L Cao and LA Setton and F Guilak},
   Title = {Diet-induced obesity differentially regulates behavioral,
             biomechanical, and molecular risk factors for osteoarthritis
             in mice.},
   Journal = {Arthritis research & therapy},
   Volume = {12},
   Number = {4},
   Pages = {R130},
   Year = {2010},
   ISSN = {1478-6362},
   url = {http://dx.doi.org/10.1186/ar3068},
   Keywords = {Adipokines • Animals • Behavior, Animal •
             Cartilage • Dietary Fats • Disease Progression
             • Extracellular Matrix • Female •
             Interleukin-1 • Mice • Mice, Inbred C57BL •
             Motor Activity • Obesity • Osteoarthritis, Knee
             • Pain • Risk Factors • Severity of Illness
             Index • Swine • Temporomandibular Joint Disorders
             • Tissue Culture Techniques • blood •
             epidemiology • epidemiology* • metabolism •
             metabolism* • pharmacology* • physiology •
             physiopathology},
   Abstract = {INTRODUCTION : Obesity is a major risk factor for the
             development of osteoarthritis in both weight-bearing and
             nonweight-bearing joints. The mechanisms by which obesity
             influences the structural or symptomatic features of
             osteoarthritis are not well understood, but may include
             systemic inflammation associated with increased adiposity.
             In this study, we examined biomechanical, neurobehavioral,
             inflammatory, and osteoarthritic changes in C57BL/6J mice
             fed a high-fat diet. METHODS : Female C57BL/6J mice were fed
             either a 10% kcal fat or a 45% kcal fat diet from 9 to 54
             weeks of age. Longitudinal changes in musculoskeletal
             function and inflammation were compared with endpoint
             neurobehavioral and osteoarthritic disease states. Bivariate
             and multivariate analyses were conducted to determine
             independent associations with diet, percentage body fat, and
             knee osteoarthritis severity. We also examined healthy
             porcine cartilage explants treated with physiologic doses of
             leptin, alone or in combination with IL-1α and palmitic and
             oleic fatty acids, to determine the effects of leptin on
             cartilage extracellular matrix homeostasis. RESULTS : High
             susceptibility to dietary obesity was associated with
             increased osteoarthritic changes in the knee and impaired
             musculoskeletal force generation and motor function compared
             with controls. A high-fat diet also induced symptomatic
             characteristics of osteoarthritis, including hyperalgesia
             and anxiety-like behaviors. Controlling for the effects of
             diet and percentage body fat with a multivariate model
             revealed a significant association between knee
             osteoarthritis severity and serum levels of leptin,
             adiponectin, and IL-1α. Physiologic doses of leptin, in the
             presence or absence of IL-1α and fatty acids, did not
             substantially alter extracellular matrix homeostasis in
             healthy cartilage explants. CONCLUSIONS : These results
             indicate that diet-induced obesity increases the risk of
             symptomatic features of osteoarthritis through changes in
             musculoskeletal function and pain-related behaviors.
             Furthermore, the independent association of systemic
             adipokine levels with knee osteoarthritis severity supports
             a role for adipose-associated inflammation in the molecular
             pathogenesis of obesity-induced osteoarthritis. Physiologic
             levels of leptin do not alter extracellular matrix
             homeostasis in healthy cartilage, suggesting that leptin may
             be a secondary mediator of osteoarthritis
             pathogenesis.},
   Language = {eng},
   Doi = {10.1186/ar3068},
   Key = {fds188625}
}

@article{fds188627,
   Author = {JB Catterall and TV Stabler and CR Flannery and VB
             Kraus},
   Title = {Changes in serum and synovial fluid biomarkers after acute
             injury (NCT00332254).},
   Journal = {Arthritis research & therapy},
   Volume = {12},
   Number = {6},
   Pages = {R229},
   Year = {2010},
   ISSN = {1478-6362},
   url = {http://dx.doi.org/10.1186/ar3216},
   Abstract = {ABSTRACT : INTRODUCTION : Acute trauma involving the
             anterior cruciate ligament is believed to be a major risk
             factor for the development of post-traumatic osteoarthritis
             10 to 20 years post-injury. In this study, to better
             understand the early biological changes which occur after
             acute injury, we investigated synovial fluid and serum
             biomarkers. METHODS : We collected serum from 11 patients
             without pre-existing osteoarthritis from a pilot
             intervention trial (5 placebo and 6 drug treated) using an
             intra-articular interleukin-1 receptor antagonist (IL-1Ra)
             therapy, 9 of which also supplied matched synovial fluid
             samples at presentation to the clinic after acute knee
             injury (mean 15.2 ± 7.2 days) and at the follow-up visit
             for reconstructive surgery (mean 47.6 ± 12.4 days). To
             exclude patients with pre-existing osteoarthritis (OA), the
             study was limited to individuals younger than 40 years of
             age (mean 23 ± 3.5) with no prior history of joint symptoms
             or trauma. We profiled a total of 21 biomarkers; 20
             biomarkers in synovial fluid and 13 in serum with 12
             biomarkers measured in both fluids. Biomarkers analyzed in
             this study were found to be independent of treatment (P >
             0.05) as measured by Mann-Whitney and two-way ANOVA. RESULTS
             : We observed significant decreases in synovial fluid (sf)
             biomarker concentrations from baseline to follow-up for
             sfC-Reactive protein (CRP) (P = 0.039), sflubricin (P =
             0.008) and the proteoglycan biomarkers: sfGlycosaminoglycan
             (GAG) (P = 0.019), and sfAlanine-Arginine-Glycine-Serine
             (ARGS) aggrecan (P = 0.004). In contrast, we observed
             significant increases in the collagen biomarkers:
             sfC-terminal crosslinked telopeptide type II collagen
             (CTxII) (P = 0.012), sfC1,2C (P = 0.039), sfC-terminal
             crosslinked telopeptide type I collagen (CTxI) (P = 0.004),
             and sfN-terminal telopeptides of type I collagen (NTx) (P =
             0.008). The concentrations of seven biomarkers were
             significantly higher in synovial fluid than serum suggesting
             release from the signal knee: IL-1β (P < 0.0001), fetal
             aggrecan FA846 (P = 0.0001), CTxI (P = 0.0002), NTx (P =
             0.012), osteocalcin (P = 0.012), Cartilage oligomeric matrix
             protein (COMP) (P = 0.0001) and matrix metalloproteinase
             (MMP)-3 (P = 0.0001). For these seven biomarkers we found
             significant correlations between the serum and synovial
             fluid concentrations for only CTxI (P = 0.0002), NTx (P <
             0.0001), osteocalcin (P = 0.0002) and MMP-3 (P = 0.038).
             CONCLUSIONS : These data strongly suggest that the biology
             after acute injury reflects that seen in cartilage explant
             models stimulated with pro-inflammatory cytokines, which are
             characterized by an initial wave of proteoglycan loss
             followed by subsequent collagen loss. As the rise of
             collagen biomarkers in synovial fluid occurs within the
             first month after injury, and as collagen loss is thought to
             be irreversible, very early treatment with agents to either
             reduce inflammation and/or reduce collagen loss may have the
             potential to reduce the onset of future post-traumatic
             osteoarthritis. TRIAL REGISTRATION : The samples used in
             this study were derived from a clinical trial NCT00332254
             registered with ClinicalTrial.gov.},
   Language = {eng},
   Doi = {10.1186/ar3216},
   Key = {fds188627}
}

@article{fds188645,
   Author = {AE Denoble and N Hall and CF Pieper and VB Kraus},
   Title = {Patellar skin surface temperature by thermography reflects
             knee osteoarthritis severity.},
   Journal = {Clinical medicine insights. Arthritis and musculoskeletal
             disorders},
   Volume = {3},
   Pages = {69-75},
   Year = {2010},
   ISSN = {1179-5441},
   url = {http://dx.doi.org/10.4137/CMAMD.S5916},
   Abstract = {BACKGROUND: Digital infrared thermal imaging is a means of
             measuring the heat radiated from the skin surface. Our goal
             was to develop and assess the reproducibility of serial
             infrared measurements of the knee and to assess the
             association of knee temperature by region of interest with
             radiographic severity of knee Osteoarthritis (rOA). METHODS:
             A total of 30 women (15 Cases with symptomatic knee OA and
             15 age-matched Controls without knee pain or knee OA)
             participated in this study. Infrared imaging was performed
             with a Meditherm Med2000™ Pro infrared camera. The
             reproducibility of infrared imaging of the knee was
             evaluated through determination of intraclass correlation
             coefficients (ICCs) for temperature measurements from two
             images performed 6 months apart in Controls whose knee
             status was not expected to change. The average cutaneous
             temperature for each of five knee regions of interest was
             extracted using WinTes software. Knee x-rays were scored for
             severity of rOA based on the global Kellgren-Lawrence
             grading scale. RESULTS: The knee infrared thermal imaging
             procedure used here demonstrated long-term reproducibility
             with high ICCs (0.50-0.72 for the various regions of
             interest) in Controls. Cutaneous temperature of the patella
             (knee cap) yielded a significant correlation with severity
             of knee rOA (R = 0.594, P = 0.02). CONCLUSIONS: The skin
             temperature of the patellar region correlated with x-ray
             severity of knee OA. This method of infrared knee imaging is
             reliable and as an objective measure of a sign of
             inflammation, temperature, indicates an interrelationship of
             inflammation and structural knee rOA damage.},
   Language = {eng},
   Doi = {10.4137/CMAMD.S5916},
   Key = {fds188645}
}

@article{fds188656,
   Author = {VB Kraus and TB Kepler and T Stabler and J Renner and J
             Jordan},
   Title = {First qualification study of serum biomarkers as indicators
             of total body burden of osteoarthritis.},
   Journal = {PloS one},
   Volume = {5},
   Number = {3},
   Pages = {e9739},
   Year = {2010},
   ISSN = {1932-6203},
   url = {http://dx.doi.org/10.1371/journal.pone.0009739},
   Keywords = {Aged • Arthrography • Biological Markers •
             Cartilage • Cohort Studies • Collagen Type II
             • Disease Progression • Female • Humans
             • Male • Middle Aged • Osteoarthritis •
             Phenotype • Rheumatology • metabolism •
             metabolism* • methods • pathology •
             radiography},
   Abstract = {BACKGROUND: Osteoarthritis (OA) is a debilitating chronic
             multijoint disease of global proportions. OA presence and
             severity is usually documented by x-ray imaging but whole
             body imaging is impractical due to radiation exposure, time
             and cost. Systemic (serum or urine) biomarkers offer a
             potential alternative method of quantifying total body
             burden of disease but no OA-related biomarker has ever been
             stringently qualified to determine the feasibility of this
             approach. The goal of this study was to evaluate the ability
             of three OA-related biomarkers to predict various forms or
             subspecies of OA and total body burden of disease. RESULTS:
             Female participants (461) with clinical hand OA underwent
             radiography of hands, hips, knees and lumbar spine; x-rays
             were comprehensively scored for OA features of osteophyte
             and joint space narrowing. Three OA-related biomarkers,
             serum hyaluronan (sHA), cartilage oligomeric matrix protein
             (sCOMP), and urinary C-telopeptide of type II collagen
             (uCTX2), were measured by ELISA. sHA, sCOMP and uCTX2
             correlated positively with total osteophyte burden in models
             accounting for demographics (age, weight, height): R(2) =
             0.60, R(2) = 0.47, R(2) = 0.51 (all p<10(-6)); sCOMP
             correlated negatively with total joint space narrowing
             burden: R(2) = 0.69 (p<10(-6)). Biomarkers and demographics
             predicted 35-38% of variance in total burden of OA (total
             joint space narrowing or osteophyte). Joint size did not
             determine the contribution to the systemic biomarker
             concentration. Biomarker correlation with disease in the
             lumbar spine resembled that in the rest of the skeleton.
             CONCLUSIONS: We have suspected that the correlation of
             systemic biomarkers with disease has been hampered by the
             inability to fully phenotype the burden of OA in a patient.
             These results confirm the hypothesis, revealed upon adequate
             patient phenotyping, that systemic joint tissue
             concentrations of several biomarkers can be quantitative
             indicators of specific subspecies of OA and of total body
             burden of disease.},
   Language = {eng},
   Doi = {10.1371/journal.pone.0009739},
   Key = {fds188656}
}

@article{fds188633,
   Author = {EL Sims and FJ Keefe and VB Kraus and F Guilak and RM Queen and D
             Schmitt},
   Title = {Racial differences in gait mechanics associated with knee
             osteoarthritis.},
   Journal = {Aging clinical and experimental research},
   Volume = {21},
   Number = {6},
   Pages = {463-9},
   Year = {2009},
   Month = {December},
   ISSN = {1594-0667},
   Keywords = {Adult • African Continental Ancestry Group* • Aged
             • Anthropometry • Disability Evaluation •
             Educational Status • European Continental Ancestry
             Group* • Female • Gait • Humans • Knee
             Joint • Male • Middle Aged • Osteoarthritis,
             Knee • Range of Motion, Articular • Self Concept
             • Severity of Illness Index • ethnology* •
             physiology • physiology* • physiopathology •
             physiopathology*},
   Abstract = {OBJECTIVE: This study examines racial differences in gait
             mechanics in persons with knee osteoarthritis and the
             influence of anthropometrics, educational level,
             radiographic disease severity (rOA), and self-report
             measures of pain and disability on racial differences in
             gait. METHODS: One hundred seventy five (64 black and 111
             white) adults with radiographic knee OA were tested. 3-D
             kinematic and kinetic data were collected while subjects
             walked at two self-selected speeds (normal and fast).
             Anthropometric data, radiographic level of OA, and
             self-report measures of pain and disability were also
             collected. Gait patterns were compared across groups and
             within groups. RESULTS: Black and white subjects did not
             differ significantly in radiographic OA. However, blacks
             walked significantly more slowly when asked to walk fast. At
             the normal speed, blacks had a smaller knee range of motion
             and loading rate than whites. Blacks also took longer to
             reach their peak maximum ground reaction force than whites.
             Within black subjects variations in gait mechanics were
             primarily explained by BMI, rOA, selfreported psychological
             disability, and pain self-efficacy. In white subjects,
             variations in gait mechanics were primarily explained by
             weight, age, velocity, psychological disability, and
             self-efficacy. CONCLUSIONS: Blacks in this study had a
             pattern of gait mechanics generally associated with high
             levels of osteoarthritis, though they did not differ
             significantly in rOA from whites. The variability in gait
             patterns exhibited by blacks was most strongly related to
             variance in walking speed, anthropometrics, and perceived
             physical ability. Taken together, these results suggest that
             race is an important factor that must be considered in the
             treatment and study of osteoarthritis.},
   Language = {eng},
   Key = {fds188633}
}

@article{fds188659,
   Author = {VB Kraus and S Feng and S Wang and S White and M Ainslie and A Brett and A
             Holmes, HC Charles},
   Title = {Trabecular morphometry by fractal signature analysis is a
             novel marker of osteoarthritis progression.},
   Journal = {Arthritis and rheumatism},
   Volume = {60},
   Number = {12},
   Pages = {3711-22},
   Year = {2009},
   Month = {December},
   ISSN = {0004-3591},
   url = {http://dx.doi.org/10.1002/art.25012},
   Keywords = {Age Factors • Disease Progression • Female •
             Fractals • Humans • Image Processing,
             Computer-Assisted • Knee Joint • Male •
             Osteoarthritis, Knee • Osteophyte • Predictive
             Value of Tests • ROC Curve • Tibia • methods*
             • pathology • pathology* • physiopathology
             • radiography*},
   Abstract = {OBJECTIVE: To evaluate the effectiveness of using
             subchondral bone texture observed on a radiograph taken at
             baseline to predict progression of knee osteoarthritis (OA)
             over a 3-year period. METHODS: A total of 138 participants
             in the Prediction of Osteoarthritis Progression study were
             evaluated at baseline and after 3 years. Fractal signature
             analysis (FSA) of the medial subchondral tibial plateau was
             performed on fixed flexion radiographs of 248 nonreplaced
             knees, using a commercially available software tool. OA
             progression was defined as a change in joint space narrowing
             (JSN) or osteophyte formation of 1 grade according to a
             standardized knee atlas. Statistical analysis of fractal
             signatures was performed using a new model based on
             correlating the overall shape of a fractal dimension curve
             with radius. RESULTS: Fractal signature of the medial tibial
             plateau at baseline was predictive of medial knee JSN
             progression (area under the curve [AUC] 0.75, of a receiver
             operating characteristic curve) but was not predictive of
             osteophyte formation or progression of JSN in the lateral
             compartment. Traditional covariates (age, sex, body mass
             index, knee pain), general bone mineral content, and joint
             space width at baseline were no more effective than random
             variables for predicting OA progression (AUC 0.52-0.58). The
             predictive model with maximum effectiveness combined fractal
             signature at baseline, knee alignment, traditional
             covariates, and bone mineral content (AUC 0.79).
             CONCLUSIONS: We identified a prognostic marker of OA that is
             readily extracted from a plain radiograph using FSA.
             Although the method needs to be validated in a second
             cohort, our results indicate that the global shape approach
             to analyzing these data is a potentially efficient means of
             identifying individuals at risk of knee OA
             progression.},
   Language = {eng},
   Doi = {10.1002/art.25012},
   Key = {fds188659}
}

@article{fds188651,
   Author = {S Addison and RE Coleman and S Feng and G McDaniel and VB
             Kraus},
   Title = {Whole-body bone scintigraphy provides a measure of the
             total-body burden of osteoarthritis for the purpose of
             systemic biomarker validation.},
   Journal = {Arthritis and rheumatism},
   Volume = {60},
   Number = {11},
   Pages = {3366-73},
   Year = {2009},
   Month = {November},
   ISSN = {0004-3591},
   url = {http://dx.doi.org/10.1002/art.24856},
   Keywords = {Adult • Aged • Aged, 80 and over • Biological
             Markers • Extracellular Matrix Proteins • Female
             • Glycoproteins • Humans • Knee Joint •
             Male • Middle Aged • Osteoarthritis, Knee •
             Radionuclide Imaging • Reproducibility of Results
             • Severity of Illness Index • Synovial Fluid
             • Whole Body Imaging • blood • blood* •
             metabolism • methods* • radionuclide imaging
             • radionuclide imaging*},
   Abstract = {OBJECTIVE: To evaluate the association of serum and synovial
             fluid cartilage oligomeric matrix protein (COMP) with
             systemic and local measures of osteoarthritis (OA) activity
             by bone scintigraphy. METHODS: Samples of serum and knee
             joint synovial fluid (275 knees) were obtained from 159
             patients with symptomatic OA of at least 1 knee. Bone
             scintigraphy using (99m)Tc-labeled methylene diphosphonate
             was performed, and early-phase knee scans and late-phase
             whole-body bone scans of 15 additional joint sites were
             scored semiquantitatively. To control for within-subject
             correlations of knee data, generalized linear modeling was
             used in the correlation of the bone scan scores with the
             COMP levels. Principal components analysis was used to
             explore the contribution of each joint site to the variance
             in serum COMP levels. RESULTS: The correlation between
             synovial fluid and serum COMP levels was significant (r =
             0.206, P = 0.006). Synovial fluid COMP levels correlated
             most strongly with the early-phase knee bone scan scores (P
             = 0.0003), even after adjustment for OA severity according
             to the late-phase bone scan scores (P = 0.015), as well as
             synovial fluid volumes (P < 0.0001). Serum COMP levels
             correlated with the total-body bone scan scores (r = 0.188,
             P = 0.018) and with a factor composed of the bone scan
             scores in the shoulders, spine, lateral knees, and
             sacroiliac joints (P = 0.0004). CONCLUSIONS: Synovial fluid
             COMP levels correlated strongly with 2 indicators of knee
             joint inflammation: early-phase bone scintigraphic findings
             and synovial fluid volume. Serum COMP levels correlated with
             total-body joint disease severity as determined by
             late-phase bone scintigraphy, supporting the hypothesis that
             whole-body bone scintigraphy is a means of quantifying the
             total-body burden of OA for systemic biomarker
             validation.},
   Language = {eng},
   Doi = {10.1002/art.24856},
   Key = {fds188651}
}

@article{fds188663,
   Author = {MB Nebel and EL Sims and FJ Keefe and VB Kraus and F Guilak and DS
             Caldwell, JJ Pells and R Queen and D Schmitt},
   Title = {The relationship of self-reported pain and functional
             impairment to gait mechanics in overweight and obese persons
             with knee osteoarthritis.},
   Journal = {Archives of physical medicine and rehabilitation},
   Volume = {90},
   Number = {11},
   Pages = {1874-9},
   Year = {2009},
   Month = {November},
   ISSN = {1532-821X},
   url = {http://dx.doi.org/10.1016/j.apmr.2009.07.010},
   Keywords = {Disability Evaluation* • Disabled Persons • Female
             • Gait • Humans • Male • Middle Aged
             • Obesity • Osteoarthritis, Knee •
             Overweight* • Pain • Pain Measurement •
             Regression Analysis • Self Disclosure •
             complications • etiology* • physiology* •
             physiopathology*},
   Abstract = {OBJECTIVE: To examine the degree to which 2 commonly used
             measures of pain and disability, the Arthritis Impact
             Measurement Scales (AIMS) and the Western Ontario and
             McMaster Universities Osteoarthritis Index (WOMAC), relate
             to objective gait measurements. METHODS: A descriptive study
             of the influence of self-reported pain and perceived
             functional impairment on gait mechanics in osteoarthritic
             adults. METHODS: A university clinical research laboratory.
             METHODS: Overweight/obese adults with radiographic knee
             osteoarthritis (OA) as well as pain and disability
             associated with the disease (N=179). METHODS: Not
             applicable. METHODS: The AIMS and WOMAC were administered to
             determine self-report measures of pain and disability.
             Speed, stride length, support time, knee angle, and peak
             vertical force (PVF) were determined from 3-dimensional
             kinematic and kinetic data collected on subjects walking at
             self-selected normal and fast speeds. Anthropometric data
             and radiographic levels of OA were also collected. RESULTS:
             Pearson correlation analysis showed that the AIMS physical
             disability score was inversely correlated with speed, stride
             length, and knee range of motion at both speeds and PVF at
             the fast speed. The WOMAC function score was inversely
             correlated with speed and stride length at both speeds and
             with PVF at fast speed. The WOMAC pain score was inversely
             correlated with speed and PVF at the fast speed. Regression
             analysis revealed that the AIMS physical disability score
             and body mass index accounted for the greatest variation in
             speed at the normal speed. Overall, AIMS physical disability
             and WOMAC function explained a larger proportion of variance
             in gait mechanics than radiographic measures of OA disease
             severity. CONCLUSIONS: Taken together, the results suggest
             that the AIMS physical disability and WOMAC function scores
             are associated with some important measures of gait
             impairment.},
   Language = {eng},
   Doi = {10.1016/j.apmr.2009.07.010},
   Key = {fds188663}
}

@article{fds188657,
   Author = {TM Griffin and JL Huebner and VB Kraus and F Guilak},
   Title = {Extreme obesity due to impaired leptin signaling in mice
             does not cause knee osteoarthritis.},
   Journal = {Arthritis and rheumatism},
   Volume = {60},
   Number = {10},
   Pages = {2935-44},
   Year = {2009},
   Month = {October},
   ISSN = {0004-3591},
   url = {http://dx.doi.org/10.1002/art.24854},
   Keywords = {Adiposity • Animals • Biomechanics • Body
             Composition • Bone Density • Bone and Bones •
             Cytokines • Disease Models, Animal • Female •
             Inflammation • Joints • Leptin • Mice •
             Mice, Inbred C57BL • Mice, Knockout • Obesity,
             Morbid • Osteoarthritis • Receptors, Leptin •
             Risk Factors • Signal Transduction • blood •
             complications* • etiology • etiology* •
             genetics • metabolism • metabolism* •
             pathology • physiology • physiology*},
   Abstract = {OBJECTIVE: To test the hypothesis that obesity resulting
             from deletion of the leptin gene or the leptin receptor gene
             results in increased knee osteoarthritis (OA), systemic
             inflammation, and altered subchondral bone morphology.
             METHODS: Leptin-deficient (ob/ob) and leptin
             receptor-deficient (db/db) female mice compared with
             wild-type mice were studied, to document knee OA via
             histopathology. The levels of serum proinflammatory and
             antiinflammatory cytokines were measured using a multiplex
             bead immunoassay. Cortical and trabecular subchondral bone
             changes were documented by microfocal computed tomography,
             and body composition was quantified by dual x-ray
             absorptiometry. RESULTS: Adiposity was increased by
             approximately 10-fold in ob/ob and db/db mice compared with
             controls, but it was not associated with an increased
             incidence of knee OA. Serum cytokine levels were unchanged
             in ob/ob and db/db mice relative to controls, except for the
             level of cytokine-induced neutrophil chemoattractant
             (keratinocyte chemoattractant; murine analog of
             interleukin-8), which was elevated. Leptin impairment was
             associated with reduced subchondral bone thickness and
             increased relative trabecular bone volume in the tibial
             epiphysis. CONCLUSIONS: Extreme obesity due to impaired
             leptin signaling induced alterations in subchondral bone
             morphology without increasing the incidence of knee OA.
             Systemic inflammatory cytokine levels remained largely
             unchanged in ob/ob and db/db mice. These findings suggest
             that body fat, in and of itself, may not be a risk factor
             for joint degeneration, because adiposity in the absence of
             leptin signaling is insufficient to induce systemic
             inflammation and knee OA in female C57BL/6J mice. These
             results imply a pleiotropic role of leptin in the
             development of OA by regulating both the skeletal and immune
             systems.},
   Language = {eng},
   Doi = {10.1002/art.24854},
   Key = {fds188657}
}

@article{fds188647,
   Author = {KD Allen and TM Griffin and RM Rodriguiz and WC Wetsel and VB Kraus and JL
             Huebner, LM Boyd and LA Setton},
   Title = {Decreased physical function and increased pain sensitivity
             in mice deficient for type IX collagen.},
   Journal = {Arthritis and rheumatism},
   Volume = {60},
   Number = {9},
   Pages = {2684-93},
   Year = {2009},
   Month = {September},
   ISSN = {0004-3591},
   url = {http://dx.doi.org/10.1002/art.24783},
   Keywords = {Animals • Arthralgia • Biomechanics •
             Collagen Type IX • Disease Models, Animal • Female
             • Gait • Hyaluronic Acid • Intervertebral
             Disk • Male • Mice • Mice, Inbred C57BL
             • Mice, Knockout • Models, Genetic • Motor
             Activity • Osteoarthritis • Severity of Illness
             Index • blood • deficiency* • genetics*
             • metabolism • pathology • physiology •
             physiology* • physiopathology*},
   Abstract = {OBJECTIVE: In mice with Col9a1 gene inactivation
             (Col9a1(-/-)), osteoarthritis (OA) and intervertebral disc
             degeneration develop prematurely. The aim of this study was
             to investigate Col9a1(-/-) mice for functional and
             symptomatic changes that may be associated with these
             pathologies. METHODS: Col9a1(-/-) and wild-type mice were
             investigated for reflexes, functional impairment (beam
             walking, pole climbing, wire hang, grip strength),
             sensorimotor skills (rotarod), mechanical sensitivity (von
             Frey hair), and thermal sensitivity (hot plate/tail flick).
             Gait was also analyzed to determine velocity, stride
             frequency, symmetry, percentage stance time, stride length,
             and step width. Postmortem, sera obtained from the mice were
             analyzed for hyaluronan, and their knees and spines were
             graded histologically for degeneration. RESULTS: Col9a1(-/-)
             mice had compensatory gait changes, increased mechanical
             sensitivity, and impaired physical ability. Col9a1(-/-) mice
             ambulated with gaits characterized by increased percentage
             stance times and shorter stride lengths. These mice also had
             heightened mechanical sensitivity and were deficient in
             contact righting, wire hang, rotarod, and pole climbing
             tasks. Male Col9a1(-/-) mice had the highest mean serum
             hyaluronan levels and strong histologic evidence of
             cartilage erosion. Intervertebral disc degeneration was also
             detected, with Col9a1(-/-) mice having an increased
             incidence of disc tears. CONCLUSIONS: These data describe a
             Col9a1(-/-) behavioral phenotype characterized by altered
             gait, increased mechanical sensitivity, and impaired
             function. These gait and functional differences suggest that
             Col9a1(-/-) mice select locomotive behaviors that limit
             joint loads. The nature and magnitude of behavioral changes
             were largest in male mice, which also had the greatest
             evidence of knee degeneration. These findings suggest that
             Col9a1(-/-) mice present behavioral changes consistent with
             anatomic signs of OA and intervertebral disc
             degeneration.},
   Language = {eng},
   Doi = {10.1002/art.24783},
   Key = {fds188647}
}

@article{fds188654,
   Author = {MP Hellio Le Graverand and RJ Buck and BT Wyman and E Vignon and SA
             Mazzuca, KD Brandt and M Piperno and HC Charles and M Hudelmaier and DJ
             Hunter, C Jackson and VB Kraus and TM Link and S Majumdar and PV Prasad and TJ Schnitzer and A Vaz and W Wirth and F Eckstein},
   Title = {Subregional femorotibial cartilage morphology in
             women--comparison between healthy controls and participants
             with different grades of radiographic knee
             osteoarthritis.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {17},
   Number = {9},
   Pages = {1177-85},
   Year = {2009},
   Month = {September},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2009.03.008},
   Keywords = {Adult • Aged • Cartilage, Articular •
             Cross-Sectional Studies • Female • Femur •
             Humans • Knee Joint • Longitudinal Studies •
             Magnetic Resonance Imaging • Middle Aged •
             Osteoarthritis, Knee • Statistics as Topic • Tibia
             • methods • pathology • pathology* •
             radiography},
   Abstract = {OBJECTIVE: To identify subregional differences in
             femorotibial cartilage morphology between healthy controls
             and women with different grades of radiographic knee
             osteoarthritis (OA). METHODS: 158 women aged > or =40 years
             were studied. Weight-bearing extended anterior-posterior
             (AP) and Lyon schuss radiographs were obtained and the
             Kellgren Lawrence grade (KLG) determined. 97 women had a
             body mass index (BMI)< or =28, no symptoms, and were AP
             KLG0. 61 women had a BMI> or =30, symptoms in the target
             knee, and mild (KLG2=31) to moderate (KLG3=30) medial
             femorotibial radiographic OA in the AP views. Coronal
             spoiled gradient echo water excitation sequences were
             acquired at 3.0 Tesla. Total plate and regional measures of
             cartilage morphology of the weight-bearing femorotibial
             joint were quantified. RESULTS: KLG2 participants displayed,
             on average, thicker cartilage than healthy controls in the
             medial femorotibial compartment (particularly anterior
             subregion of the medial tibia (MT) and peripheral [external,
             internal] subregions of the medial femur), and in the
             lateral femur. KLG3 participants displayed significantly
             thinner cartilage than KLG0 participants in the medial
             weight-bearing femur (central subregion), in the external
             subregion of the MT, and in the internal subregion of the
             lateral tibia. These differences were generally unaffected
             when possible effects of demographic covariates were
             considered. CONCLUSIONS: The results indicate that in
             femorotibial OA regional cartilage thickening and thinning
             may occur, dependent on the (radiographic) disease status of
             the joint. These changes appear to display a heterogeneous
             spatial pattern, where certain subregions are more strongly
             affected than others.},
   Language = {eng},
   Doi = {10.1016/j.joca.2009.03.008},
   Key = {fds188654}
}

@article{fds188612,
   Author = {WP Maksymowych and R Landewé and PP Tak and CJ Ritchlin and M
             Ostergaard, PJ Mease and H El-Gabalawy and P Garnero and DD Gladman and O Fitzgerald and D Aletaha and VP Bykerk and JM Bathon and SW Syversen and M Boers and P Geusens and RD Inman and VB Kraus and TK Kvien and WJ Taylor and GA Wells and D van der Heijde},
   Title = {Reappraisal of OMERACT 8 draft validation criteria for a
             soluble biomarker reflecting structural damage endpoints in
             rheumatoid arthritis, psoriatic arthritis, and
             spondyloarthritis: the OMERACT 9 v2 criteria.},
   Journal = {The Journal of rheumatology},
   Volume = {36},
   Number = {8},
   Pages = {1785-91},
   Year = {2009},
   Month = {August},
   ISSN = {0315-162X},
   url = {http://dx.doi.org/10.3899/jrheum.090346},
   Keywords = {Arthritis • Arthritis, Psoriatic • Arthritis,
             Rheumatoid • Biological Markers • Humans •
             Joints • Predictive Value of Tests •
             Reproducibility of Results • Spondylarthritis •
             blood • blood* • pathology •
             pathology*},
   Abstract = {OBJECTIVE: A draft set of criteria for the validation of
             soluble biomarkers reflecting damage endpoints was proposed
             at OMERACT 8. At OMERACT 9 we aimed to scrutinize the
             necessity for each of these criteria according to the
             objectives of the working group. METHODS: The OMERACT 8
             draft criteria and the principle objectives of the
             validation process were clarified at a meeting of the
             working group in London, December 2007. A new framework was
             proposed after the following steps were conducted: (A) A
             systematic review of the literature focusing on the draft
             criteria and a preselected group of biomarkers (MMP3,
             CTX-II, RANKL, OPG, CTX-I) followed by a Delphi consensus
             exercise addressing the importance of individual criteria
             and identification of omissions in the draft set. (B) Formal
             debate as well as group discussion centered on the key
             arguments for inclusion/exclusion of specific criteria. (C)
             Onsite interactive electronic voting on the importance of
             specific criteria. The framework was presented and discussed
             at OMERACT 9 in both breakout and plenary sessions followed
             by a vote on its acceptance. RESULTS: The objectives of
             rheumatoid arthritis, psoriatic arthritis, and ankylosing
             spondylitis biomarkers in relation to their predictive
             validity for damage endpoints was clarified and supported by
             OMERACT 9 participants. The OMERACT 8 draft validation
             criteria were reformulated into an essential category
             focused on criteria addressing the OMERACT Filter elements
             of discrimination (incorporating truth) and feasibility, and
             a desirable but nonessential category of other criteria
             addressing truth. This revised draft set was endorsed by
             participants at OMERACT 9. CONCLUSIONS: A revised set of
             validation criteria has been drafted by consensus at OMERACT
             9 that focuses on the performance characteristics of
             biomarker assays, the importance of addressing potential
             confounders, and the essential requirement for clinical
             validation studies.},
   Language = {eng},
   Doi = {10.3899/jrheum.090346},
   Key = {fds188612}
}

@article{fds188640,
   Author = {JL Huebner and KA Johnson and VB Kraus and RA Terkeltaub},
   Title = {Transglutaminase 2 is a marker of chondrocyte hypertrophy
             and osteoarthritis severity in the Hartley guinea pig model
             of knee OA.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {17},
   Number = {8},
   Pages = {1056-64},
   Year = {2009},
   Month = {August},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2009.02.015},
   Keywords = {Animals • Arthritis, Experimental • Biological
             Markers • Cartilage, Articular • Chondrocytes
             • GTP-Binding Proteins • Gene Expression •
             Guinea Pigs • Immunohistochemistry •
             Osteoarthritis, Knee • Severity of Illness Index •
             Transglutaminases • genetics • metabolism •
             metabolism* • pathology*},
   Abstract = {OBJECTIVE: The transglutaminase (TG) isoenzyme TG2, which
             catalyzes protein cross-linking via transamidation,
             influences healing phenotype in multiple forms of tissue
             injury. Moreover, TG2 knockout suppresses cartilage
             destruction but promotes osteophyte formation in
             instability-induced mouse knee osteoarthritis (OA). TG2 is
             marker of growth plate chondrocyte hypertrophy. Moreover,
             TG2 secreted by chondrocytes acts in part by promoting
             chondrocyte maturation to hypertrophy, a differentiation
             state linked with MMP-13 expression and disease progression
             in OA. Moreover, glucosamine, which is currently under
             investigation as an OA therapy, binds and inhibits TG2.
             Here, we examined TG2 as a potential marker of cartilage
             hypertrophy in the spontaneous guinea pig model of OA.
             METHODS: Synovial fluid ELISA and cartilage
             Immunohistochemistry and quantitative Reverse
             transcription-polymerase chain reaction (RT-PCR), were used
             to examine TG2 expression and TG transamidation-catalyzed
             isopeptide bonds. RESULTS: TG isopeptide bonds and TG2 were
             most abundant in articular cartilage in early knee OA. TG2
             expression was robust at sites of early but not established
             osteophytes. Synovial fluid TG2 correlated with knee OA
             total histological score (r=0.47, P=0.01), as did medial
             tibial plateau cartilage TG2 mRNA (r=1.0, P=0.003). At 12
             months of age, medial tibial plateau cartilage TG2 mRNA
             expression rose markedly in association with elevated type X
             collagen, as well as ADAMTS-5, and MMP-13 expression,
             changes not shared in age-matched Strain 13 guinea pigs that
             are less susceptible to knee OA. CONCLUSIONS: Hartley guinea
             pig knee TG2 expression associates with enhanced articular
             chondrocyte hypertrophy and is a biomarker of OA
             severity.},
   Language = {eng},
   Doi = {10.1016/j.joca.2009.02.015},
   Key = {fds188640}
}

@article{fds188641,
   Author = {WP Maksymowych and O Fitzgerald and GA Wells and DD Gladman and R
             Landewé, M Ostergaard and WJ Taylor and R Christensen and PP Tak and M
             Boers, SW Syversen and JM Bathon and CJ Ritchlin and PJ Mease and VP
             Bykerk, P Garnero and P Geusens and H El-Gabalawy and D Aletaha and RD
             Inman, VB Kraus and TK Kvien and D van der Heijde},
   Title = {Proposal for levels of evidence schema for validation of a
             soluble biomarker reflecting damage endpoints in rheumatoid
             arthritis, psoriatic arthritis, and ankylosing spondylitis,
             and recommendations for study design.},
   Journal = {The Journal of rheumatology},
   Volume = {36},
   Number = {8},
   Pages = {1792-9},
   Year = {2009},
   Month = {August},
   ISSN = {0315-162X},
   url = {http://dx.doi.org/10.3899/jrheum090347},
   Keywords = {Arthritis • Arthritis, Psoriatic • Arthritis,
             Rheumatoid • Biological Markers • Evidence-Based
             Medicine • Humans • Joints • Longitudinal
             Studies • Predictive Value of Tests •
             Reproducibility of Results • Spondylitis, Ankylosing
             • blood • blood* • pathology •
             pathology* • standards*},
   Abstract = {OBJECTIVE: At OMERACT 8 a framework for levels of evidence
             was proposed for the validation of biomarkers as surrogate
             outcome measures. We aimed to adapt this scheme in order to
             apply it in the setting of soluble biomarkers proposed to
             replace the measurement of damage endpoints in rheumatoid
             arthritis (RA), psoriatic arthritis (PsA), and ankylosing
             spondylitis (AS). We also aimed to generate consensus on
             minimum standards for the design of longitudinal studies
             aimed at validating biomarkers. METHODS: Before the meeting,
             the Soluble Biomarker Working Group prepared a preliminary
             framework and discussed various models for association and
             prediction related to the statistical strength domain. In
             addition, 3 Delphi exercises addressing longitudinal study
             design for RA, PsA, and AS were conducted within the working
             group and members of the Assessments in SpondyloArthritis
             International Society (ASAS) and the Group for Research and
             Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA).
             This formed the basis for discussions among OMERACT 9
             participants. RESULTS: The proposed framework was accepted
             by consensus. In the study design domain a requirement for
             both prospective observational studies and randomized
             controlled trials (RCT) in different drug classes was noted.
             A template for determining the level of statistical strength
             was proposed. The addition of a new domain on biomarker
             assay performance was considered essential, and participants
             suggested that for any biomarker this domain should be
             addressed first, i.e., before starting clinical validation
             studies. Participants agreed on most elements of a
             longitudinal study design template. Where consensus was
             lacking the working group has drafted solutions that
             constitute a basis for prospective validation studies.
             CONCLUSIONS: The OMERACT 9 Soluble Biomarker Group has
             successfully formulated a levels of evidence scheme and a
             study design template that will provide guidance to conduct
             validation studies in the setting of soluble biomarkers
             proposed to replace the measurement of damage endpoints in
             RA, PsA, and AS.},
   Language = {eng},
   Doi = {10.3899/jrheum090347},
   Key = {fds188641}
}

@article{fds188624,
   Author = {EL Sims and JM Carland and FJ Keefe and VB Kraus and F Guilak and D
             Schmitt},
   Title = {Sex differences in biomechanics associated with knee
             osteoarthritis.},
   Journal = {Journal of women & aging},
   Volume = {21},
   Number = {3},
   Pages = {159-70},
   Year = {2009},
   Month = {July},
   ISSN = {1540-7322},
   url = {http://dx.doi.org/10.1080/08952840903054856},
   Keywords = {Adult • Aged • Biomechanics • Female •
             Humans • Imaging, Three-Dimensional • Male •
             Middle Aged • Osteoarthritis, Knee • Prevalence
             • Severity of Illness Index • Sex Distribution
             • epidemiology* • physiopathology*},
   Abstract = {Osteoarthritis of the knee is seen more frequently in
             females than males. However, few studies have examined the
             interplay of gender, gait mechanics, pain, and disability in
             persons with osteoarthritis. This study examines the
             influence of anthropometrics, radiographic disease severity,
             pain, and disability on gender differences in gait mechanics
             in patients with knee osteoarthritis. Gait mechanics for 26
             men and 30 women were collected using 3-D kinematics and
             kinetics. Women had a significantly lower knee adduction
             moment than men and a significantly higher stride frequency.
             Within female subjects, variations in gait mechanics were
             primarily explained by weight, BMI, pain, and disability. In
             males, variations in gait mechanics were primarily explained
             by age and disability.},
   Language = {eng},
   Doi = {10.1080/08952840903054856},
   Key = {fds188624}
}

@article{fds188643,
   Author = {AE Nelson and F Fang and XA Shi and VB Kraus and T Stabler and JB Renner and TA Schwartz and CG Helmick and JM Jordan},
   Title = {Failure of serum transforming growth factor-beta (TGF-beta1)
             as a biomarker of radiographic osteoarthritis at the knee
             and hip: a cross-sectional analysis in the Johnston County
             Osteoarthritis Project.},
   Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research
             Society},
   Volume = {17},
   Number = {6},
   Pages = {772-6},
   Year = {2009},
   Month = {June},
   ISSN = {1522-9653},
   url = {http://dx.doi.org/10.1016/j.joca.2008.11.010},
   Keywords = {Biological Markers • Cross-Sectional Studies •
             Female • Hip Joint • Humans • Knee Joint
             • Male • Middle Aged • Osteoarthritis, Hip
             • Osteoarthritis, Knee • Transforming Growth
             Factor beta1 • Weight-Bearing • blood •
             blood* • ethnology • metabolism* •
             radiography},
   Abstract = {OBJECTIVE: To assess associations between serum transforming
             growth factor-beta (TGF-beta1) and radiographic knee and hip
             osteoarthritis (rOA) in African American (AA) and White men
             and women. METHODS: Baseline data from 330 participants in
             the Johnston County Osteoarthritis Project were used in the
             analysis. Radiographs were scored with the Kellgren-Lawrence
             scale and rOA defined as grade> or =2. Individual
             radiographic features (IRFs) were rated 0-3. TGF-beta1 was
             measured using a sandwich enzyme-linked immunosorbent assay
             (ELISA). General linear models were used to estimate
             associations between lnTGF-beta1 and rOA presence,
             laterality or severity, and IRF presence and severity,
             adjusting for age, gender, race and body mass index.
             Interactions by race and gender were considered significant
             at P<0.1. RESULTS: Mean lnTGF-beta1 levels were higher among
             AAs compared to Whites, and among women compared to men
             (P<0.009). Mean lnTGF-beta1 levels were higher in those with
             knee osteophytes (OST), but this association was not
             significant after adjustment. There were no other
             significant differences in mean lnTGF-beta1 levels by
             presence, laterality, or severity of knee or hip rOA or
             IRFs. No race or gender interactions were identified,
             although a borderline significant association between
             lnTGF-beta1 and knee OST was seen among AAs (P<0.06).
             CONCLUSIONS: Although serum TGF-beta1 varied by race and
             gender and several rOA variables, there were no independent
             significant associations with presence, laterality, or
             severity of knee or hip rOA by K-L grade or IRFs, suggesting
             that serum TGF-beta1 is unlikely to be useful as a
             stand-alone biomarker in OA studies. A possible association
             between TGF-beta1 and OST in AAs cannot be
             excluded.},
   Language = {eng},
   Doi = {10.1016/j.joca.2008.11.010},
   Key = {fds188643}
}

@article{fds188637,
   Author = {J Cibere and H Zhang and P Garnero and AR Poole and T Lobanok and T Saxne and VB Kraus and A Way and A Thorne and H Wong and J Singer and J Kopec and A
             Guermazi, C Peterfy and S Nicolaou and PL Munk and JM
             Esdaile},
   Title = {Association of biomarkers with pre-radiographically defined
             and radiographically defined knee osteoarthritis in a
             population-based study.},
   Journal = {Arthritis and rheumatism},
   Volume = {60},
   Number = {5},
   Pages = {1372-80},
   Year = {2009},
   Month = {May},
   ISSN = {0004-3591},
   url = {http://dx.doi.org/10.1002/art.24473},
   Keywords = {Adult • Aged • Biological Markers •
             Calcium-Binding Proteins • Cartilage, Articular •
             Chondroitin Sulfates • Collagen Type I • Collagen
             Type II • Extracellular Matrix Proteins • Female
             • Glycoproteins • Humans • Hyaluronic Acid
             • Magnetic Resonance Imaging • Male • Middle
             Aged • Osteoarthritis, Knee • Peptides •
             analysis* • blood • diagnosis* • radiography
             • urine},
   Abstract = {OBJECTIVE: To evaluate 10 biomarkers in magnetic resonance
             imaging (MRI)-determined, pre-radiographically defined
             osteoarthritis (pre-ROA) and radiographically defined OA
             (ROA) in a population-based cohort of subjects with
             symptomatic knee pain. METHODS: Two hundred one white
             subjects with knee pain, ages 40-79 years, were classified
             into OA subgroups according to MRI-based cartilage (MRC)
             scores (range 0-4) and Kellgren/Lawrence (K/L) grades of
             radiographic severity (range 0-4): no OA (MRC score 0, K/L
             grade<2), pre-ROA (MRC score>or=1, K/L grade<2), or ROA (MRC
             score>or=1, K/L grade>or=2). Urine and serum samples were
             assessed for levels of the following biomarkers: urinary
             biomarkers C-telopeptide of type II collagen (uCTX-II), type
             II and types I and II collagen cleavage neoepitopes (uC2C
             and uC1,2C, respectively), and N-telopeptide of type I
             collagen, and serum biomarkers sC1,2C, sC2C, C-propeptide of
             type II procollagen (sCPII), chondroitin sulfate 846
             epitope, cartilage oligomeric matrix protein, and hyaluronic
             acid. Multicategory logistic regression was performed to
             evaluate the association of OA subgroup with individual
             biomarker levels and biomarker ratios, adjusted for age,
             sex, and body mass index. RESULTS: The risk of ROA versus no
             OA increased with increasing levels of uCTX-II (odds ratio
             [OR] 3.12, 95% confidence interval [95% CI] 1.35-7.21), uC2C
             (OR 2.13, 95% CI 1.04-4.37), and uC1,2C (OR 2.07, 95% CI
             1.06-4.04), and was reduced in association with high levels
             of sCPII (OR 0.53, 95% CI 0.30-0.94). The risk of pre-ROA
             versus no OA increased with increasing levels of uC2C (OR
             2.06, 95% CI 1.05-4.01) and uC1,2C (OR 2.06, 95% CI
             1.12-3.77). The ratios of type II collagen degradation
             markers to collagen synthesis markers were better than
             individual biomarkers at differentiating the OA subgroups,
             e.g., the ratio of [uCTX-II][uC1,2C] to sCPII was associated
             with a risk of ROA versus no OA of 3.47 (95% CI 1.34-9.03)
             and a risk of pre-ROA versus no OA of 2.56 (95% CI
             1.03-6.40). CONCLUSIONS: Different cartilage degradation
             markers are associated with pre-ROA than are associated with
             ROA, indicating that their use as diagnostic markers depends
             on the stage of OA. Biomarker ratios contrasting cartilage
             degradation with cartilage synthesis are better able to
             differentiate OA stages compared with levels of the
             individual markers.},
   Language = {eng},
   Doi = {10.1002/art.24473},
   Key = {fds188637}
}

@article{fds188658,
   Author = {TJ Somers and FJ Keefe and JJ Pells and KE Dixon and SJ Waters and PA
             Riordan, JA Blumenthal and DC McKee and L LaCaille and JM Tucker and D
             Schmitt, DS Caldwell and VB Kraus and EL Sims and RA Shelby, JR
             Rice},
   Title = {Pain catastrophizing and pain-related fear in osteoarthritis
             patients: relationships to pain and disability.},
   Journal = {Journal of pain and symptom management},
   Volume = {37},
   Number = {5},
   Pages = {863-72},
   Year = {2009},
   Month = {May},
   ISSN = {1873-6513},
   url = {http://dx.doi.org/10.1016/j.jpainsymman.2008.05.009},
   Keywords = {Activities of Daily Living* • Anxiety •
             Comorbidity • Disability Evaluation* • Fear*
             • Female • Humans • Male • Middle Aged
             • North Carolina • Osteoarthritis, Knee •
             Pain • Risk Assessment • Risk Factors •
             diagnosis • epidemiology • epidemiology* •
             methods • psychology},
   Abstract = {This study examined the degree to which pain catastrophizing
             and pain-related fear explain pain, psychological
             disability, physical disability, and walking speed in
             patients with osteoarthritis (OA) of the knee. Participants
             in this study were 106 individuals diagnosed as having OA of
             at least one knee, who reported knee pain persisting for six
             months or longer. Results suggest that pain catastrophizing
             explained a significant proportion (all Ps < or = 0.05) of
             variance in measures of pain (partial r(2) [pr(2)] = 0.10),
             psychological disability (pr(2) = 0.20), physical disability
             (pr(2) = 0.11), and gait velocity at normal (pr(2) = 0.04),
             fast (pr(2) = 0.04), and intermediate speeds (pr(2) = 0.04).
             Pain-related fear explained a significant proportion of the
             variance in measures of psychological disability (pr(2) =
             0.07) and walking at a fast speed (pr(2) = 0.05). Pain
             cognitions, particularly pain catastrophizing, appear to be
             important variables in understanding pain, disability, and
             walking at normal, fast, and intermediate speeds in knee OA
             patients. Clinicians interested in understanding variations
             in pain and disability in this population may benefit by
             expanding the focus of their inquiries beyond traditional
             medical and demographic variables to include an assessment
             of pain catastrophizing and pain-related
             fear.},
   Language = {eng},
   Doi = {10.1016/j.jpainsymman.2008.05.009},
   Key = {fds188658}
}

@article{fds188646,
   Author = {MF Shamji and KD Allen and S So and L Jing and SB Adams Jr and R Schuh and J
             Huebner, VB Kraus and AH Friedman and LA Setton and WJ
             Richardson},
   Title = {Gait abnormalities and inflammatory cytokines in an
             autologous nucleus pulposus model of radiculopathy.},
   Journal = {Spine},
   Volume = {34},
   Number = {7},
   Pages = {648-54},
   Year = {2009},
   Month = {April},
   ISSN = {1528-1159},
   url = {http://dx.doi.org/10.1097/BRS.0b013e318197f013},
   Keywords = {Animals • Autoantibodies • Autoantigens •
             Autoimmune Diseases • Cytokines • Disease Models,
             Animal • Fibrocartilage • Ganglia, Spinal •
             Hyperalgesia • Inflammation • Inflammation
             Mediators • Intervertebral Disk • Intervertebral
             Disk Displacement • Lameness, Animal • Lumbar
             Vertebrae • Male • Radiculopathy • Rats
             • Rats, Sprague-Dawley • Transplantation,
             Autologous • analysis • blood • blood* •
             etiology • immunology • immunology* •
             metabolism • methods • pathology •
             physiopathology • physiopathology*},
   Abstract = {METHODS: The authors investigated gait abnormalities and
             mechanical hypersensitivity associated with invertebral disc
             herniation in a rat model of radiculopathy. Further
             evaluation involved assessing how nucleus pulposus (NP)
             injury affected systemic cytokine expression and molecular
             changes at the dorsal root ganglion (DRG). OBJECTIVE: The
             objective of this work was to describe the gait and
             behavioral changes in an animal model of disc-herniation
             induced radiculopathy. A second objective included examining
             how these functional changes correlated with
             neuroinflammation and autoreactive lymphocyte immune
             activation. BACKGROUND: Animal models of radiculopathy
             describe demyelination, slowed nerve conduction, and
             heightened pain sensitivity after application of autologous
             NP to the DRG. The quantitative impact of disc herniation on
             animal locomotion has not been investigated. Further, while
             local inflammation occurs at the injury site, the role of
             autoimmune cytokines reactive against previously
             immune-sequestered NP requires investigation. METHODS:
             NP-treated animals (n = 16) received autologous tail NP
             placed onto the L5 DRG exposed by unilateral facetectomy,
             and control animals (n = 16) underwent exposure only. At
             weekly time points, animals were evaluated for mechanical
             allodynia, thermal hyperalgesia, and gait characteristics
             through digitized video analysis. Serum cytokine content was
             measured after animal sacrifice, and immunohistochemistry
             tested DRG tissue for mediators of inflammation and immune
             activation. RESULTS: Sensory testing revealed mechanical
             allodynia in the affected limb of NP-treated rats compared
             with sham animals (P < 0.01) at all time points. Gait
             analysis reflected functional locomotive consequences of
             marked asymmetry (P = 0.048) and preference to bear weight
             on the contralateral limb (duty factor imbalance, P < 0.01)
             at early time points. Equivalent serum cytokine expression
             occurred in both groups, confirming the local inflammatory
             nature of this disease model. Immunohistochemistry of the
             sectioned DRGs revealed equivalent postsurgical inflammatory
             activation (interleukin 23, P = 0.47) but substantial early
             immune activation in the NP-treated group (interleukin 17, P
             = 0.01). CONCLUSIONS: This model of radiculopathy provides
             evidence of altered gait in a model of noncompressive disc
             herniation. Systemic inflammation was absent, but mechanical
             allodynia, local inflammation, and autoreactive immune
             activation were observed. Future work will involve
             therapeutic interventions to rescue animals from the
             phenotype of inflammatory radiculopathy.},
   Language = {eng},
   Doi = {10.1097/BRS.0b013e318197f013},
   Key = {fds188646}
}

@article{fds160657,
   Title = {Addison, S, R Edward Coleman, Sheng Feng, G McDaniel, and VB
             Kraus. 2009. Whole body bone scintigraphy provides a measure
             of total body burden of osteoarthritis for the purpose of
             systemic  biomarker validation. Arthritis Rheum (in
             press).

}, Year = {2009}, Key = {fds160657} } @article{fds160658, Title = {Griffin, TM, JL Huebner, VB Kraus, and F Guilak.  2009. Extreme  
obesity due to impaired leptin signaling in mice does not increase knee osteoarthritis. Arthritis Rheumatism (in press).}, Year = {2009}, Key = {fds160658} } @article{fds160649, Author = {JB Catterall and D Barr and M Bolognesi and RD Zura and VB Kraus}, Title = {Post-translational aging of proteins in osteoarthritic cartilage and synovial fluid as measured by isomerized aspartate.}, Journal = {Arthritis research & therapy, England}, Volume = {11}, Number = {2}, Pages = {R55}, Year = {2009}, ISSN = {1478-6362}, Keywords = {Aged • Aged, 80 and over • Aspartic Acid • Biological Markers • Cartilage, Articular • Glycosaminoglycans • Humans • Isomerism • Middle Aged • Osteoarthritis, Knee • Protein Processing, Post-Translational • Proteins • Synovial Fluid • analysis • chemistry • metabolism • metabolism* • pathology • physiology*}, Abstract = {INTRODUCTION: Aging proteins undergo non-enzymatic post-translational modification, including isomerization and racemization. We hypothesized that cartilage with many long-lived components could accumulate non-enzymatically modified amino acids in the form of isomerized aspartate and that its liberation due to osteoarthritis (OA)-related cartilage degradation could reflect OA severity. METHODS: Articular cartilage and synovial fluid were obtained from 14 randomly selected total knee arthroplasty cases (56 to 79 years old) and non-arthritis cartilage from 8 trauma cases (51 to 83 years old). Paired lesional cartilage and non-lesioned OA cartilage were graded histologically using a modified Mankin system. Paired cartilage and synovial fluids were assayed for isomerized aspartate, phosphate-buffered saline/EDTA (ethylenediaminetetraacetic acid) extractable glycosaminoglycans, and total protein. Macroscopically normal non-lesioned OA cartilage was separated into superficial and deep regions when cartilage thickness was at least 3 mm (n = 6). RESULTS: Normalized to cartilage wet weight, normal cartilage and deep non-lesioned OA cartilage contained significantly (P < 0.05) more isomerized aspartate than superficial non-lesioned OA cartilage and lesioned cartilage. Synovial fluid isomerized aspartate correlated positively (R2 = 0.53, P = 0.02) and glycosaminoglycans correlated negatively (R2 = 0.42, P = 0.04) with histological OA lesion severity. Neither synovial fluid isomerized aspartate nor glycosaminoglycans nor total protein correlated with histological scores of non-lesioned areas. CONCLUSIONS: We show for the first time that human cartilage and synovial fluid contain measurable quantities of an isomerized amino acid and that synovial fluid concentrations of isomerized aspartate reflected severity of histological OA. Further assessment is warranted to identify the cartilage proteins containing this modification and to assess the functional consequences and biomarker applications of this analyte in OA.}, Key = {fds160649} } @article{fds160654, Author = {TV Stabler and SS Byers and RD Zura and VB Kraus}, Title = {Amino acid racemization reveals differential protein turnover in osteoarthritic articular and meniscal cartilages.}, Journal = {Arthritis research & therapy, England}, Volume = {11}, Number = {2}, Pages = {R34}, Year = {2009}, ISSN = {1478-6362}, Keywords = {Adult • Age Factors • Aged • Aged, 80 and over • Amino Acids • Cartilage, Articular • Chromatography, High Pressure Liquid • Dentin • Humans • Isomerism • Menisci, Tibial • Middle Aged • Osteoarthritis, Knee • chemistry • metabolism • metabolism*}, Abstract = {INTRODUCTION: Certain amino acids within proteins have been reported to change from the L form to the D form over time. This process is known as racemization and is most likely to occur in long-lived low-turnover tissues such as normal cartilage. We hypothesized that diseased tissue, as found in an osteoarthritic (OA) joint, would have increased turnover reflected by a decrease in the racemized amino acid content. METHODS: Using high-performance liquid chromatography methods, we quantified the L and D forms of amino acids reported to racemize in vivo on a biological timescale: alanine, aspartate (Asp), asparagine (Asn), glutamate, glutamine, isoleucine, leucine (Leu), and serine (Ser). Furthermore, using a metabolically inactive control material (tooth dentin) and a control material with normal metabolism (normal articular cartilage), we developed an age adjustment in order to make inferences about the state of protein turnover in cartilage and meniscus. RESULTS: In the metabolically inactive control material (n = 25, ages 13 to 80 years) and the normal metabolizing control material (n = 19, ages 17 to 83 years), only Asp + Asn (Asx), Ser, and Leu showed a significant change (increase) in racemization with age (P < 0.01). The age-adjusted proportions of racemized to total amino acid (D/D+L expressed as a percentage of the control material) for Asx, Ser, and Leu when compared with the normal articular cartilage control were 97%, 74%, and 73% in OA meniscal cartilage and 97%, 70%, and 78% in OA articular cartilage. We also observed lower amino acid content in OA articular and meniscal cartilages compared with normal articular cartilage as well as a loss of total amino acids with age in the OA meniscal but not the OA articular cartilage. CONCLUSIONS: These data demonstrate comparable anabolic responses for non-lesioned OA articular cartilage and OA meniscal cartilage but an excess of catabolism over anabolism for the meniscal cartilage.}, Key = {fds160654} } @article{fds160652, Author = {CD Gordon and TV Stabler and VB Kraus}, Title = {Variation in osteoarthritis biomarkers from activity not food consumption.}, Journal = {Clinica chimica acta; international journal of clinical chemistry, Netherlands}, Volume = {398}, Number = {1-2}, Pages = {21-6}, Year = {2008}, Month = {December}, ISSN = {0009-8981}, Keywords = {Aged • Aged, 80 and over • Biological Markers • Circadian Rhythm • Collagen Type II • Eating • Epitopes • Extracellular Matrix Proteins • Female • Glycoproteins • Humans • Hyaluronic Acid • Keratan Sulfate • Knee • Male • Middle Aged • Motor Activity • Osteoarthritis • Transforming Growth Factor beta • diagnosis • genetics • metabolism • metabolism* • physiology* • radiography}, Abstract = {BACKGROUND: To optimize sampling and to understand sources of variation in biomarkers for osteoarthritis (OA), we evaluated variation due to activity and food consumption. METHODS: Twenty participants, with radiographic knee OA, provided serial serum and urine samples at 4 time points: before arising in the morning; after 1 h of light activity; 1 h after eating breakfast; and in the evening. Five serum (s) and 2 urinary (u) analytes were measured: hyaluronan (sHA); cartilage oligomeric matrix protein (sCOMP); keratan sulfate (sKS-5D4); transforming growth factor beta (sTGF-ss1); and collagen II-related epitopes (sCPII, uCTXII, and uC2C). Activity was monitored by an accelerometer. RESULTS: All serum biomarkers increased and one of the urinary biomarkers decreased after 1 h of non-exertional activity. Food consumption following activity was associated with a return of biomarker concentrations to baseline levels. Accelerometers proved to be a novel way to monitor protocol compliance and demonstrated a positive association between the mean level of activity and sCOMP concentration. Urinary CTXII varied the least but demonstrated both true circadian variation (peak in the morning and nadir in the evening) and the most robust correlation with radiographic knee OA. CONCLUSIONS: We confirm activity related variation in these markers. These data suggested that biomarkers also varied due to upright posture, glomerular filtration rate stimulated by food intake, and circadian rhythm in the case of uCTXII.}, Key = {fds160652} } @article{fds160656, Author = {DR Seifer and BD Furman and F Guilak and SA Olson and SC Brooks and VB Kraus}, Title = {Novel synovial fluid recovery method allows for quantification of a marker of arthritis in mice.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {16}, Number = {12}, Pages = {1532-8}, Year = {2008}, Month = {December}, ISSN = {1522-9653}, Keywords = {Alginates • Animals • Biological Markers • Cartilage, Articular • Fractures, Bone • Immunohistochemistry • Lyases • Mice • Osteoarthritis • Pilot Projects • Synovial Fluid • injuries • metabolism* • pharmacology • physiology • physiopathology}, Abstract = {OBJECTIVE: We evaluated three methodologies--a calcium sodium alginate compound (CSAC), polyacrylate beads (PABs), and Whatman paper recovery (WPR)--for the ability to recover synovial fluid (SF) from mouse knees in a manner that facilitated biochemical marker analysis. METHODS: Pilot testing of each of these recovery vehicles was conducted using small volumes of waste human SF. CSAC emerged as the method of choice, and was used to recover and quantify SF from the knees of C57BL/6 mice (n=12), six of which were given left knee articular fractures. SF concentrations of cartilage oligomeric matrix protein (COMP) were measured by enzyme-linked immunosorbent assay. RESULTS: The mean concentration ratio [(COMP(left knee))/(COMP(right knee))] was higher in the mice subjected to articular fracture when compared to the non-fracture mice (P=0.026). The mean total COMP ratio (taking into account the quantitative recovery of SF) best discriminated between fracture and non-fracture knees (P=0.004). CONCLUSIONS: Our results provide the first direct evidence of accelerated joint tissue turnover in a mouse model responding to acute joint injury. These data strongly suggest that mouse SF recovery is feasible and that biomarker analysis of collected SF samples can augment traditional histological analyses in mouse models of arthritis.}, Key = {fds160656} } @article{fds188614, Author = {F Eckstein and RJ Buck and D Burstein and HC Charles and J Crim and M Hudelmaier, DJ Hunter and G Hutchins and C Jackson and VB Kraus and NE Lane, TM Link and LS Majumdar and S Mazzuca and PV Prasad and TJ Schnitzer, MS Taljanovic and A Vaz and B Wyman and MP Le Graverand and A9001140 Study Group}, Title = {Precision of 3.0 Tesla quantitative magnetic resonance imaging of cartilage morphology in a multicentre clinical trial.}, Journal = {Annals of the rheumatic diseases}, Volume = {67}, Number = {12}, Pages = {1683-8}, Year = {2008}, Month = {December}, ISSN = {1468-2060}, url = {http://dx.doi.org/10.1136/ard.2007.076919}, Keywords = {Aged • Cartilage, Articular • Female • Follow-Up Studies • Humans • Image Interpretation, Computer-Assisted • Knee Joint • Magnetic Resonance Imaging • Middle Aged • Osteoarthritis, Knee • Reproducibility of Results • Technology Assessment, Biomedical • anatomy & histology • drug therapy • instrumentation • methods • pathology* • standards*}, Abstract = {OBJECTIVE: Quantitative MRI (qMRI) of cartilage morphology is a promising tool for disease-modifying osteoarthritis drug (DMOAD) development. Recent studies at single sites have indicated that measurements at 3.0 Tesla (T) are more reproducible (precise) than those at 1.5 T. Precision errors and stability in multicentre studies with imaging equipment from various vendors have, however, not yet been evaluated. METHODS: A total of 158 female participants (97 Kellgren and Lawrence grade (KLG) 0, 31 KLG 2 and 30 KLG 3) were imaged at 7 clinical centres using Siemens Magnetom Trio and GE Signa Excite magnets. Double oblique coronal acquisitions were obtained at baseline and at 3 months, using water excitation spoiled gradient echo sequences (1.0x0.31x0.31 mm3 resolution). Segmentation of femorotibial cartilage morphology was performed using proprietary software (Chondrometrics GmbH, Ainring, Germany). RESULTS: The precision error (root mean square coefficient of variation (RMS CV)%) for cartilage thickness/volume measurements ranged from 2.1%/2.4% (medial tibia) to 2.9%/3.3% (lateral weight-bearing femoral condyle) across all participants. No significant differences in precision errors were observed between KLGs, imaging sites, or scanner manufacturers/types. Mean differences between baseline and 3 months ranged from <0.1% (non-significant) in the medial to 0.94% (p<0.01) in the lateral femorotibial compartment, and were 0.33% (p<0.02) for the total femorotibial subchondral bone area. CONCLUSIONS: qMRI performed at 3.0 T provides highly reproducible measurements of cartilage morphology in multicentre clinical trials with equipment from different vendors. The technology thus appears sufficiently robust to be recommended for large-scale multicentre trials.}, Language = {eng}, Doi = {10.1136/ard.2007.076919}, Key = {fds188614} } @article{fds188660, Author = {HC Chen and SH Shah and YJ Li and TV Stabler and JM Jordan and VB Kraus}, Title = {Inverse association of general joint hypermobility with hand and knee osteoarthritis and serum cartilage oligomeric matrix protein levels.}, Journal = {Arthritis and rheumatism}, Volume = {58}, Number = {12}, Pages = {3854-64}, Year = {2008}, Month = {December}, ISSN = {0004-3591}, url = {http://dx.doi.org/10.1002/art.24319}, Keywords = {Age of Onset • Biological Markers • Cohort Studies • Extracellular Matrix Proteins • Glycoproteins • Hand • Humans • Hyaluronic Acid • Joint Instability • Osteoarthritis, Knee • Phenotype • Prevalence • blood • blood* • epidemiology* • metabolism*}, Abstract = {OBJECTIVE: Extensive joint hypermobility, lower serum cartilage oligomeric matrix protein (COMP) levels, and early-onset osteoarthritis (OA) are phenotypes of inherited pseudoachondroplasia and multiple epiphyseal dysplasia. However, few studies have evaluated the association between articular hypermobility and primary OA. We undertook the present study to evaluate this association and to test the hypothesis that COMP levels are associated with hypermobility in patients with OA and individuals without OA. METHODS: Two separate cohorts were available for analysis, the CARRIAGE (CARolinas Region Interaction of Aging Genes and Environment) extended family and a subset of the GOGO (Genetics of Generalized Osteoarthritis) sibpair cohort. In the CARRIAGE family, we performed hand and knee examinations and hypermobility evaluations (Beighton criteria) and obtained sera for measurement of COMP and hyaluronan (HA). Data on COMP and HA levels and extensive joint radiographic and hypermobility data were also available for the GOGO cohort. RESULTS: The prevalence of hypermobility was 13% in the CARRIAGE family and 5% in the GOGO cohort. In the CARRIAGE family, hypermobility was associated with a significantly reduced prevalence of hand (especially proximal interphalangeal joint) and knee OA and lower mean serum COMP levels, both in the total cohort and in non-hand-OA subgroups. These results were further validated in the GOGO subsets without radiographic OA, in which hypermobility was also associated with a significantly reduced mean serum COMP level (P < 0.0001 adjusted for age). Serum HA levels did not differ in relation to hypermobility in either cohort. CONCLUSIONS: The present results indicate that there is an inverse relationship between hypermobility and hand and knee OA, and that hypermobility is associated with lower serum COMP levels. Genetic variations of the COMP gene may account for some subgroups of benign joint hypermobility.}, Language = {eng}, Doi = {10.1002/art.24319}, Key = {fds188660} } @article{fds188661, Author = {SA Mazzuca and MP Hellio Le Graverand and E Vignon and DJ Hunter and CG Jackson, VB Kraus and TM Link and TJ Schnitzer and A Vaz and HC Charles}, Title = {Performance of a non-fluoroscopically assisted substitute for the Lyon schuss knee radiograph: quality and reproducibility of positioning and sensitivity to joint space narrowing in osteoarthritic knees.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {16}, Number = {12}, Pages = {1555-9}, Year = {2008}, Month = {December}, ISSN = {1522-9653}, url = {http://dx.doi.org/10.1016/j.joca.2008.04.010}, Keywords = {Diagnostic Imaging • Disease Progression • Female • Humans • Knee Joint • Middle Aged • Obesity • Osteoarthritis, Knee • Posture • Severity of Illness Index • Tibia • complications • physiology • physiopathology • radiography* • standards*}, Abstract = {OBJECTIVE: This study evaluated the longitudinal performance of a modified Lyon schuss (LS) knee examination in the detection of radiographic joint space narrowing (JSN) in knees with osteoarthritis (OA). The modified LS exam entails two to four iterative acquisitions with empirically adjusted angulation of the X-ray beam to achieve superimposition of the anterior and posterior margins of the medial tibial plateau (MTP), a marker of parallel radioanatomic alignment that the original LS exam achieves with fluoroscopically guided beam angulation. METHODS: Seventy-four obese women with symptomatic knee OA underwent LS and fixed-flexion (FF, caudal 10 degrees beam angulation) X-ray exams at baseline and 1 year later. For 47 subjects, beam angulation for both LS exams was guided by fluoroscopy. For 27 subjects, the modified LS exam was performed at one or both times. Modified and original LS procedures were evaluated relative to concurrent FF radiographs with respect to the inter-margin distance (IMD) at the MTP midpoint (quality and reproducibility of alignment) and sensitivity to JSN. RESULTS: Compared to FF radiographs, modified LS radiographs afforded a smaller mean IMD at baseline (0.89 vs 2.06 mm, P=0.002), more reproducible IMD (mean change=0.49 vs 0.91 mm, P=0.007) and more rapid JSN (mean=0.25 vs 0.02 mm/yr, P=0.005). These differences paralleled those observed between original LS and FF procedures with respect to baseline alignment (0.96 vs 1.94 mm, P<0.001), reproducibility of alignment (0.49 vs 1.00 mm, P<0.001) and sensitivity to JSN (0.16 vs -0.01 mm/yr, P=0.007). CONCLUSIONS: In clinical centers where the absence of fluoroscopy equipment precludes use of the original LS protocol, a modified procedure employing iterative, empirical adjustment of the beam angle to achieve parallel radioanatomic alignment with the MTP affords a degree of superiority over the FF protocol with respect to quality and reproducibility of positioning and sensitivity to JSN in OA knees similar to that of the original.}, Language = {eng}, Doi = {10.1016/j.joca.2008.04.010}, Key = {fds188661} } @article{fds160651, Author = {VB Kraus and G McDaniel and TW Worrell and S Feng and TP Vail and G Varju and RE Coleman}, Title = {Association of bone scintigraphic abnormalities with knee malalignment and pain.}, Journal = {Annals of the rheumatic diseases}, Year = {2008}, Month = {November}, ISSN = {1468-2060}, Abstract = {OBJECTIVE: We evaluated the information content of knee bone scintigraphy, including pattern, localization and intensity of retention relative to radiographic features of knee osteoarthritis (rOA), knee alignment, and knee symptoms. METHODS: A total of 308 knees (159 subjects) with symptomatic and radiographic knee OA (rOA) of at least one knee were assessed by late phase technetium-99m-methylene disphosphonate bone scintigraph, fixed-flexion knee radiograph, full limb radiograph for knee alignment, and for self-reported knee symptom severity. Generalized linear models were used to control for within subject correlation of knee data. RESULTS: The compartmental localization (medial versus lateral) and intensity of knee bone scan retention were associated with the pattern (varus versus valgus) (p<0.001) and severity (p=0.0008) of knee malalignment, and localization and severity of rOA (p<0.0001). Bone scan agent retention in the tibiofemoral, but not patellofemoral compartment, was associated with severity of knee symptoms (p=0.0009), and persisted after adjusting for rOA (p=0.0012). CONCLUSION: To our knowledge, this is the first study describing a relationship between knee malalignment, joint symptom severity, and compartment specific abnormalities by bone scintigraphy. This work demonstrates that bone scintigraphy as a sensitive and quantitative indicator of symptomatic knee OA. Used selectively, bone scintigraphy is a dynamic imaging modality that holds great promise as a clinical trial screening tool and outcome measure.}, Key = {fds160651} } @article{fds188619, Author = {MP Le Graverand and EP Vignon and KD Brandt and SA Mazzuca and M Piperno, R Buck and HC Charles and DJ Hunter and CG Jackson and VB Kraus, TM Link and TJ Schnitzer and A Vaz and B Wyman}, Title = {Head-to-head comparison of the Lyon Schuss and fixed flexion radiographic techniques. Long-term reproducibility in normal knees and sensitivity to change in osteoarthritic knees.}, Journal = {Annals of the rheumatic diseases}, Volume = {67}, Number = {11}, Pages = {1562-6}, Year = {2008}, Month = {November}, ISSN = {1468-2060}, url = {http://dx.doi.org/10.1136/ard.2007.077834}, Keywords = {Adult • Aged • Arthrography • Disease Progression • Epidemiologic Methods • Female • Humans • Image Interpretation, Computer-Assisted • Knee Joint • Middle Aged • Observer Variation • Osteoarthritis, Knee • Posture • Severity of Illness Index • anatomy & histology • methods • pathology • radiography*}, Abstract = {OBJECTIVE: The Lyon Schuss (LS) and fixed flexion (FF) views of the knee are superior to a conventional standing anteroposterior view in evaluating joint space narrowing (JSN) in osteoarthritis (OA). Both position the knee identically but only the LS aligns the medial tibial plateau (MTP) with the x-ray beam fluoroscopically. The present study provides the first head-to-head comparison of the LS and FF views. METHODS: At baseline and 12 months, 62 OA and 99 control knees were imaged twice on the same day with LS and FF views. Minimum joint space width (mJSW) was measured by computer and MTP alignment was assessed from the distance between anterior and posterior margins of the MTP (intermargin distance, IMD). Reproducibility of measurements of mJSW and sensitivity to change were evaluated. RESULTS: In normal knees, JSW did not vary over 12 months with either view. In OA knees, 12-month mJSN was 0.22 (0.43) mm with the LS view and -0.01 (0.46) mm with the FF view (p = 0.0002 and p = 0.92, respectively). Mean IMD was only half as large in LS as in FF views (0.9 (0.5) mm vs 1.9 (1.2) mm, p<0.0001). CONCLUSIONS: LS and FF radiographs offer similar reproducibility in JSW measurement. However, presumably due to its superiority in aligning the MTP, the LS view is much more sensitive to JSN in OA knees.}, Language = {eng}, Doi = {10.1136/ard.2007.077834}, Key = {fds188619} } @article{fds160650, Author = {DJ Quintana and P Garnero and JL Huebner and N Charni-Ben Tabassi and VB Kraus}, Title = {PIIANP and HELIXII diurnal variation.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {16}, Number = {10}, Pages = {1192-5}, Year = {2008}, Month = {October}, ISSN = {1522-9653}, Keywords = {Adult • Aged • Aged, 80 and over • Biological Markers • Cartilage, Articular • Circadian Rhythm • Cohort Studies • Collagen Type II • Female • Humans • Male • Middle Aged • Osteoarthritis, Knee • Peptide Fragments • Statistics as Topic • blood • metabolism • metabolism* • pathology*}, Abstract = {OBJECTIVE: Serum levels of procollagen type IIA N-terminal propeptide (sPIIANP) and type-II collagen helical peptide (sHELIXII) biomarkers were evaluated for variation diurnally and with physical activity and food in participants with osteoarthritis (OA) of the knee. METHODS: Forty participants with OA of at least one knee were admitted overnight to the General Clinical Research Center for serial serum sampling. Samples were obtained on the evening (6-8 pm) of Day 1 (T3, n=40); prior to rising (8 am) from bed (T0, n=40); 1 h after rising (9 am) without food consumption (T1a, n=20); 1-2 h after rising (9-10 am) with food consumption (T1, n=40); and additionally at noon, 4 h after rising (T2, n=20). sPIIANP and sHELIXII were measured by enzyme-linked immunosorbent assay. Results were analyzed using non-parametric Freidman's test with Dunn's post-hoc multiple comparison test. RESULTS: Normalized mean concentrations for sPIIANP and sHELIXII increased significantly from T0 to T1 (P<0.05). CONCLUSIONS: This is the first study to demonstrate diurnal variation of these collagen-II biomarkers in individuals with knee OA. These results suggest that serum sampling for these markers should be standardized for purposes of clinical trials.}, Key = {fds160650} } @article{fds188638, Author = {U Atif and A Philip and J Aponte and EM Woldu and S Brady and VB Kraus and JM Jordan, M Doherty and AG Wilson and RW Moskowitz and M Hochberg and R Loeser, JB Renner and M Chiano}, Title = {Absence of association of asporin polymorphisms and osteoarthritis susceptibility in US Caucasians.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {16}, Number = {10}, Pages = {1174-7}, Year = {2008}, Month = {October}, ISSN = {1522-9653}, url = {http://dx.doi.org/10.1016/j.joca.2008.03.007}, Keywords = {Aged • Aspartic Acid • European Continental Ancestry Group • Extracellular Matrix Proteins • Female • Genetic Predisposition to Disease • Genotype • Hand Joints • Humans • Knee Joint • Male • Middle Aged • Osteoarthritis • Pedigree • Polymorphism, Genetic • Siblings • Statistics as Topic • United States • ethnology • genetics • genetics* • metabolism • physiopathology}, Abstract = {OBJECTIVE: An association between osteoarthritis (OA) and functional polymorphisms in the aspartic acid (d) repeat of the asporin (ASPN) gene was reported in Japanese and Han Chinese populations. The aim of this study was to assess the association of variants in the ASPN gene with the presence of radiographic hand and/or knee OA in a US Caucasian population. METHODS: Ten single nucleotide polymorphisms (SNPs) within the ASPN gene were genotyped in 775 affected siblings with radiographically confirmed hand and/or knee OA, and the allelic, genotypic and haplotypic association results were examined. RESULTS: One variant (SNP RS7033979) showed nominal evidence of association with both hand OA (P=0.042) and knee OA (P=0.032). Four additional SNPs showed nominal evidence of association with knee OA only. These associations were only observed with genotypic tests; the corresponding allelic and haplotype tests did not corroborate the single-point association results. CONCLUSIONS: These data suggest that polymorphisms within ASPN are not a major influence in susceptibility to hand or knee OA in US Caucasians.}, Language = {eng}, Doi = {10.1016/j.joca.2008.03.007}, Key = {fds188638} } @article{fds160653, Author = {HC Chen and S Shah and TV Stabler and YJ Li and VB Kraus}, Title = {Biomarkers associated with clinical phenotypes of hand osteoarthritis in a large multigenerational family: the CARRIAGE family study.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {16}, Number = {9}, Pages = {1054-9}, Year = {2008}, Month = {September}, ISSN = {1522-9653}, Abstract = {OBJECTIVE: To evaluate biological markers as potential quantitative traits of clinical osteoarthritis (OA) in a large multigenerational family in the Carolinas of the USA known as the CARRIAGE (CARolinas Region Interaction of Aging, Genes and Environment) family. METHODS: During a series of three family reunions over 6 years, we ascertained 365 family members. We performed clinical hand examinations (n=287), and obtained sera (n=278) for seven OA-related biomarkers [type IIA collagen N-propeptide (PIIANP), type II procollagen carboxy-propeptide (CPII), neoepitope from cleavage of CII (C(2)C), cartilage oligomeric matrix protein (COMP), hyaluronan (HA), high-sensitive C-reactive protein (hs-CRP), and glycated serum protein (GSP)]. Three hand OA definitions were evaluated--clinical ACR (American College of Rheumatology) and GOGO (Genetics of Generalized OA) criteria, and any single hand joint involvement. Non-hand OA was defined as a negative hand examination for OA but varying prevalence of joint symptoms; the control group was defined as having neither symptoms nor evidence for clinical hand OA. RESULTS: Mean lnHA, lnCOMP, and lnhs-CRP were significantly higher in the hand OA group, compared with the non-hand OA or control group. Adjusted for age and sex, mean lnPIIANP (a collagen II synthesis marker) was significantly lower in the hand OA group compared with the other groups. Among those without clinical hand OA, GSP was associated with hand joint symptoms. CONCLUSIONS: This is the first report, to our knowledge, showing an association of OA biomarkers and hand OA based on physical examination alone. Analyses using these biomarkers as quantitative traits could reveal novel genetic loci and facilitate exploration of the genetic susceptibility to OA.}, Key = {fds160653} } @article{fds87747, Author = {JJ Pells and RA Shelby and FJ Keefe and KE Dixon and JA Blumenthal and L Lacaille, JM Tucker and D Schmitt and DS Caldwell and VB Kraus}, Title = {Arthritis self-efficacy and self-efficacy for resisting eating: relationships to pain, disability, and eating behavior in overweight and obese individuals with osteoarthritic knee pain.}, Journal = {Pain}, Volume = {136}, Number = {3}, Pages = {340-7}, Year = {2008}, Month = {June}, ISSN = {1872-6623}, url = {http://dx.doi.org/10.1016/j.pain.2007.07.012}, Keywords = {Arthralgia • Comorbidity • Disability Evaluation • Employment • Feeding Behavior* • Female • Humans • Male • Middle Aged • North Carolina • Obesity • Osteoarthritis, Knee • Overweight • Prevalence • Prognosis • Risk Assessment • Self Efficacy* • epidemiology • epidemiology* • methods* • prevention & control • statistics & numerical data}, Abstract = {This study examined arthritis self-efficacy and self-efficacy for resisting eating as predictors of pain, disability, and eating behaviors in overweight or obese patients with osteoarthritis (OA) of the knee. Patients (N=174) with a body mass index between 25 and 42 completed measures of arthritis-related self-efficacy, weight-related self-efficacy, pain, physical disability, psychological disability, overeating, and demographic and medical information. Hierarchical linear regression analyses were conducted to examine whether arthritis self-efficacy (efficacy for pain control, physical function, and other symptoms) and self-efficacy for resisting eating accounted for significant variance in pain, disability, and eating behaviors after controlling for demographic and medical characteristics. Analyses also tested whether the contributions of self-efficacy were domain specific. Results showed that self-efficacy for pain accounted for 14% (p=.01) of the variance in pain, compared to only 3% accounted for by self-efficacy for physical function and other symptoms. Self-efficacy for physical function accounted for 10% (p=.001) of the variance in physical disability, while self-efficacy for pain and other symptoms accounted for 3%. Self-efficacy for other (emotional) symptoms and resisting eating accounted for 21% (p<.05) of the variance in psychological disability, while self-efficacy for pain control and physical function were not significant predictors. Self-efficacy for resisting eating accounted for 28% (p=.001) of the variance in eating behaviors. Findings indicate that self-efficacy is important in understanding pain and behavioral adjustment in overweight or obese OA patients. Moreover, the contributions of self-efficacy were domain specific. Interventions targeting both arthritis self-efficacy and self-efficacy for resisting eating may be helpful in this population.}, Language = {eng}, Doi = {10.1016/j.pain.2007.07.012}, Key = {fds87747} } @article{fds160655, Author = {BD Ward and BD Furman and JL Huebner and VB Kraus and F Guilak and SA Olson}, Title = {Absence of posttraumatic arthritis following intraarticular fracture in the MRL/MpJ mouse.}, Journal = {Arthritis and rheumatism, United States}, Volume = {58}, Number = {3}, Pages = {744-53}, Year = {2008}, Month = {March}, ISSN = {0004-3591}, Keywords = {Animals • Arthritis • Biological Markers • Bone Regeneration • Cartilage • Disease Models, Animal • Fractures, Bone • Interleukin-10 • Interleukin-1alpha • Interleukin-4 • Joints • Male • Mice • Mice, Inbred C57BL • Mice, Inbred Strains • blood • complications* • etiology* • genetics • injuries* • pathology • physiology • physiopathology}, Abstract = {OBJECTIVE: Posttraumatic arthritis is a frequent long-term complication of intraarticular fractures. A model of a closed intraarticular fracture in C57BL/6 mice that progresses to posttraumatic arthritis has been developed. The MRL/MpJ mouse has shown unique regenerative abilities in response to injury. The objective of this study was to determine if the MRL/MpJ mouse is protected from posttraumatic arthritis after intraarticular fractures. METHODS: Intraarticular fractures were created in MRL/MpJ mice and C57BL/6 control mice (n = 16 each). Limbs were analyzed for posttraumatic arthritis 4 and 8 weeks after fracture using microfocal computed tomography bone morphology, subchondral bone thickness evaluation, and histologic evaluation of cartilage degeneration. Serum cytokines and biomarkers were measured after the mice were killed. RESULTS: Intraarticular fractures were successfully created in all 32 mice. In the experimental fractured limbs, C57BL/6 mice had a decrease in bone density, increased subchondral bone thickness, and increased cartilage degeneration compared with normal contralateral control limbs. In the MRL/MpJ mice, no differences in bone density, subchondral bone thickness, or histologic grading of cartilage degeneration were seen between fractured and contralateral control limbs. Cytokine analysis showed lower systemic levels of the proinflammatory cytokine interleukin-1alpha (IL-1alpha) and higher levels of the antiinflammatory cytokines IL-4 and IL-10 in the MRL/MpJ mice. CONCLUSION: This study shows that the MRL/MpJ mouse is relatively protected from posttraumatic arthritis after intraarticular fracture. Further investigation into the mechanism involved in this response will hopefully provide new insight into the pathogenesis, prevention, and treatment of posttraumatic arthritis after intraarticular fracture.}, Key = {fds160655} } @article{fds87738, Author = {AL Elliott and VB Kraus and F Fang and JB Renner and TA Schwartz and A Salazar, T Huguenin and MC Hochberg and CG Helmick and JM Jordan}, Title = {Joint-specific hand symptoms and self-reported and performance-based functional status in African Americans and Caucasians: The Johnston County Osteoarthritis Project.}, Journal = {Annals of the rheumatic diseases}, Volume = {66}, Number = {12}, Pages = {1622-6}, Year = {2007}, Month = {December}, ISSN = {1468-2060}, url = {http://dx.doi.org/10.1136/ard.2006.057422}, Keywords = {Activities of Daily Living* • Adult • African Americans • Age Factors • Aged • Aged, 80 and over • Analysis of Variance • Arthrography • European Continental Ancestry Group • Female • Hand Joints • Hip Joint • Humans • Knee Joint • Linear Models • Male • Middle Aged • Osteoarthritis • Osteoarthritis, Hip • Osteoarthritis, Knee • Range of Motion, Articular • Sex Factors • ethnology • physiopathology • physiopathology* • radiography}, Abstract = {OBJECTIVE: To assess associations between joint-specific hand symptoms and self-reported and performance-based functional status. METHODS: Participants were from the population-based Johnston County Osteoarthritis Project. Symptoms in the distal interphalangeal (DIP), proximal interphalangeal (PIP), first carpometacarpal (CMC), and metacarpophalangeal (MCP) joints were assessed on a 30-joint diagram of both hands. Self-reported function was assessed by Health Assessment Questionnaire (HAQ) and performance-based function by timed repeated chair stands and 8-foot walk time. Separate multiple logistic regression models examined associations between symptoms in specific hand joint groups, symptoms in >/=2 hand joint groups and number of symptomatic hand joints, and functional status measures, controlling for age, race/ethnicity, sex, body mass index, radiographic knee and hip OA, knee and hip symptoms and depressive symptoms. RESULTS: Those with symptomatic hand joint groups were more likely than those without these complaints to report more difficulty and require longer times for performance measures. Those with 2 or more symptomatic hand joint groups were more likely to have higher HAQ scores (OR = 1.97 (1.53 to 2.53)) and require more time to complete 5 chair stands (OR = 1.98 (1.23 to 3.18)) and the 8 foot walk test (OR = 1.49 (1.12 to 1.99)). CONCLUSIONS: Joint-specific hand symptoms are associated with difficulty performing upper- or lower-extremity tasks, independent of knee and hip OA and symptoms, suggesting that studies examining functional status in OA should not ignore symptomatic joints beyond the joint site of interest, even when functional measures appear to be specific for the joint site under study.}, Language = {eng}, Doi = {10.1136/ard.2006.057422}, Key = {fds87738} } @article{fds87741, Author = {MF Shamji and H Betre and VB Kraus and J Chen and A Chilkoti and R Pichika and K Masuda and LA Setton}, Title = {Development and characterization of a fusion protein between thermally responsive elastin-like polypeptide and interleukin-1 receptor antagonist: sustained release of a local antiinflammatory therapeutic.}, Journal = {Arthritis and rheumatism}, Volume = {56}, Number = {11}, Pages = {3650-61}, Year = {2007}, Month = {November}, ISSN = {0004-3591}, url = {http://dx.doi.org/10.1002/art.22952}, Keywords = {Animals • Anti-Inflammatory Agents • Cell Division • Chondrocytes • Drug Delivery Systems • Drug Design • Elastin • Humans • Interleukin 1 Receptor Antagonist Protein • Intervertebral Disc • Lymphocytes • Mice • Mice, Inbred C57BL • Peptides • Receptors, Interleukin-1 • Recombinant Fusion Proteins • Temperature • Thymus Gland • U937 Cells • cytology • drug effects • genetics • genetics* • immunology • metabolism • methods • pharmacokinetics*}, Abstract = {OBJECTIVE: Interleukin-1 receptor antagonist (IL-1Ra) has been evaluated for the intraarticular treatment of osteoarthritis. Such administration of proteins may have limited utility because of their rapid clearance and short half-life in the joint. The fusion of a drug to elastin-like polypeptides (ELPs) promotes the formation of aggregating particles that form a "drug depot" at physiologic temperatures, a phenomenon intended to prolong the presence of the drug. The purpose of this study was to develop an injectable drug depot composed of IL-1Ra and ELP domains and to evaluate the properties and bioactivity of the recombinant ELP-IL-1Ra fusion protein. METHODS: Fusion proteins between IL-1Ra and 2 distinct sequences and molecular weights of ELP were overexpressed in Escherichia coli. Environmental sensitivity was demonstrated by turbidity and dynamic light scattering as a function of temperature. IL-1Ra domain activity was evaluated by surface plasmon resonance, and in vitro antagonism of IL-1-mediated lymphocyte and thymocyte proliferation, as well as IL-1-induced tumor necrosis factor alpha (TNFalpha) expression and matrix metalloproteinase 3 (MMP-3) and ADAMTS-4 messenger RNA expression in human intervertebral disc fibrochondrocytes. IL-1Ra immunoreactivity was assessed before and after proteolytic degradation of the ELP partner. RESULTS: Both fusion proteins underwent supramolecular aggregation at subphysiologic temperatures and slowly resolubilized at 37 degrees C. Interaction with IL-1 receptor was slower in association but equivalent in dissociation as compared with the commercial antagonist. Anti-IL-1 activity was demonstrated by inhibition of lymphocyte and thymocyte proliferation and by decreased TNFalpha expression and ADAMTS-4 and MMP-3 transcription by fibrochondrocytes. ELP domain proteolysis liberated a peptide of comparable size and immunoreactivity as the commercial IL-1Ra. This peptide was more bioactive against lymphocyte proliferation, nearly equivalent to the commercial antagonist. CONCLUSIONS: The ELP-IL-1Ra fusion protein proved to retain the characteristic ELP inverse phase-transitioning behavior as well as the bioactivity of the IL-1Ra domain. This technology represents a novel drug carrier designed to prolong the presence of bioactive peptides following intraarticular delivery.}, Language = {eng}, Doi = {10.1002/art.22952}, Key = {fds87741} } @article{fds87743, Author = {HC Charles and VB Kraus and M Ainslie and MP Hellio Le Graverand-Gastineau}, Title = {Optimization of the fixed-flexion knee radiograph.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {15}, Number = {11}, Pages = {1221-4}, Year = {2007}, Month = {November}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2007.05.012}, Keywords = {Humans • Knee Joint • Osteoarthritis, Knee • Reproducibility of Results • radiography*}, Abstract = {OBJECTIVE: To develop a user-friendly method of achieving optimal radiographs for measurement of joint space width of the knee with minimal radiation exposure. In order to accomplish this the X-ray technologist must (1) be able to identify the anterior and posterior rims of the tibial plateau at a variety of X-ray head angles and (2) be able to choose the direction to adjust the head angle to get a better view based on the criteria for acceptable radiographs. METHODS: We have developed a training manual and materials to instruct investigators and radiology technologists in a method that uses a commercially available Plexiglas positioning frame (Synaflexer) and standard X-ray equipment to achieve optimal X-rays with regard to tibial plateau alignment of the knee. This should be accomplished with four or fewer radiographs. RESULTS: Optimized radiographs for joint space width measurements are achieved without the need for fluoroscopy or foot maps. CONCLUSIONS: This method is readily understood and instituted by radiology technologists in the field.}, Language = {eng}, Doi = {10.1016/j.joca.2007.05.012}, Key = {fds87743} } @article{fds87742, Author = {VB Kraus and TV Stabler and SY Kong and G Varju and G McDaniel}, Title = {Measurement of synovial fluid volume using urea.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {15}, Number = {10}, Pages = {1217-20}, Year = {2007}, Month = {October}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2007.03.017}, Keywords = {Humans • Knee Joint • Osteoarthritis, Knee • Pain Measurement • Statistics as Topic • Synovial Fluid • Urea • chemistry* • diagnostic use* • metabolism • metabolism*}, Abstract = {OBJECTIVE: To examine the utility of using urea concentrations for determining Synovial Fluid (SF) joint volume in effused and non-effused joints. METHODS: Knee joint SF was aspirated from 159 human study participants with symptomatic osteoarthritis of at least one knee either directly (165 knees) or by lavage (110 knees). Serum was obtained immediately prior to SF aspiration. Participants were asked to rate individual knee pain, aching or stiffness. SF and serum urea levels were determined using a specific enzymatic method run on an automated CMA600 analyzer. Cell counts were performed on direct SF aspirates when volume permitted. The formula for calculating SF joint volume was as follows: V(j)=C(D)(V(I))/(C-C(D)) with V(j)=volume of SF in entire joint, C(D)=concentration of urea in diluted (lavage) SF, V(I)=volume of saline injected into joint, and C=concentration of urea in undiluted (neat) SF derived below where C=0.897(C(S)) and C(s)=concentration of urea in serum. RESULTS: There was an excellent correlation (r(2)=0.8588) between SF and serum urea in the direct aspirates with a ratio of 0.897 (SF/serum). Neither urea levels nor the SF/serum ratio showed any correlation with Kellgren Lawrence (KL) grade, or cell count. While urea levels increased with age there was no change in the ratio. Intraarticular SF volumes calculated for the lavaged knees ranged from 0.555 to 71.71ml with a median volume of 3.048ml. There was no correlation of SF volume to KL grade but there was a positive correlation (P=0.001) between SF volume and self-reported individual knee pain. CONCLUSIONS: Our urea results for direct aspirates indicate an equilibrium state between serum and SF with regard to the water fraction. This equilibrium exists regardless of disease status (KL grade), inflammation (cell count), or age, making it possible to calculate intraarticular volume of lavaged joints based upon this urea method. Most of the joint volumes we calculated fell within the previously reported range for normal knees of 0.5-4.0ml. The positive correlation between SF volume and knee symptoms reinforces the clinical utility of this method for quantifying SF volume.}, Language = {eng}, Doi = {10.1016/j.joca.2007.03.017}, Key = {fds87742} } @article{fds87739, Author = {VB Kraus and TV Stabler and G Luta and JB Renner and AD Dragomir and JM Jordan}, Title = {Interpretation of serum C-reactive protein (CRP) levels for cardiovascular disease risk is complicated by race, pulmonary disease, body mass index, gender, and osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {15}, Number = {8}, Pages = {966-71}, Year = {2007}, Month = {August}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2007.02.014}, Keywords = {African Americans • Body Mass Index • C-Reactive Protein • Cardiovascular Diseases • Comorbidity • European Continental Ancestry Group • Female • Humans • Lung Diseases • Male • Middle Aged • Obesity • Osteoarthritis • Prevalence • Risk Factors • Sex Distribution • blood • ethnology • ethnology* • metabolism* • statistics & numerical data*}, Abstract = {OBJECTIVE: High-sensitivity C-reactive protein (hsCRP) in serum is used as a marker of risk for cardiovascular disease (CVD); however CRP is a non-specific acute phase reactant. We evaluated the association between hsCRP concentrations and the most common form of arthritis, osteoarthritis (OA), and assessed the applicability of hsCRP for CVD risk prediction. METHODS: Participants (n=662) were selected from the population-based Johnston County Osteoarthritis Project, using stratified simple random sampling to achieve balance according to radiographic knee OA status, ethnic group, gender, and age group. The presence and severity of knee and hip OA were determined radiographically. CVD risk was estimated by hsCRP concentration and independently with the Framingham risk algorithm. RESULTS: Serum natural log-transformed hsCRP (ln hsCRP) was higher in African-Americans (P<0.0001) and women (P<0.0001), was higher in participants who had chronic pulmonary disease (P=0.01), hypertension (P<0.0001), or used pain medications (P=0.004), and correlated with body mass index (BMI) (r=0.40, P<0.0001) and waist circumference (r=0.33, P<0.0001), but not with age, CVD, or current smoking. Ln hsCRP was strongly positively associated with all definitions of radiographic OA (rOA; P<0.0001), but this association was not independent of BMI. Although 183 participants reported no CVD and were classified as low risk by the Framingham CVD score, 61% of them were classified as moderate or high risk for CVD using hsCRP; this proportion designated high risk for CVD on the basis of hsCRP consisted primarily of women (P<0.05) and individuals with OA (P<0.01). CONCLUSIONS: The pathogenic significance of hsCRP elevations in this subgroup is unclear. Serum hsCRP for predicting risk of CVD is confounded by obesity, ethnicity, gender and comorbidities.}, Language = {eng}, Doi = {10.1016/j.joca.2007.02.014}, Key = {fds87739} } @article{fds87748, Author = {KD Allen and RF DeVellis and JB Renner and VB Kraus and JM Jordan}, Title = {Validity and factor structure of the AUSCAN Osteoarthritis Hand Index in a community-based sample.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {15}, Number = {7}, Pages = {830-6}, Year = {2007}, Month = {July}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2007.01.012}, Keywords = {Activities of Daily Living • Cross-Sectional Studies • Disability Evaluation • Female • Hand • Hand Strength • Humans • Male • Middle Aged • Osteoarthritis • Pain Measurement • Questionnaires • Rheumatology • Severity of Illness Index • methods* • physiology* • physiopathology* • radiography • standards}, Abstract = {OBJECTIVE: The AUStralian CANadian Osteoarthritis Hand Index (AUSCAN) is a self-report assessment of hand pain, stiffness, and function. Prior studies have examined its validity in small clinical samples and family-based samples. This study examined measurement properties of the AUSCAN in a large, community-based sample, extending knowledge about the scale's generalizability. METHODS: Participants (N=1730, mean age=61 years, 65% female, 30% African American) were enrolled in the Johnston County Osteoarthritis Project. We examined the internal consistency, construct validity, and factor structure of the AUSCAN among the total sample, as well as in subgroups according to gender, race, presence of hand pain, and presence of radiographic hand osteoarthritis (OA). RESULTS: Internal consistency was high for the total scale and subscales among the full study sample and all subgroups (Cronbach's alphas=0.89-0.96). Construct validity was also supported, as grip and pinch strength were more strongly correlated with the AUSCAN function subscale than with the pain and stiffness subscales. Factor analysis showed that for the full sample and most subgroups, all pain items loaded on one factor (standardized regression coefficients 0.59-0.81) and all function items loaded on another (standardized regression coefficients 0.61-0.78), supporting the intended subscale structure of the scale. However, for African Americans, a different factor pattern emerged, with three function items loading on a factor with the pain items. CONCLUSIONS: Results support the validity of the AUSCAN in a general sample of adults, as well as across demographic and clinical subgroups, although the subscale structures differed slightly by race.}, Language = {eng}, Doi = {10.1016/j.joca.2007.01.012}, Key = {fds87748} } @article{fds87721, Author = {KM Huffman, JR Bowers and Z Dailiana and JL Huebner, JR Urbaniak and VB Kraus}, Title = {Synovial fluid metabolites in osteonecrosis.}, Journal = {Rheumatology (Oxford, England), England}, Volume = {46}, Number = {3}, Pages = {523-8}, Year = {2007}, Month = {March}, ISSN = {1462-0324}, Keywords = {Animals • Biological Markers • Bone Transplantation • Combined Modality Therapy • Disease Models, Animal • Dogs • Femur Head Necrosis • Glucose • Lactic Acid • Synovial Fluid • Vascular Endothelial Growth Factor A • metabolism • metabolism* • pathology • therapeutic use • therapy}, Abstract = {OBJECTIVES: Osteonecrosis of the femoral head results from interruption of the vascular supply and eventual death of the cellular portion of bone. Effective methods of monitoring response to treatment are needed. Our aim was to evaluate synovial fluid metabolites, glucose and lactate, as biomarkers in a canine model of osteonecrosis. METHODS: Osteonecrosis was cryosurgically induced in the right femoral head while the left hip served as control (n = 31). Animals either underwent no further intervention (n = 10), vascular endothelial growth factor (VEGF) injections (n = 4), placement of a vascularized bone graft (n = 6), a combination of VEGF microinjection and vascularized graft placement (n = 5), or treatment with daily oral alendronate (n = 6). After 12 weeks, synovial fluid from each hip joint was obtained for glucose and lactate concentrations. RESULTS: Joints with surgically induced osteonecrosis demonstrated decreased synovial fluid concentrations of glucose (P < 0.05) and elevated concentrations of lactate (P < 0.05) relative to contralateral control hips. When animals were treated with VEGF, the vascularized graft placement, or vascularized graft and VEGF, there were no differences in the synovial fluid concentrations of these metabolites between cryoablated and control hips. In contrast, alendronate did not normalize the concentration of these synovial fluid metabolites in the cryoablated hips. CONCLUSIONS: Osteonecrosis of the femoral head is associated with alterations in synovial fluid glucose and lactate, reflecting anaerobic metabolism. These metabolites may serve as useful tools for monitoring response to revascularization therapies.}, Key = {fds87721} } @article{fds87744, Author = {JL Huebner and DR Seifer and VB Kraus}, Title = {A longitudinal analysis of serum cytokines in the Hartley guinea pig model of osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {15}, Number = {3}, Pages = {354-6}, Year = {2007}, Month = {March}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2006.10.014}, Keywords = {Animals • Biological Markers • Cytokines • Disease Models, Animal • Guinea Pigs • Osteoarthritis • blood • blood* • pathology}, Abstract = {OBJECTIVE: To evaluate chosen serum cytokines and their association with osteoarthritis (OA) in the guinea pig. METHODS: The levels of 18 cytokines were measured in Hartley guinea pig serum at time points ranging from 3 weeks to 18 months of age. These levels were then tested for any correlation with total histology, and a comprehensive evaluation of these statistics was conducted using data previously collected from OA-resistant Strain 13 guinea pigs. RESULTS: After all cytokines demonstrating a significant association with weight or age were excluded, IL-6 (p=0.016) and G-CSF (p=0.024) were found to correlate positively with total histological score. Models involving each of these cytokines paired independently with weight explained 43-44% of the variance in total histology. CONCLUSIONS: Only the age and weight-independent associations of IL-6 and G-CSF with histological OA were significant under the conditions imposed by the Holm step-down adjustment for multiple comparisons. Though the observed changes of these cytokine levels may be due to a correlation with age, it is highly unlikely given the significant difference between Hartley and Strain 13 age-matched cohorts.}, Language = {eng}, Doi = {10.1016/j.joca.2006.10.014}, Key = {fds87744} } @article{fds87745, Author = {SO Keeling and R Landewe and D van der Heijde and J Bathon and M Boers and P Garnero and P Geusens and H El-Gabalawy and RD Inman and VB Kraus and TK Kvien, PJ Mease and M Ostergaard and C Ritchlin and SW Syversen and WP Maksymowych}, Title = {Testing of the preliminary OMERACT validation criteria for a biomarker to be regarded as reflecting structural damage endpoints in rheumatoid arthritis clinical trials: the example of C-reactive protein.}, Journal = {The Journal of rheumatology, Canada}, Volume = {34}, Number = {3}, Pages = {623-33}, Year = {2007}, Month = {March}, ISSN = {0315-162X}, Keywords = {Arthritis, Rheumatoid • Biological Markers • C-Reactive Protein • Consensus* • Delphi Technique • Humans • Outcome Assessment (Health Care) • Predictive Value of Tests • analysis • analysis* • blood* • pathology • standards*}, Abstract = {OBJECTIVE: A list of 14 criteria for guiding the validation of a soluble biomarker as reflecting structural damage endpoints in rheumatoid arthritis (RA) clinical trials was drafted by an international working group after a Delphi consensus exercise. C-reactive protein (CRP), a soluble biomarker extensively studied in RA, was then used to test these criteria. Our objectives were: (1) To assess the strength of evidence in support of CRP as a soluble biomarker reflecting structural damage in RA according to the draft validation criteria. (2) To assess the strength of recommendation for inclusion of individual criteria in the draft set. METHODS: A systematic literature review was conducted to elicit evidence in support of each specific criterion composing the 14-criteria draft set. A summary of the key literature findings per criterion was presented to both the working group and to participants in a special interest soluble biomarker group at OMERACT 8. Participants at OMERACT 8 were asked to rate the strength of evidence and the strength of the recommendation in support of each individual criterion on a 0-10 numerical rating scale. Working group members not present at OMERACT voted by a Web-based survey. RESULTS: Minimal data were extracted from the literature pertaining to those criteria listed under the category of truth. Ratings for strength of evidence were moderate to low (< 7) for CRP as a biomarker reflecting structural damage in RA; this was true for all criteria except those listed under the category of feasibility and 2 listed under the category of discrimination pertaining to assay reproducibility and evidence regarding sources of variability. Ratings for strength of recommendation for inclusion of each of the 14 criteria in the draft set were high (> 7) except for those criteria listed under the category of truth. CONCLUSION: The draft criteria serve as a useful template in the evaluation of the strength of evidence in support of a particular soluble biomarker as reflecting structural damage in RA.}, Key = {fds87745} } @article{fds188622, Author = {WP Maksymowych and R Landewe and M Boers and P Garnero and P Geusens and H El-Gabalawy, D Heinegard and VB Kraus and V Krause and S Lohmander and J Matyas, T Saxne and D van der Heijde}, Title = {Development of draft validation criteria for a soluble biomarker to be regarded as a valid biomarker reflecting structural damage endpoints in rheumatoid arthritis and spondyloarthritis clinical trials.}, Journal = {The Journal of rheumatology}, Volume = {34}, Number = {3}, Pages = {634-40}, Year = {2007}, Month = {March}, ISSN = {0315-162X}, Keywords = {Arthritis, Rheumatoid • Biological Markers* • Consensus* • Delphi Technique • Humans • Outcome Assessment (Health Care) • Predictive Value of Tests • Reproducibility of Results • Spondylarthritis • Treatment Outcome • blood • pathology* • standards*}, Abstract = {OBJECTIVE: Recent work has shown that several soluble biomarkers, detectable in peripheral blood, synovial fluid, and/or urine, reflect remodeling of joint tissues and may therefore constitute outcome measures that reflect joint damage. Consequently, it is now desirable to begin the process of developing criteria for validation of a soluble biomarker as an outcome measure reflecting structural damage progression in trials of disease-modifying therapies for rheumatoid arthritis (RA) and spondyloarthritis (SpA). Our objective was to develop validation criteria for a soluble biomarker to be regarded as a valid biomarker reflecting radiological endpoints in RA and SpA clinical trials. METHODS: A special interest group was established comprising investigators with expertise in soluble biomarker assay development as well as in outcomes research. This project was initiated by means of a Delphi consensus exercise. A list of draft criteria was first generated following a review of a US National Institutes of Health (NIH) 2000 white paper (available at: http://www.niams.nih.gov/ne/oi/ oabiomarwhipap.htm) that focused on biomarkers in OA, and these were organized under subject headings relevant to the OMERACT filter: truth, discrimination, and feasibility. Additional criteria were solicited from the working group. This was followed by 3 rounds of voting. RESULTS: A list of 31 criteria was generated prior to voting. The first 2 rounds of voting resulted in cumulative agreement that 19 criteria be retained and 4 discarded, while discrepancies were recorded for 8 criteria. In the third round of voting, cumulative agreement was achieved to retain 5 of the 8 discrepant criteria, so that the final list included 24 criteria. CONCLUSIONS: A draft set of criteria for validation of a soluble biomarker to be regarded as reflecting radiological damage endpoints in clinical trials has been proposed on the basis of consensus.}, Language = {eng}, Key = {fds188622} } @article{fds87740, Author = {VB Kraus and JM Jordan and M Doherty and AG Wilson and R Moskowitz and M Hochberg, R Loeser and M Hooper and JB Renner and MM Crane and P Hastie and S Sundseth and U Atif}, Title = {The Genetics of Generalized Osteoarthritis (GOGO) study: study design and evaluation of osteoarthritis phenotypes.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {15}, Number = {2}, Pages = {120-7}, Year = {2007}, Month = {February}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2006.10.002}, Keywords = {Adult • Aged • Aged, 80 and over • Biomedical Research • Female • Humans • Male • Middle Aged • Osteoarthritis • Pedigree • Phenotype • Risk Factors • diagnosis • genetics*}, Abstract = {OBJECTIVE: The primary goal of the Genetics of Generalized Osteoarthritis (GOGO) study is to identify chromosomal regions associated with increased susceptibility to generalized osteoarthritis (OA). Here we describe the study design and phenotype of the 2728 participants from the 1145 families recruited for this study. METHODS: GOGO is an investigator-initiated collaboration involving seven clinical academic sites and sponsored by GlaxoSmithKline. Family ascertainment was carried out between 1999 and 2002. A qualifying family required self-reported Caucasian ethnicity and at least two affected siblings with clinical hand OA. We hypothesized that this clinical phenotype would facilitate identification of participants with multijoint radiographic OA (rOA) in and beyond the hand. The "gold standard" case definition, however, was based on rOA (Kellgren-Lawrence grade > or =2) involving > or =3 hand joints distributed bilaterally and including at least one distal interphalangeal joint, with two of the three involved joints within a joint group (distal interphalangeal, proximal interphalangeal, or carpometacarpal). Radiographs of hips, knees and spine were also obtained. Additional siblings and living parents from qualifying families, both affected and unaffected, were invited to participate. RESULTS: A total of 2706 participants had complete clinical and radiological examination data. Of these, 2569 participants met clinical examination criteria for affected status; while 1963 (73%) participants met the prespecified radiographic criteria for affected status. This corresponded to a total of 707 families with at least two affected siblings that met the hand rOA criteria. Of those individuals with rOA of the hand, the frequency of rOA at other sites was highest for the knee (51%) and spine (54%), and less common for the hip (25%). Concordance rates among hand affected siblings were greatest for spine (36%) followed by knee (31%) and hip (9%); a total of 53% of the affected sib pairs were concordant for specific patterns of generalized rOA involving the hand and large joints (knees, hips or spine). CONCLUSIONS: GOGO represents a large multicenter collection of families with multiple joint OA that have been characterized both clinically and radiographically. The GOGO study will employ a comprehensive strategy for genetic screening based upon both qualitative and quantitative radiographic trait analyses, circulating biomarkers in a quantitative trait-based analysis, fine mapping, and candidate gene analysis. This sample should provide sufficient power to detect linkage to OA associated genes.}, Language = {eng}, Doi = {10.1016/j.joca.2006.10.002}, Key = {fds87740} } @article{fds188626, Author = {VB Kraus and JM Jordan}, Title = {Serum C-Reactive Protein (CRP), Target for Therapy or Trouble?}, Journal = {Biomarker insights}, Volume = {1}, Pages = {77-80}, Year = {2007}, ISSN = {1177-2719}, Abstract = {High sensitivity serum C-reactive protein (hs-CRP) has come into clinical use as a marker of risk for cardiovascular disease (CVD). In addition to a role as a marker of disease, CRP has also been implicated in the pathogenesis of CVD. Specific small-molecule inhibitors of CRP have recently been developed with the intent of mitigating cardiac damage during acute myocardial infarction. However, the use of CRP, both as a risk marker and a disease target are controversial for several reasons. Serum hs-CRP concentrations can be elevated on the basis of genetics, female gender, and non-Caucasian ethnicity. It is not clear, in these contexts, that elevations of hs-CRP have any pathological significance. As a non-specific indicator of inflammation, CRP is also not a specific indicator of a single disease state such as cardiovascular disease but elevated concentrations can be seen in association with other comorbidities including obesity and pulmonary disease. In sharp contrast to the proposed inhibition of CRP for cardiovascular disease treatment, the infusion of CRP has been shown to have profound therapeutic benefits for autoimmune disease and septic shock. The balance between the risks and benefits of these competing views of the role of CRP in disease and disease therapy is reminiscent of the ongoing controversy regarding the use of non-steroidal anti-inflammatory drugs (NSAIDs) for musculoskeletal disease and their cardiovascular side effects. Soon, NSAIDs may not be the only agents about which Rheumatologists and Cardiologists may spar.}, Language = {eng}, Key = {fds188626} } @article{fds188642, Author = {JD Birmingham and V Vilim and VB Kraus}, Title = {Collagen biomarkers for arthritis applications.}, Journal = {Biomarker insights}, Volume = {1}, Pages = {61-76}, Year = {2007}, ISSN = {1177-2719}, Language = {eng}, Key = {fds188642} } @article{fds87727, Author = {KD Allen and JM Jordan and JB Renner and VB Kraus}, Title = {Relationship of global assessment of change to AUSCAN and pinch and grip strength among individuals with hand osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {14}, Number = {12}, Pages = {1281-7}, Year = {2006}, Month = {December}, ISSN = {1063-4584}, Keywords = {Aged • Disease Progression • Female • Follow-Up Studies • Hand Joints • Hand Strength* • Humans • Male • Middle Aged • Muscle Strength • Osteoarthritis • Reproducibility of Results • Severity of Illness Index* • diagnosis* • physiopathology • physiopathology*}, Abstract = {OBJECTIVE: This study assessed the utility and construct validity of a new patient global assessment of symptom change for hand osteoarthritis (OA) by examining its associations with change over time in grip strength, pinch strength, and AUStralian CANadian Osteoarthritis Hand Index (AUSCAN). METHODS: Participants (N=531, 80% female, mean age=68) were part of a study on the Genetics of Generalized Osteoarthritis (GOGO) and completed two assessments (average 4 years apart). At the second assessment, participants described change in their right and left hand pain, aching, and stiffness on a 15-point scale with descriptors ranging from "Great deal worse" to "Great deal better". Linear regression models examined associations of global change scores with changes in hand strength and AUSCAN, controlling for age, gender, number of hand joints with OA, and time between assessments. RESULTS: Both right and left hand global assessment of change scores were significantly associated with change in AUSCAN, grip strength, and right hand pinch strength (P<0.05), and approached significance for left hand pinch strength (P=0.06). The strongest associations were between global change scores and AUSCAN change (right hand: beta=0.29, P<0.001; left hand: beta=0.27, P<0.001). Associations of change scores with grip and pinch strength were stronger among participants with greater radiographic OA severity at baseline. CONCLUSION: Results support the validity of this new global assessment of symptom change. This measure is particularly useful for assessing change over time when no baseline data are available. Additional research should examine this measure's responsiveness in the context of clinical trials.}, Key = {fds87727} } @article{fds87746, Author = {CR McCudden and VB Kraus}, Title = {Biochemistry of amino acid racemization and clinical application to musculoskeletal disease.}, Journal = {Clinical biochemistry, United States}, Volume = {39}, Number = {12}, Pages = {1112-30}, Year = {2006}, Month = {December}, ISSN = {0009-9120}, Keywords = {Aging • Amino Acids • Biological Markers • Collagen Type I • D-Aspartic Acid • Female • Forensic Sciences • Humans • Male • Middle Aged • Musculoskeletal Diseases • Stereoisomerism • analysis • chemical synthesis • chemistry • chemistry* • immunology • metabolism • physiology • physiopathology*}, Abstract = {During aging, proteins are subject to numerous forms of damage. Several types of non-enzymatic post-translational modifications have been described in aging proteins, including oxidation, nitration, glycation, and racemization. Racemization of amino acids is the spontaneous conversion of L-enantiomers to the D-form, which is dependent on temperature, pH, and time. Because of the time-dependent nature of racemization, it can be used to determine the relative age and turnover rates of long-lived proteins. There are many such long-lived proteins within the body; they are found in the brain, eye, and heart, but are particularly abundant in proteins found in musculoskeletal tissues such as bone and cartilage. During disease, musculoskeletal tissues have pathologically altered turnover rates. Because turnover rates can be estimated from levels of racemization, racemized musculoskeletal protein fragments may serve as useful biomarkers of disease. This review discusses the biochemistry of amino acid racemization in proteins and its clinical application to musculoskeletal disease.}, Key = {fds87746} } @article{fds87736, Author = {H Betre and W Liu and MR Zalutsky and A Chilkoti and VB Kraus and LA Setton}, Title = {A thermally responsive biopolymer for intra-articular drug delivery.}, Journal = {Journal of controlled release : official journal of the Controlled Release Society, Netherlands}, Volume = {115}, Number = {2}, Pages = {175-82}, Year = {2006}, Month = {October}, ISSN = {0168-3659}, Keywords = {Animals • Biopolymers • Delayed-Action Preparations • Drug Delivery Systems* • Elastin • Female • Half-Life • Injections, Intra-Articular* • Isotope Labeling • Joints • Peptides • Rats • Rats, Wistar • Solubility • Temperature • chemical synthesis • chemistry • chemistry* • metabolism • pharmacokinetics}, Abstract = {Intra-articular drug delivery is the preferred standard for targeting pharmacologic treatment directly to joints to reduce undesirable side effects associated with systemic drug delivery. In this study, a biologically based drug delivery vehicle was designed for intra-articular drug delivery using elastin-like polypeptides (ELPs), a biopolymer composed of repeating pentapeptides that undergo a phase transition to form aggregates above their transition temperature. The ELP drug delivery vehicle was designed to aggregate upon intra-articular injection at 37 degrees C, and form a drug 'depot' that could slowly disaggregate and be cleared from the joint space over time. We evaluated the in vivo biodistribution and joint half-life of radiolabeled ELPs, with and without the ability to aggregate, at physiological temperatures encountered after intra-articular injection in a rat knee. Biodistribution studies revealed that the aggregating ELP had a 25-fold longer half-life in the injected joint than a similar molecular weight protein that remained soluble and did not aggregate. These results suggest that the intra-articular joint delivery of ELP-based fusion proteins may be a viable strategy for the prolonged release of disease-modifying protein drugs for osteoarthritis and other arthritides.}, Key = {fds87736} } @article{fds87733, Author = {JL Huebner and VB Kraus}, Title = {Assessment of the utility of biomarkers of osteoarthritis in the guinea pig.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {14}, Number = {9}, Pages = {923-30}, Year = {2006}, Month = {September}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2006.03.007}, Keywords = {Age Factors • Animals • Biological Markers • Cartilage, Articular • Chemokines • Collagen • Cytokines • Disease Progression • Extracellular Matrix Proteins • Glycoproteins • Guinea Pigs • Keratan Sulfate • Linear Models • Osteoarthritis • Sensitivity and Specificity • Species Specificity • Synovial Fluid • analysis • blood • chemistry* • immunology • metabolism • metabolism*}, Abstract = {OBJECTIVE: To identify biochemical markers of osteoarthritis (OA) in the guinea pig, we characterized four biomarkers and 17 cytokines for age- and strain-related differences. METHODS: Two guinea pig strains were examined in this study: (1) the Hartley (OA-prone) and (2) Strain 13 (OA-resistant). Levels of synovial fluid keratan sulfate (KS) and cartilage oligomeric matrix protein (COMP), as well as levels of serum C2C, CPII, and a panel of cytokines and chemokines were quantified in both guinea pig strains. These included: IL-1 alpha, IL-1 beta, IL-2, IL-3, IL-4, IL-5, IL-6, IL-10, IL-12p40, IL-12p70, IL-17, G-CSF, GM-CSF, IFN-gamma, KC, MIP-1 alpha, RANTES, and TNF-alpha. RESULTS: Synovial fluid concentrations of KS and COMP increased coincident with histological OA and correlated positively with the severity of histological damage in both strains. Synovial fluid concentrations of these biomarkers were elevated in the knees of the Hartley compared to the Strain 13 animals, as early as 2 months of age. From as early as 4 months of age, the levels of serum C2C/CPII, representing the ratio of type II collagen degradation and synthesis, were elevated in the OA-prone Hartley compared with Strain 13 animals. Also, at 12 months of age, strain-related differences were apparent for 11 of the 16 cytokines and chemokines. Using multiple linear regression, serum IL-6 and TNF-alpha concentrations were each strongly associated with strain, weight, and their interaction (r2 = 0.80, P = 0.0002 for IL-6; r2 = 0.55, P = 0.02 for TNF-alpha). CONCLUSIONS: Biomarkers derived from synovial fluid are reflective of histological severity in the spontaneous model of OA in the guinea pig. The synovial fluid biomarker profiles indicated accelerated cartilage matrix turnover in the Hartley strain as early as 2 months of age, prior to evidence of histological damage. The Hartley strain also exemplified an imbalance in type II collagen metabolism and a serum cytokine/chemokine profile indicative of a pro-inflammatory state. These findings elucidate additional disease-related features in the guinea pig that have relevance to OA in humans.}, Language = {eng}, Doi = {10.1016/j.joca.2006.03.007}, Key = {fds87733} } @article{fds87718, Author = {SY Kong and TV Stabler and LG Criscione and AL Elliott and JM Jordan and VB Kraus}, Title = {Diurnal variation of serum and urine biomarkers in patients with radiographic knee osteoarthritis.}, Journal = {Arthritis and rheumatism}, Volume = {54}, Number = {8}, Pages = {2496-504}, Year = {2006}, Month = {August}, ISSN = {0004-3591}, url = {http://dx.doi.org/10.1002/art.21977}, Keywords = {Aggrecans • Biological Markers • C-Reactive Protein • Chondroitin Sulfate Proteoglycans • Circadian Rhythm* • Collagen Type II • Extracellular Matrix Proteins • Glycoproteins • Humans • Hyaluronic Acid • Keratan Sulfate • Lectins, C-Type • Osteoarthritis, Knee* • Osteocalcin • Peptide Fragments • Procollagen • Transforming Growth Factor beta • Transforming Growth Factor beta1 • analysis • blood • blood* • pathology • urine • urine*}, Abstract = {OBJECTIVE: To evaluate diurnal variation of biomarkers in subjects with osteoarthritis (OA) of the knee. METHODS: Twenty subjects with radiographic knee OA were admitted to the General Clinical Research Center of Duke University for an overnight stay to undergo serial blood and urine sampling. Biomarkers measured included serum hyaluronan (HA), cartilage oligomeric matrix protein (COMP), keratan sulfate (KS-5D4), aggrecan neoepitope (CS846), high-sensitivity C-reactive protein (hsCRP), osteocalcin, transforming growth factor beta1 (TGFbeta1), and type II collagen (CII)-related epitopes (neoepitope from cleavage of CII [C2C], carboxy-terminus of three-quarter peptide from cleavage of CI and CII [C1,2C], and type II procollagen carboxy-propeptide [CPII] in serum, and C-terminal telopeptides of CII [CTX-II] and C2C in urine). RESULTS: Levels of serum HA, COMP, KS-5D4, and TGFbeta1 increased significantly from T0 (before arising from bed) to T1 (1 hour after arising). More diurnal variation in HA was observed in patients with higher daily mean HA concentrations. CPII increased significantly from T0 to T2 (4 hours after arising). Urinary concentrations of CTX-II were also found to vary with morning activity, decreasing significantly from T0 to T2. Urinary C2C concentrations increased significantly from T0 until T3 (early evening). No diurnal variations in CS846, hsCRP, osteocalcin, serum C2C, or C1,2C were observed. Six biomarkers (serum C2C, C1,2C, COMP, KS-5D4, TGFbeta1, and urinary CTX-II) were associated with radiographic knee OA (expressed as the sum of Kellgren/Lawrence radiographic severity grades), with the strongest correlations observed with measurements obtained at later time points (either T2 or T3). CONCLUSIONS: Our study results suggest that serum and urine sampling for HA, COMP, KS-5D4, TGFbeta1, CPII, urinary CTX-II, and urinary C2C should be standardized in future OA clinical trials. Serum and urine sampling at late midday time points may be the optimal approach for OA studies, although this result should be validated in a larger cohort.}, Language = {eng}, Doi = {10.1002/art.21977}, Key = {fds87718} } @article{fds87735, Author = {DC Bauer and DJ Hunter and SB Abramson and M Attur and M Corr and D Felson and D Heinegård and JM Jordan and TB Kepler and NE Lane and T Saxne and B Tyree, VB Kraus and Osteoarthritis Biomarkers Network}, Title = {Classification of osteoarthritis biomarkers: a proposed approach.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {14}, Number = {8}, Pages = {723-7}, Year = {2006}, Month = {August}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2006.04.001}, Keywords = {Arthrography • Biological Markers • Disease Progression • Humans • Odds Ratio • Osteoarthritis • Prognosis • Rheumatology* • Risk Factors • Treatment Outcome • analysis • classification* • radiography • therapy}, Abstract = {OBJECTIVE: Osteoarthritis (OA) biomarkers are needed by researchers and clinicians to assist in disease diagnosis and assessment of disease severity, risk of onset, and progression. As effective agents for OA are developed and tested in clinical studies, biomarkers that reliably mirror or predict the progression or amelioration of OA will also be needed. METHODS: The NIH-funded OA Biomarkers Network is a multidisciplinary group interested in the development and validation of OA biomarkers. This review summarizes our efforts to characterize and classify OA biomarkers. RESULTS: We propose the "BIPED" biomarker classification (which stands for Burden of Disease, Investigative, Prognostic, Efficacy of Intervention and Diagnostic), and offer suggestions on optimal study design and analytic methods for use in OA investigations. CONCLUSIONS: The BIPED classification provides specific biomarker definitions with the goal of improving our ability to develop and analyze OA biomarkers, and to communicate these advances within a common framework.}, Language = {eng}, Doi = {10.1016/j.joca.2006.04.001}, Key = {fds87735} } @article{fds87725, Author = {VB Kraus}, Title = {Do biochemical markers have a role in osteoarthritis diagnosis and treatment?}, Journal = {Best practice & research. Clinical rheumatology}, Volume = {20}, Number = {1}, Pages = {69-80}, Year = {2006}, Month = {February}, ISSN = {1521-6942}, url = {http://dx.doi.org/10.1016/j.berh.2005.09.001}, Keywords = {Animals • Biological Markers • Disease Progression • Humans • Osteoarthritis • blood • blood* • diagnosis* • therapy*}, Abstract = {It is possible to use biomarkers in cohort studies and in clinical trials to increase our understanding of disease, to elucidate disease mechanisms, and to bolster a clinical impression of the disease state of osteoarthritis. Whether it will be possible to utilize biomarkers meaningfully to characterize the disease state in an individual patient remains to be seen. Major concepts related to the use of biomarkers for research and clinical practice, and factors influencing biomarker concentrations, are described in this review in order to address the potential role of biomarkers in osteoarthritis diagnosis, prognosis, and treatment.}, Language = {eng}, Doi = {10.1016/j.berh.2005.09.001}, Key = {fds87725} } @article{fds87729, Author = {KD Allen and JM Jordan and JB Renner and VB Kraus}, Title = {Validity, factor structure, and clinical relevance of the AUSCAN Osteoarthritis Hand Index.}, Journal = {Arthritis and rheumatism, United States}, Volume = {54}, Number = {2}, Pages = {551-6}, Year = {2006}, Month = {February}, ISSN = {0004-3591}, Keywords = {Aged • Disability Evaluation • Female • Hand • Humans • Male • Osteoarthritis • Pain Measurement • Questionnaires • Reproducibility of Results • Rheumatology • Self Care • Severity of Illness Index • diagnosis • methods • methods* • physiopathology* • radiography • standards • standards*}, Abstract = {OBJECTIVE: The Australian/Canadian (AUSCAN) Osteoarthritis Hand Index is a self-report assessment of pain, stiffness, and function in patients with hand osteoarthritis (OA). Small studies have confirmed the reliability, construct validity, and responsiveness of this measure, but the factor structure has not been examined. In this study, we examined the clinimetric properties and clinical relevance of the AUSCAN index in a large sample of patients with familial hand OA. METHODS: The study group comprised 700 patients (80% female, mean age 69 years) who were part of a study on the genetics of generalized OA. All patients had radiographic hand OA bilaterally. The analyses examined internal consistency, factor structure, and relationships of the subscales to grip and pinch strength and a single-item pain measure. RESULTS: Internal consistency was high for the total AUSCAN index and the subscales (Cronbach's alpha = 0.93-0.96). The AUSCAN function subscale had the strongest correlation with grip and pinch strength, and the pain subscale had the strongest correlation with the single-item pain measure, thus supporting the construct validity of these subscales. Factor analysis showed that all pain and function items clearly loaded on the subscale they were intended to measure. Each 1-unit increase in the AUSCAN function subscale was associated with a clinically relevant decrease in hand strength. CONCLUSION: The results of this study strongly confirm the clinimetric properties of the AUSCAN index, including the validity of specific subscales. Results indicate that the AUSCAN index can measure meaningful changes in pain, stiffness, and function.}, Key = {fds87729} } @article{fds87737, Title = {McCudden C and VB Kraus.  2006.  Biochemistry of amino acid racemization and clinical application to musculoskeletal disease.  Clinical Biochemistry (in press).  }, Year = {2006}, Key = {fds87737} } @article{fds87749, Title = {Birmingham, JD, V Vilim and VB Kraus.  2006.  Collagen biomarkers for arthritis applications.  Biomarker Insights 2:61-76 (http://www.la-press.com/biomark.html).}, Year = {2006}, Key = {fds87749} } @article{fds87731, Author = {JL Piscoya and B Fermor and VB Kraus and TV Stabler and F Guilak}, Title = {The influence of mechanical compression on the induction of osteoarthritis-related biomarkers in articular cartilage explants.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {13}, Number = {12}, Pages = {1092-9}, Year = {2005}, Month = {December}, ISSN = {1063-4584}, Keywords = {Animals • Biological Markers • Cartilage, Articular • Chondroitin Sulfates • Extracellular Matrix Proteins • Female • Glycoproteins • Glycosaminoglycans • Keratan Sulfate • Osteoarthritis • Radiopharmaceuticals • Stress, Mechanical • Swine • analysis • biosynthesis* • chemistry • etiology* • metabolism • metabolism*}, Abstract = {OBJECTIVE: Macromolecules of the articular cartilage extracellular matrix released into synovial fluid, blood, or urine can serve as potentially useful biomarkers of the severity of osteoarthritis (OA). Biomechanical factors play an important role in OA pathogenesis, yet their influence on biomarker production is not well understood. The goal of this study was to examine the hypothesis that dynamic mechanical stress influences the release of these biomarkers from articular cartilage. METHODS: Explants of porcine cartilage were subjected to dynamic compression at 0.5 Hz for 24h at stresses ranging from 0.006 to 0.1 MPa. The concentrations of cartilage oligomeric matrix protein (COMP), keratan sulfate (KS measured as the 5 D 4 epitope), total sulfated glycosaminoglycan (S-GAG), and the KS (keratanase-digestible) and chondroitin sulfate (CS) (chondroitinase-digestible) fractions of S-GAG were measured. Radiolabel incorporation was used to determine the rates of proteoglycan and protein synthesis. RESULTS: The magnitudes of mechanical stress applied in this study induced nominal tissue strains of 4-23%, consistent with a range of physiological to hyperphysiologic strains measured in situ. COMP release increased in proportion to the magnitude of dynamic mechanical stress, while KS, CS and total S-GAG release increased in a bimodal pattern with increasing stress. Protein and proteoglycan synthesis were significantly decreased at the highest level of stress. CONCLUSION: Mechanical stress differentially regulates the turnover of distinct pools of cartilage macromolecules. These findings indicate that mechanical factors, independent of exogenous cytokines or other stimulatory factors, can influence the production and release of OA-related biomarkers from articular cartilage.}, Key = {fds87731} } @article{fds87734, Author = {F Eckstein and HC Charles and RJ Buck and VB Kraus and AE Remmers and M Hudelmaier, W Wirth and JL Evelhoch}, Title = {Accuracy and precision of quantitative assessment of cartilage morphology by magnetic resonance imaging at 3.0T.}, Journal = {Arthritis and rheumatism, United States}, Volume = {52}, Number = {10}, Pages = {3132-6}, Year = {2005}, Month = {October}, ISSN = {0004-3591}, Keywords = {Aged • Cartilage • Female • Femur • Humans • Knee Joint • Magnetic Resonance Imaging • Middle Aged • Osteoarthritis, Knee • Reproducibility of Results • Tibia • methods* • pathology* • standards*}, Abstract = {OBJECTIVE: Quantitative magnetic resonance imaging (MRI) of articular cartilage represents a powerful tool in osteoarthritis (OA) research, but has so far been confined to a field strength of 1.5T. The aim of this study was to evaluate the precision of quantitative MRI assessments of human cartilage morphology at 3.0T and to correlate the measurements at 3.0T with validated measurements at 1.5T. METHODS: MR images of the knee of 15 participants with OA and 15 healthy control subjects were acquired using Siemens 1.5T and 3.0T scanners. Double oblique coronal scans were obtained at 1.5T with a 1.5-mm partition thickness, at 3.0T with a 1.5-mm partition thickness, and at 3.0T with a 1.0-mm partition thickness. Cartilage volume, thickness, and surface area of the femorotibial cartilage plates were quantified using proprietary software. RESULTS: For 1.5-mm partition thickness at 1.5T, the precision error was 3.0% and 2.6% for cartilage volume and cartilage thickness, respectively. The error was smaller for a 1.5-mm partition thickness at 3.0T (2.6% and 2.5%) and still smaller for a 1.0-mm partition thickness at 3.0T (2.1% and 2.0%). Correlation coefficients between values obtained at 3.0T and 1.5T were high (r > or = 0.96), with no significant deviation between the two field strengths. CONCLUSION: Quantitative MRI measurement of cartilage morphology at 3.0T (partition thickness 1 mm) was found to be accurate and tended to be more reproducible than at 1.5T (partition thickness 1.5 mm). Imaging at 3.0T may therefore provide superior ability to detect changes in cartilage status over time and to determine responses to treatment with structure-modifying drugs.}, Key = {fds87734} } @article{fds87716, Author = {VB Kraus}, Title = {Biomarkers in osteoarthritis.}, Journal = {Current opinion in rheumatology, United States}, Volume = {17}, Number = {5}, Pages = {641-6}, Year = {2005}, Month = {September}, ISSN = {1040-8711}, Keywords = {Biological Markers* • Humans • Osteoarthritis • diagnosis* • physiopathology*}, Abstract = {PURPOSE OF REVIEW: Biomarker discovery and validation for osteoarthritis have accelerated over the past several years, coincident with an evolving understanding of joint tissue molecules and their complex interactions, and the compelling need for improved osteoarthritis outcome measures in clinical trials. This review highlights advances in osteoarthritis-related biomarker research within the past year. RECENT FINDINGS: The studies in the past year involving biochemical markers in humans can be assigned to one of four categories: new approaches and new biomarkers, exploratory studies in specialized disease subsets, large cross-sectional validation studies, and longitudinal studies, with and without an intervention. SUMMARY: Most these studies have examined the association of a biomarker with some aspect of the natural history of osteoarthritis. As illustrated by the six studies reviewed here that included therapeutic interventions, however, several biomarkers are emerging that display credible association with disease modification. The expanding pool of informative osteoarthritis-related biomarkers is expected to positively impact the development of therapeutics for this disease and, it is hoped, ultimately clinical care.}, Key = {fds87716} } @article{fds87717, Author = {LG Criscione and AL Elliott and T Stabler and JM Jordan and CF Pieper and VB Kraus}, Title = {Variation of serum hyaluronan with activity in individuals with knee osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {13}, Number = {9}, Pages = {837-40}, Year = {2005}, Month = {September}, ISSN = {1063-4584}, url = {http://dx.doi.org/10.1016/j.joca.2005.05.004}, Keywords = {Aged • Aged, 80 and over • Biological Markers • Eating* • Enzyme-Linked Immunosorbent Assay • Exercise • Female • Humans • Hyaluronic Acid • Linear Models • Male • Middle Aged • Osteoarthritis, Knee • Sample Size • Statistics, Nonparametric • blood • blood* • methods • physiology*}, Abstract = {OBJECTIVE: Serum hyaluronan (HA) was evaluated for diurnal variation in participants with osteoarthritis (OA) of the knee. METHODS: Twenty participants with radiographic OA of at least one knee were admitted overnight to the General Clinical Research Center for serial serum sampling. Serum was obtained between 6:00 p.m. and 8:00 p.m. on Day 1 (T3) after a day of normal activity. During the night of bed rest, participants remained supine for a minimum of 5 h between the hours of 3:00 a.m. and 8:00 a.m. Blood was drawn prior to arising from bed (T0), and 1h (T1) and 4 h (T2) after arising and performing usual morning activities, including eating breakfast. During the morning, participants were encouraged to remain physically active and were not permitted to sit for more than 30 min at a time. Serum HA was measured by enzyme-linked immunosorbent assay. Results were analyzed using non-parametric Freidman's test with Dunn's post-hoc Multiple Comparison test. RESULTS: Serum levels of HA increased significantly from T0 to T1 (P < 0.01). There were no other significant changes in serum HA levels observed between any of the other time points. CONCLUSIONS: Although a rise in serum HA with activity and eating has been demonstrated previously in individuals with rheumatoid arthritis, this is the first study to demonstrate a similar rise in individuals with OA. These results suggest that serum sampling for HA in OA clinical trials should be performed more than 1h after arising in the morning and at least 1h after breaking an overnight fast.}, Language = {eng}, Doi = {10.1016/j.joca.2005.05.004}, Key = {fds87717} } @article{fds87722, Author = {RJ Lamers and JH van Nesselrooij and VB Kraus and JM Jordan and JB Renner, AD Dragomir and G Luta and J van der Greef and J DeGroot}, Title = {Identification of an urinary metabolite profile associated with osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {13}, Number = {9}, Pages = {762-8}, Year = {2005}, Month = {September}, ISSN = {1063-4584}, Keywords = {Aged • Aged, 80 and over • Biological Markers • Case-Control Studies • Female • Humans • Joints • Least-Squares Analysis • Magnetic Resonance Spectroscopy* • Male • Middle Aged • Osteoarthritis • pathology • urine • urine*}, Abstract = {OBJECTIVE: Osteoarthritis (OA) is one of the most common diseases among the elderly. The main characteristic is the progressive destruction of articular cartilage. We lack quantitative and sensitive biomarkers for OA to detect changes in the joints in an early stage of the disease. In this study, we investigated whether a urinary metabolite profile could be found that could serve as a diagnostic biomarker for OA in humans. We also compared the profile we obtained previously in the guinea pig spontaneous OA model. METHODS: Urine samples of 92 participants (47 non-OA controls and 45 individuals with radiographic OA of the knees or hips) were selected from the Johnston County Osteoarthritis Project (North Carolina, USA). Participants ranged in age from 60 to 84 years. Samples were measured by 1H nuclear magnetic resonance spectroscopy (NMR) with subsequent principal component discriminant analysis and partial least squares regression analysis. RESULTS: Differences were observed between urine NMR spectra of OA cases and controls (P<0.001 for both male and female subjects). A metabolite profile could be determined which was strongly associated with OA. This profile largely resembled the profile previously identified for guinea pigs with OA (approximately 40 out of the approximately 125 signals of the human profile were present in the guinea pig profile as well). A correlation was found between the metabolite profile and radiographic OA severity (R2 = 0.82 (male); R2 = 0.93 (female)). CONCLUSION: This study showed that a urine metabolite profile may serve as a novel discriminating biomarker of OA.}, Key = {fds87722} } @article{fds87723, Author = {AL McNulty and TV Stabler and TP Vail and GE McDaniel and VB Kraus}, Title = {Dehydroascorbate transport in human chondrocytes is regulated by hypoxia and is a physiologically relevant source of ascorbic acid in the joint.}, Journal = {Arthritis and rheumatism, United States}, Volume = {52}, Number = {9}, Pages = {2676-85}, Year = {2005}, Month = {September}, ISSN = {0004-3591}, Keywords = {Arthritis, Rheumatoid • Ascorbic Acid • Biological Transport • Cartilage, Articular • Cell Hypoxia • Cells, Cultured • Chondrocytes • Chromatography, High Pressure Liquid • Dehydroascorbic Acid • Gene Expression • Knee Joint • Monosaccharide Transport Proteins • Osteoarthritis, Knee • RNA Interference • RNA, Messenger • RNA, Small Interfering • Reverse Transcriptase Polymerase Chain Reaction • Up-Regulation • cytology • drug effects • metabolism • metabolism* • pathology • pharmacology • physiology}, Abstract = {OBJECTIVE: To evaluate the dehydroascorbate (DHA) transport mechanisms in human chondrocytes. METHODS: The transport of L-(14)C-DHA in human chondrocytes was analyzed under various conditions, including the use of RNA interference (RNAi), to determine the role of glucose transporter 1 (GLUT-1) and GLUT-3 in L-14C-DHA transport and to evaluate the effects of physiologically relevant oxygen tensions on L-14C-DHA transport. In order to estimate the contributions of reduced ascorbic acid (AA) and DHA to intracellular ascorbic acid (Asc), the quantities of AA and DHA were measured in synovial fluid samples from osteoarthritis (OA) patients and compared with the reported levels in rheumatoid arthritis (RA) patients. RESULTS: DHA transport in human chondrocytes was glucose-sensitive, temperature-dependent, cytochalasin B-inhibitable, modestly stereoselective for L-DHA, and up-regulated by low oxygen tension. Based on the RNAi results, GLUT-1 mediated, at least in part, the uptake of DHA, whereas GLUT-3 had a minimal effect on DHA transport. DHA constituted a mean 8% of the total Asc in the synovial fluid of OA joints, in contrast to 80% of the reported total Asc in RA joints. CONCLUSION: We provide the first evidence that chondrocytes transport DHA via the GLUTs and that this transport mechanism is modestly selective for L-DHA. In the setting of up-regulated DHA transport at low oxygen tensions, DHA would contribute 26% of the total intracellular Asc in OA chondrocytes and 94% of that in RA chondrocytes. These results demonstrate that DHA is a physiologically relevant source of Asc for chondrocytes, particularly in the setting of an inflammatory arthritis, such as RA.}, Key = {fds87723} } @article{fds87713, Author = {LM Boyd and WJ Richardson and J Chen and VB Kraus and A Tewari and LA Setton}, Title = {Osmolarity regulates gene expression in intervertebral disc cells determined by gene array and real-time quantitative RT-PCR.}, Journal = {Annals of biomedical engineering, United States}, Volume = {33}, Number = {8}, Pages = {1071-7}, Year = {2005}, Month = {August}, ISSN = {0090-6964}, Keywords = {Cells, Cultured • Female • Gene Expression Profiling • Gene Expression Regulation • Humans • Intervertebral Disk • Male • Middle Aged • Oligonucleotide Array Sequence Analysis • Osmolar Concentration • Reverse Transcriptase Polymerase Chain Reaction • cytology • methods • physiology*}, Abstract = {Intervertebral disc (IVD) cells experience a broad range of physicochemical stimuli under physiologic conditions, including alterations in their osmotic environment. Cellular responses to altered osmolarity have been documented at the transcriptional and post-translational level, but mainly for extracellular matrix proteins. In this study, the gene expression profile of human IVD cells was quantified with gene array technology following exposure to increased osmolarity in order to capture the biological responses for a broad set of targets. A total of 42 genes were identified in IVD cells as significantly changed following culture under hyper-osmotic conditions. Gene expression patterns were verified using RT-PCR. Genes identified in this study include those related to cytoskeleton remodeling and stabilization (ephrin-B2, muskelin), as well as membrane transport (ion transporter SLC21A12, osmolyte transporter SLC5A3, monocarboxylic acid SLC16A6). An unexpected finding was the differential regulation of the gene for the neurotrophin, brain-derived neurotrophic factor, by hyper-osmotic stimuli that suggests a capability of IVD cells to respond to physicochemical stimuli with factors that may regulate discogenic pain.}, Key = {fds87713} } @article{fds87715, Author = {J Chang and TL Kauf and S Mahajan and JM Jordan and VB Kraus and TP Vail and SD Reed and MA Omar and KH Kahler and KA Schulman}, Title = {Impact of disease severity and gastrointestinal side effects on the health state preferences of patients with osteoarthritis.}, Journal = {Arthritis and rheumatism, United States}, Volume = {52}, Number = {8}, Pages = {2366-75}, Year = {2005}, Month = {August}, ISSN = {0004-3591}, Keywords = {Aged • Anti-Inflammatory Agents, Non-Steroidal • Female • Gastrointestinal Diseases • Health Status* • Humans • Male • Middle Aged • Osteoarthritis • Patient Satisfaction* • Severity of Illness Index • adverse effects* • chemically induced* • drug therapy* • physiopathology* • therapeutic use}, Abstract = {OBJECTIVE: To describe the health state preferences of patients with osteoarthritis (OA) according to the level of pain and disability and the extent of gastrointestinal side effects from nonsteroidal antiinflammatory drugs (NSAIDs). METHODS: Using combinations of 5 OA health states (4 specifying medication use) and 6 gastrointestinal side effect profiles, we developed 25 scenarios. In an Internet survey, adults with OA evaluated 5 randomly chosen health state-side effect scenarios (in addition to scenarios for congestive heart failure and wearing dentures, as benchmarks). They rated the scenarios on a 0-100 scale, in which 100 corresponds to best imaginable health. Unadjusted mean ratings were calculated using a difference-in-difference approach. A generalized linear model was used to estimate the effects of disease severity and side effect severity on the ratings, after controlling for patient characteristics. RESULTS: A total of 4,386 respondents whose mean age was 55.3 years, of whom 3,107 (70.8%) were women and 4,007 (91.4%) were white, completed the survey. Mean adjusted ratings for health state-side effect scenarios ranged from 94.9 for the mildest scenario to 25.3 for the most severe scenario. Severity of NSAID side effects had a greater negative influence on the ratings in milder OA states than in more severe OA states. Ratings were lower among men (P < 0.001) and among respondents with OA pain in the previous 24 hours (P < 0.001). Disease severity had a greater effect on ratings than did side effect severity. CONCLUSION: Patients consider pain and functional limitations associated with OA to be important determinants of well-being. Future research should attempt to determine whether patients prefer reductions in their OA-related pain and disability over improvements in treatment side effect profiles.}, Key = {fds87715} } @article{fds87724, Author = {AL McNulty and TP Vail and VB Kraus}, Title = {Chondrocyte transport and concentration of ascorbic acid is mediated by SVCT2.}, Journal = {Biochimica et biophysica acta, Netherlands}, Volume = {1712}, Number = {2}, Pages = {212-21}, Year = {2005}, Month = {June}, ISSN = {0006-3002}, Keywords = {Amino Acids • Ascorbic Acid • Cartilage • Cell Survival • Chondrocytes • Chromatography, High Pressure Liquid • Dehydroascorbic Acid • Glucose • Humans • Kinetics • Organic Anion Transporters, Sodium-Dependent • RNA • RNA Interference • Reverse Transcriptase Polymerase Chain Reaction • Sodium • Sulfinpyrazone • Symporters • Temperature • Time Factors • chemistry • chemistry* • metabolism • metabolism* • pharmacology • physiology*}, Abstract = {Collagen II is the major protein component of articular cartilage and forms the collagen fibril network, which provides the tensile strength of cartilage. Collagen II synthesis is enhanced by ascorbic acid (vitamin C) at both a transcriptional and post-transcriptional level. While the importance of ascorbic acid in the synthesis of collagen has been established, the mechanism by which this essential nutrient is transported into chondrocytes has not been investigated previously. We have characterized the transport of the reduced form of ascorbic acid in passaged primary human chondrocytes to discern the physiologically relevant pathways of ascorbic acid transport in cartilage. We have found that chondrocytes are robust concentrators of ascorbic acid, capable of transporting the reduced form, and concentrating total ascorbic acid, in the reduced form and its metabolites, 960-fold over the concentration in the extracellular milieu. Chondrocyte transport of ascorbic acid was sodium and temperature dependent, stereoselective for the L-forms, and inhibited by the anion transport inhibitor, sulfinpyrazone. Chondrocytes preferentially expressed the full-length and functional isoform of sodium-dependent vitamin C transporter 2 (SVCT2). When this transcript was suppressed with sequence-specific siRNAs, the active transport component of ascorbic acid was abolished. Thus, we provide the first evidence that SVCT2 mediates the secondary active and concentrative transport of ascorbic acid in human chondrocytes.}, Key = {fds87724} } @article{fds87732, Author = {VB Kraus and TP Vail and T Worrell and G McDaniel}, Title = {A comparative assessment of alignment angle of the knee by radiographic and physical examination methods.}, Journal = {Arthritis and rheumatism, United States}, Volume = {52}, Number = {6}, Pages = {1730-5}, Year = {2005}, Month = {June}, ISSN = {0004-3591}, Keywords = {Aged • Biomechanics • Female • Humans • Knee Joint • Male • Middle Aged • Osteoarthritis, Knee • Physical Examination • Trabeculectomy • anatomy & histology • diagnosis* • methods • radiography • radiography*}, Abstract = {OBJECTIVE: To compare the knee-alignment angle from a full-limb radiograph (mechanical axis) with the anatomic-axis angle as measured by physical examination using a goniometer and by 2 other radiographic methods. METHODS: The knee-alignment angle was measured in 114 knees of 57 subjects who had radiographic osteoarthritis (OA), with a Kellgren/Lawrence grade of >/=1 in at least one knee. The mechanical axis was defined as the angle formed by the intersection of 2 lines, one from the center of the head of the femur to the center of the tibial spines, and a second from the center of the talus to the center of the tibial spines. The anatomic axis was defined as the angle formed by 2 lines, each originating from a point bisecting the femur and tibia and converging at the center of the tibial spine tips. The anatomic-axis angle was measured by 3 methods: 1) physical examination using a goniometer, 2) a posteroanterior (PA) fixed-flexion knee radiograph (anatomic(PA) axis), and 3) an anteroposterior (AP) full-limb radiograph (anatomic(AP) axis). RESULTS: Significant correlations were found between the mechanical-axis angle and the anatomic-axis angle measured by each of the 3 methods: by goniometer (r = 0.70, P < 0.0001), by anatomic(PA) axis (r = 0.75, P < 0.0001), and by anatomic(AP) axis (r = 0.65, P < 0.0001). The anatomic axis was offset a mean 4.21 degrees valgus from the mechanical axis (3.5 degrees in women, 6.4 degrees in men), which was consistent across all methods. CONCLUSION: Knee alignment assessed clinically by goniometer or measured on a knee radiograph is correlated with the angle measured on the more cumbersome and costly full-limb radiograph. These alternative measures have the potential to provide useful information regarding the risk of progression of knee OA when a full-limb radiograph is not available.}, Key = {fds87732} } @article{fds87719, Author = {KL Dominick and JM Jordan and JB Renner and VB Kraus}, Title = {Relationship of radiographic and clinical variables to pinch and grip strength among individuals with osteoarthritis.}, Journal = {Arthritis and rheumatism, United States}, Volume = {52}, Number = {5}, Pages = {1424-30}, Year = {2005}, Month = {May}, ISSN = {0004-3591}, Keywords = {Aged • Female • Hand Strength* • Hand* • Humans • Male • Middle Aged • Multivariate Analysis • Osteoarthritis • Severity of Illness Index • physiopathology* • radiography*}, Abstract = {OBJECTIVE: Little is known about how specific radiographic features are related to hand strength in osteoarthritis (OA). This study examined associations of radiographic variables with pinch and grip strength among individuals with radiographic hand OA. METHODS: Participants (n = 700, 80% female, mean age 69 years) were part of a study on the genetics of generalized OA. All had bilateral radiographic hand OA. Linear models were used to examine associations of grip and pinch strength with 1) OA in joint groups (proximal interphalangeal, metacarpophalangeal [MCP], carpometacarpal [CMC]), 2) OA in rays (first through fifth), and 3) summed Kellgren/Lawrence (K/L) grades for severity of OA in all joints. Adjusted models controlled for age, sex, hand pain, chondrocalcinosis, and hand hypermobility. Mixed models accounted for clustering within families. RESULTS: In bivariate analyses, all joint groups, all rays, and total summed K/L grades were significantly negatively associated with grip and pinch strength (P < 0.05). In adjusted models, the only joint group significantly associated with grip strength was the CMCs, and only OA in the MCP joint was significantly associated with pinch strength (P < 0.05). The only ray significantly associated with grip strength (P < 0.05) was ray 1, and no individual rays were significantly associated with pinch strength. A higher summed K/L grade was significantly associated with both lower grip strength and lower pinch strength. CONCLUSION: Among individuals with radiographic hand OA, increasing radiographic severity is associated with reduced grip and pinch strength, even when controlling for self-reported pain. Individuals with radiographic OA in specific locations (CMC joints, MCP joints, and ray 1) may be at particular risk for reduced hand strength.}, Key = {fds87719} } @article{fds87730, Author = {AL Elliott and VB Kraus and G Luta and T Stabler and JB Renner and J Woodard, AD Dragomir and CG Helmick and MC Hochberg and JM Jordan}, Title = {Serum hyaluronan levels and radiographic knee and hip osteoarthritis in African Americans and Caucasians in the Johnston County Osteoarthritis Project.}, Journal = {Arthritis and rheumatism, United States}, Volume = {52}, Number = {1}, Pages = {105-11}, Year = {2005}, Month = {January}, ISSN = {0004-3591}, Keywords = {African Americans* • Aging • Arthrography* • Biological Markers • Cross-Sectional Studies • European Continental Ancestry Group* • Female • Hip Joint • Humans • Hyaluronic Acid • Knee Joint • Male • Middle Aged • Osteoarthritis • Prospective Studies • Sex Characteristics • blood • blood* • ethnology • radiography • radiography*}, Abstract = {OBJECTIVE: Serum hyaluronan (HA) has been proposed as a potential biomarker of osteoarthritis (OA). We examined associations between serum HA and radiographic OA in an ethnically diverse, population-based sample. METHODS: Participants were selected from the Johnston County Osteoarthritis Project, using stratified simple random sampling to achieve balance according to radiographic knee OA status, ethnic group, sex, and age group. Serum HA was measured by enzyme-linked immunosorbent assay. Radiographic OA variables included knee OA, knee OA laterality, knee OA severity, concomitant knee and hip OA, and total number of OA-affected knee and hip joints. Analysis of covariance was used to assess differences in mean serum levels of natural log-transformed HA (ln serum HA) between groups, adjusting for ethnicity, sex, age, body mass index (BMI), and self-reported comorbidities. RESULTS: Levels of ln serum HA were positively associated with all definitions of radiographic OA (P < 0.0001). Levels of ln serum HA were higher in Caucasians (P = 0.0094) and in men (P = 0.0038) and were moderately correlated with age (r = 0.35, P < 0.0001). The associations with radiographic OA, ethnicity, sex, and age remained statistically significant after adjustment (P < 0.0045). There were no interactions between ethnicity and the other covariates. CONCLUSION: These cross-sectional data support a role for serum HA as a biomarker of radiographic OA. The variations in levels of serum HA attributable to ethnicity, sex, and age were not explained by radiographic OA, BMI, or comorbidities. The lack of strong confounding between serum HA and comorbidities further supports a role for serum HA as a potential biomarker.}, Key = {fds87730} } @article{fds87712, Author = {T Stabler and JC Piette and X Chevalier and A Marini-Portugal and VB Kraus}, Title = {Serum cytokine profiles in relapsing polychondritis suggest monocyte/macrophage activation.}, Journal = {Arthritis and rheumatism, United States}, Volume = {50}, Number = {11}, Pages = {3663-7}, Year = {2004}, Month = {November}, ISSN = {0004-3591}, Keywords = {Adult • Aged • Arthritis, Rheumatoid • Autoimmunity* • Case-Control Studies • Chemokine CCL2 • Cytokines • Female • Humans • Interleukin-8 • Macrophage Inflammatory Protein-1 • Macrophages • Male • Middle Aged • Monocytes • Polychondritis, Relapsing • blood • blood* • immunology*}, Abstract = {OBJECTIVE: There is evidence that autoimmunity plays a significant role in the pathogenesis of relapsing polychondritis (RP). This study was designed to investigate circulating levels of various cytokines in relation to the etiology of this rare disorder, and to compare the pattern of cytokine elevations in RP with that in another autoimmune disease, rheumatoid arthritis (RA). METHODS: Serum from 22 patients with active RP and an equal number of age- and sex-matched healthy controls and RA patients were available for analysis. The following cytokines were measured: interleukin-1beta (IL-1beta), IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12, IL-13, IL-17, interferon-gamma (IFNgamma), tumor necrosis factor alpha, granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophage colony-stimulating factor (GM-CSF), monocyte chemoattractant protein 1 (MCP-1), and macrophage inflammatory protein 1beta (MIP-1beta). Results were analyzed by nonparametric Mann-Whitney test with Holm stepdown adjustment for multiple testing. RESULTS: The levels of 3 of these cytokines showed significant differences between RP patients and controls. Compared with controls, mean serum levels of MCP-1, MIP-1beta, and IL-8 were all much higher in patients with active RP. In contrast, RA patients showed a more general increase in all cytokines measured, with much higher levels of IL-2, IL-4, IL-5, IL-6, IL-7, IL-10, IL-13, IFNgamma, G-CSF, GM-CSF, MCP-1, and MIP-1beta compared with controls. CONCLUSION: Levels of 3 serum cytokines were significantly higher in RP patients than in age- and sex-matched controls. One of these 3 cytokines, IL-8, was not significantly elevated in RA samples. Overall, in RP, a more discrete group of cytokines exhibited significantly increased levels than was found in RA. Each of the 3 cytokines that were elevated in RP is a proinflammatory chemokine, characteristic of activation of the monocyte and macrophage lineage, and in the case of IL-8, also of neutrophils. These data suggest a major role for a cell-mediated immune response in the pathophysiology of RP.}, Key = {fds87712} } @article{fds87726, Author = {LM Boyd and J Chen and VB Kraus and LA Setton}, Title = {Conditioned medium differentially regulates matrix protein gene expression in cells of the intervertebral disc.}, Journal = {Spine, United States}, Volume = {29}, Number = {20}, Pages = {2217-22}, Year = {2004}, Month = {October}, ISSN = {1528-1159}, Keywords = {Aggrecans • Animals • Cartilage • Cell Lineage • Cells, Cultured • Collagen Type I • Collagen Type II • Culture Media, Conditioned • Cytokines • Extracellular Matrix Proteins • Gene Expression Regulation • Growth Substances • Intervertebral Disk • Lectins, C-Type • Lumbar Vertebrae • Notochord • Organ Specificity • Proteoglycans • RNA, Messenger • Reverse Transcriptase Polymerase Chain Reaction • Sus scrofa • biosynthesis • biosynthesis* • cytology • drug effects • drug effects* • genetics • metabolism • pharmacology • pharmacology* • secretion • secretion* • ultrastructure}, Abstract = {STUDY DESIGN: Matrix protein gene expression was determined for cells of the anulus fibrosus (AF) and nucleus pulposus (NP) regions of the intervertebral disc when cultured in AF or NP cell-conditioned medium. OBJECTIVES: To investigate changes in mRNA levels for type I collagen, type II collagen and aggrecan in cells of the AF and NP in response to cell-conditioned medium. SUMMARY OF BACKGROUND DATA: Cells of the intervertebral disc have been shown to respond to exogenous soluble mediators such as the growth factors TGF-beta and IGF-1. Little is known of their biologic response to endogenous factors that may be secreted locally or by cells of neighboring regions. METHODS: Porcine cells were cultured for 48 hours in alginate gel in the presence or absence of conditioned medium. Gene expression for aggrecan and collagens was quantified using real-time reverse transcriptase-polymerase chain reaction. RESULTS.: AF cell gene expression was generally stimulated by the conditioned medium of either AF or NP cells. In contrast, the notochordal cell-containing NP cells showed little change in gene expression with either source of conditioned medium. CONCLUSIONS: Cells of the NP and AF secrete soluble factors in culture at similarly effective doses to stimulate matrix protein gene expression in AF cells of the intervertebral disc. Unlike AF cells, however, NP cell gene expression was not stimulated by any conditioned medium, suggesting that differences exist in the responsiveness of cells of notochordal (NP) and fibrocartilaginous (AF) phenotypes. Understanding these differences between cells of the intervertebral disc may reveal unique stimulatory factors important to repair and regeneration of the degenerated intervertebral disc.}, Key = {fds87726} } @article{fds87704, Author = {G Varjú and CF Pieper and JB Renner and VB Kraus}, Title = {Assessment of hand osteoarthritis: correlation between thermographic and radiographic methods.}, Journal = {Rheumatology (Oxford, England), England}, Volume = {43}, Number = {7}, Pages = {915-9}, Year = {2004}, Month = {July}, ISSN = {1462-0324}, Keywords = {Aged • Aged, 80 and over • Analysis of Variance • Body Temperature • Cross-Sectional Studies • Disease Progression • Female • Finger Joint • Humans • Male • Middle Aged • Osteoarthritis • Signal Processing, Computer-Assisted • Thermography • diagnosis* • pathology* • radiography}, Abstract = {OBJECTIVE: Anatomical stages of digital osteoarthritis (OA) have been characterized radiographically as progressing through sequential phases from normal to osteophyte formation, progressive loss of joint space, joint erosion and joint remodelling. Our study was designed to evaluate a physiological parameter, joint surface temperature, measured with computerized digital infrared thermal imaging, and its association with sequential stages of radiographic OA (rOA). METHODS: Thermograms, radiographs and digital photographs were taken of both hands of 91 subjects with nodal hand OA. Temperature measurements were made on digits 2-5 at distal interphalangeal (DIP) joints, proximal interphalangeal (PIP) joints and metacarpophalangeal (MCP) joints (2184 joints in total). We fitted a repeated measures ANCOVA model to analyse the effects of rOA on temperature, with handedness, joint group, digit and NSAID use as covariates. RESULTS: The reliability of the thermoscanning procedure was high (generalizability coefficient 0.899 for two scans performed 3 h apart). The mean joint temperature decreased with increasing rOA severity, defined by the Kellgren-Lawrence (KL) scale. The mean temperature of KL0 joints was significantly different from that of each of the other KL grades (P </= 0.002). After adjustment for the other covariates, there was a strong association of rOA with joint surface temperature (P<0.001). The earliest discernible radiographic disease (KL1) was associated with a higher surface temperature than KL0 joints (P = 0.01) and a higher surface temperature than any other KL grade. Joint erosions were not associated with a change in joint temperature. CONCLUSION: Joint surface temperature varied with the severity of rOA. Joints were warmer than normal at the onset of OA. As the severity of rOA worsened, joint surface temperature declined. These data support the supposition that digital OA progresses in phases initiated by an inflammatory process. The cooler surface temperatures in later stages of the disease may in part explain the paucity of symptoms reported by patients with hand OA.}, Key = {fds87704} } @article{fds87714, Author = {VB Kraus and YJ Li and ER Martin and JM Jordan and JB Renner and M Doherty and AG Wilson and R Moskowitz and M Hochberg and R Loeser and M Hooper and S Sundseth}, Title = {Articular hypermobility is a protective factor for hand osteoarthritis.}, Journal = {Arthritis and rheumatism, United States}, Volume = {50}, Number = {7}, Pages = {2178-83}, Year = {2004}, Month = {July}, ISSN = {0004-3591}, Keywords = {Adult • Aged • Aged, 80 and over • Arthrography* • Carpal Bones • Cohort Studies • Female • Finger Joint • Hand* • Humans • Joint Instability • Logistic Models • Male • Metacarpus • Middle Aged • Odds Ratio • Osteoarthritis • Wrist • complications* • diagnosis • genetics • radiography • radiography*}, Abstract = {OBJECTIVE: Very few studies have evaluated the association of articular hypermobility and radiographic osteoarthritis (OA) in humans. We assessed hypermobility and its relationship to radiographic hand OA in a family-based study. METHODS: A total of 1,043 individuals were enrolled in the multicenter Genetics of Generalized Osteoarthritis study, in which families were required to have 2 siblings with radiographic OA involving >/=3 joints (distributed bilaterally) of the distal interphalangeal (DIP), proximal interphalangeal (PIP), or carpometacarpal (CMC) joint groups, and OA in at least one DIP joint. Radiographic OA was defined as a score of >/=2 on the Kellgren/Lawrence scale in one or more joints within the group. The Beighton criteria for assessment of hypermobility were recorded on a 0-9-point scale. Hypermobility was defined as a Beighton score of >/=4, a threshold generally used to establish a clinical diagnosis of joint laxity. A threshold of >/=2 was also evaluated to assess lesser degrees of hypermobility. The Beighton score for the present was calculated based on clinical examination, and that for the past was based on recall of childhood hypermobility in the first 2 decades of life. The association of hypermobility and radiographic OA of the PIP, CMC, and metacarpophalangeal joints was evaluated in all participants and in men and women separately. Multiple logistic regression was used to examine the relationship of hypermobility with radiographic OA in each joint group, after adjusting for age and sex. The association of hypermobility and DIP OA was not evaluated, because evidence of DIP OA was required for study inclusion. RESULTS: Using a threshold Beighton score of 4, 3.7% of individuals were classified as hypermobile based on the present examination, and 7.4% were classified as hypermobile based on the past assessment. A significant negative association between present hypermobility and age was observed. In persons with hypermobility, the odds of OA in PIP joints was lower (for present, odds ratio [OR] 0.34, 95% confidence interval [95% CI] 0.16-0.71; for past, OR 0.43, 95% CI 0.24-0.78). Similar results were obtained using a threshold Beighton score of 2. The lower odds of PIP OA with hypermobility were significant after adjusting for sex and age (for present, OR 0.44, 95% CI 0.20-0.94; for past, OR 0.48, 95% CI 0.26-0.87). CONCLUSION: This study demonstrated a joint-protective effect of hypermobility for radiographic OA of PIP joints. In contrast to previous studies showing an association of hypermobility and CMC OA, in this cohort there was no evidence for increased odds of OA in any joint group of the hand in association with articular hypermobility.}, Key = {fds87714} } @article{fds87720, Author = {F Guilak and B Fermor and FJ Keefe and VB Kraus and SA Olson and DS Pisetsky, LA Setton and JB Weinberg}, Title = {The role of biomechanics and inflammation in cartilage injury and repair.}, Journal = {Clinical orthopaedics and related research, United States}, Number = {423}, Pages = {17-26}, Year = {2004}, Month = {June}, ISSN = {0009-921X}, Keywords = {Animals • Biomechanics • Cartilage, Articular • Humans • Inflammation • Inflammation Mediators • Osteoarthritis • Wound Healing • injuries* • metabolism • physiology • physiopathology • physiopathology*}, Abstract = {Osteoarthritis is a painful and debilitating disease characterized by progressive degenerative changes in the articular cartilage and other joint tissues. Biomechanical factors play a critical role in the initiation and progression of this disease, as evidenced by clinical and animal studies of alterations in the mechanical environment of the joint caused by trauma, joint instability, disuse, or obesity. The onset of these changes after joint injury generally has been termed posttraumatic arthritis and can be accelerated by factors such as a displaced articular fracture. Within this context, there is considerable evidence that interactions between biomechanical factors and proinflammatory mediators are involved in the progression of cartilage degeneration in posttraumatic arthritis. In vivo studies have shown increased concentrations of inflammatory cytokines and mediators in the joint in mechanically induced models of osteoarthritis. In vitro explant studies confirm that mechanical load is a potent regulator of matrix metabolism, cell viability, and the production of proinflammatory mediators such as nitric oxide and prostaglandin E2. Knowledge of the interaction of inflammatory and biomechanical factors in regulating cartilage metabolism would be beneficial to an understanding of the etiopathogenesis of posttraumatic osteoarthritis and in the improvement of therapies for joint injury.}, Key = {fds87720} } @article{fds87728, Author = {VB Kraus and JL Huebner and T Stabler and CM Flahiff and LA Setton and C Fink, V Vilim and AG Clark}, Title = {Ascorbic acid increases the severity of spontaneous knee osteoarthritis in a guinea pig model.}, Journal = {Arthritis and rheumatism, United States}, Volume = {50}, Number = {6}, Pages = {1822-31}, Year = {2004}, Month = {June}, ISSN = {0004-3591}, Keywords = {Animals • Antioxidants • Ascorbic Acid • Bone Density • Cartilage • Collagen • Disease Models, Animal • Extracellular Matrix Proteins • Glycoproteins • Guinea Pigs • Least-Squares Analysis • Male • Osteoarthritis, Knee • Scurvy • Severity of Illness Index • Synovial Fluid • Transforming Growth Factor beta • Weight Gain • blood • drug effects* • metabolism • pathology • pharmacology* • physiopathology* • prevention & control}, Abstract = {OBJECTIVE: To determine whether ascorbic acid might be of benefit for the treatment of spontaneous osteoarthritis (OA) when administered over a long period of time. METHODS: We investigated the effects of 8 months' exposure to low, medium, and high doses of ascorbic acid on the in vivo development of histologic knee OA in the male Hartley guinea pig. The low dose represented the minimum amount needed to prevent scurvy. The medium dose was the amount present in standard laboratory guinea pig chow and resulted in plasma levels comparable with those achieved in a person consuming 200 mg/day (5 fruits and vegetables daily). The high dose was the amount shown in a previous study of the guinea pig to slow the progression of surgically induced OA. RESULTS: We found an association between ascorbic acid supplementation and increased cartilage collagen content but, in contrast to findings in a previous study of surgically induced OA in the guinea pig, ascorbic acid worsened the severity of spontaneous OA. Active transforming growth factor beta (TGF beta) was expressed in marginal osteophytes, whose size and number were significantly increased with increasing intake of ascorbic acid. Synovial fluid levels of cartilage oligomeric matrix protein, a biomarker of cartilage turnover, corroborated the histologic findings. CONCLUSION: Ascorbic acid has been shown to activate latent TGF beta. Prolonged intraarticular exposure to TGF beta has been shown to cause OA-like changes. We found expression of active TGF beta in osteophytes, a prominent feature of the joint histology seen in association with ascorbic acid treatment. Thus, the deleterious effects of prolonged ascorbic acid exposure may be mediated in part by TGF beta. This worsening of OA with ascorbic acid supplementation suggests that ascorbic acid intake should not be supplemented above the currently recommended dietary allowance (90 mg/day for men and 75 mg/day for women).}, Key = {fds87728} } @article{fds87703, Author = {CM Flahiff and VB Kraus and JL Huebner and LA Setton}, Title = {Cartilage mechanics in the guinea pig model of osteoarthritis studied with an osmotic loading method.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {12}, Number = {5}, Pages = {383-8}, Year = {2004}, Month = {May}, ISSN = {1063-4584}, Keywords = {Animals • Cartilage Diseases • Cartilage, Articular • Elasticity • Guinea Pigs • Knee Joint • Male • Osmotic Pressure • Osteoarthritis • Patella • Stress, Mechanical • Tensile Strength • Tibia • physiology • physiology* • physiopathology*}, Abstract = {OBJECTIVE: To determine the material properties of articular cartilage in the Hartley guinea pig model of spontaneous osteoarthritis. METHODS: Cartilage-bone samples from the medial femoral condyle and tibial plateau of 12 month-old guinea pig knees were subjected to osmotic loading. Site-matched swelling strains and fixed charge density values were used in a triphasic theoretical model for cartilage swelling to determine the modulus of the cartilage solid matrix. The degree of cartilage degeneration was assessed in adjacent tissue sections using a semi-quantitative histological grading scheme. RESULTS: Decreased values for both moduli and surface zone fixed charge density were associated with increasing grades of cartilage degeneration. Decreases in moduli reflect damage to the collagen matrix, which give rise to greater swelling strains. CONCLUSION: Histological evidence of cartilage degeneration was associated with impaired cartilage mechanics in the aging Hartley guinea pig.}, Key = {fds87703} } @article{fds87705, Author = {JM Jordan and VB Kraus and MC Hochberg}, Title = {Genetics of osteoarthritis.}, Journal = {Current rheumatology reports, United States}, Volume = {6}, Number = {1}, Pages = {7-13}, Year = {2004}, Month = {February}, ISSN = {1523-3774}, Keywords = {Biomedical Research • Chromosome Mapping* • Humans • Linkage (Genetics)* • Osteoarthritis • Pedigree • Protein Array Analysis • Twin Studies • genetics*}, Abstract = {Osteoarthritis (OA) is a major cause of morbidity, physical limitation, and health care use, including total joint arthroplasty. That OA has a genetic component has been known for some time, but only recently has formal study of this occurred. Twin studies, segregation analyses, linkage analyses, and candidate gene association studies have generated important information about inheritance patterns and the location in the genome of potentially causative mutations. Results across studies are not always concordant, however; this is likely the result of variations in study populations, disease definitions, evaluation of control subjects, and statistical analysis. Although the genetics of OA is complex and not completely understood, there is cause for optimism as rapidly improving technologies make the quest for the genes responsible for OA increasingly within reach. Family history of OA and joint replacement for OA should be assessed in the context of other potentially modifiable risk factors to attempt to alter patient outcome.}, Key = {fds87705} } @article{fds87707, Author = {VB Kraus and T Stabler and ET Le and M Saltarelli and NB Allen}, Title = {Urinary type II collagen neoepitope as an outcome measure for relapsing polychondritis.}, Journal = {Arthritis and rheumatism, United States}, Volume = {48}, Number = {10}, Pages = {2942-8}, Year = {2003}, Month = {October}, ISSN = {0004-3591}, Keywords = {Adolescent • Biological Markers • Collagen Type II • Epitopes • Humans • Male • Outcome Assessment (Health Care) • Polychondritis, Relapsing • diagnosis* • urine • urine*}, Abstract = {Herein we describe the case of a man who was diagnosed as having relapsing polychondritis (RP) when he was 18 years of age and was treated over the course of 2 years with numerous immunosuppressive agents, including tumor necrosis factor alpha (TNFalpha) inhibitors. His respiratory symptoms were refractory to treatment. Serum and urine samples were obtained periodically for measurement of erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) levels, anti-type II collagen (anti-CII) antibodies, and urinary type II collagen neoepitope (uTIINE) levels. The uTIINE assay is specific for collagenase cleavage products CII present in urine. ESRs and CRP levels varied widely but were rarely normal. Anti-CII antibody titers were high initially and decreased slowly and steadily for a year following the start of immunosuppressive medication, remaining low throughout the remainder of the patient's monitored disease course. The uTIINE levels were elevated prior to the initiation of TNFalpha inhibitors. Upon initiation of etanercept, they decreased abruptly to normal and stayed nearly normal. The uTIINE levels rose abruptly again upon discontinuation of TNFalpha inhibitor treatment. The dramatic decline in CII degradation, coincident with the administration of the TNFalpha inhibitors, suggested that this treatment dramatically reduced the chondritis. Serum levels of Th1 cytokines (interferon-gamma, interleukin-12 [IL-12], and IL-2) paralleled changes in uTIINE levels, while those of Th2 cytokines (IL-4, IL-5, IL-6, and IL-10) showed little or no association with disease state or uTIINE levels. These results indicate that RP might be a Th1-mediated disease process. Moreover, the uTIINE assay appears to provide an objective measure of the severity of chondritis that could assist clinical decisions regarding adjustments of steroid and other immunosuppressive therapy. This outcome measure merits investigation in a broader spectrum of RP patients.}, Key = {fds87707} } @article{fds87661, Author = {TV Stabler and VB Kraus}, Title = {Ascorbic acid accumulates in cartilage in vivo.}, Journal = {Clinica chimica acta; international journal of clinical chemistry, Netherlands}, Volume = {334}, Number = {1-2}, Pages = {157-62}, Year = {2003}, Month = {August}, ISSN = {0009-8981}, Keywords = {Adrenal Glands • Animals • Ascorbic Acid • Cartilage • DNA • Guinea Pigs • Liver • Male • Oxidation-Reduction • Synovial Fluid • blood • chemistry • metabolism • metabolism* • pharmacokinetics*}, Abstract = {BACKGROUND: Ascorbic acid plays an important role in collagen synthesis. Though ascorbic acid concentrations in many tissues and in plasma have been characterized, little is known about in vivo levels in cartilage. MATERIALS AND METHODS: To discern the role of ascorbic acid in cartilage, we conducted a dose-response study measuring ascorbic acid levels in various guinea pig tissues and fluids in response to this vitamin. To our knowledge, this is the first such study in cartilage. RESULTS: Ascorbic acid was higher in synovial fluid compared to paired plasma, and higher in cartilage than paired synovial fluid. Tissue levels were normalized to DNA to compare ascorbic acid concentrations relative to a measure of tissue cellularity. Normalized cartilage ascorbic acid concentrations were intermediate between liver (lowest) and adrenal (highest), two well-known concentrators of ascorbic acid. All tissues and fluids showed a saturation-effect characterized by large differences in ascorbic acid concentrations between low- and medium-dose groups and smaller concentration differences between medium- and high-dose groups. CONCLUSIONS: Cartilage, a tissue dependent on ascorbic acid for extracellular matrix production of collagen, concentrates ascorbic acid. This concentrating ability is consistent with the chondrocyte expression of SVCT2, a sodium-dependent ascorbic acid transporter.}, Key = {fds87661} } @article{fds87690, Author = {RJ Lamers and J DeGroot and EJ Spies-Faber and RH Jellema and VB Kraus and N Verzijl and JM TeKoppele and GK Spijksma and JT Vogels and J van der Greef, JH van Nesselrooij}, Title = {Identification of disease- and nutrient-related metabolic fingerprints in osteoarthritic Guinea pigs.}, Journal = {The Journal of nutrition, United States}, Volume = {133}, Number = {6}, Pages = {1776-80}, Year = {2003}, Month = {June}, ISSN = {0022-3166}, Keywords = {Animal Nutrition Physiology* • Animals • Ascorbic Acid • Diet • Dose-Response Relationship, Drug • Energy Metabolism • Guinea Pigs • Magnetic Resonance Spectroscopy • Male • Multivariate Analysis • Osteoarthritis • Peptide Mapping* • Purines • Treatment Outcome • administration & dosage • diagnosis • metabolism • urine*}, Abstract = {Osteoarthritis (OA), one of the most common diseases among the elderly, is characterized by the progressive destruction of joint tissues. Its etiology is largely unclear and no effective disease-modifying treatment is currently available. Metabolic fingerprinting provides a novel tool for the identification of biomarkers. A metabolic fingerprint consists of a typical combination of metabolites in a biological fluid and is identified by a combination of (1)H NMR spectroscopy and multivariate data analysis (MVDA). The current feasibility study was aimed at identifying a metabolic fingerprint for OA and applying this in a nutritional intervention study. Urine samples were collected from osteoarthritic male Hartley guinea pigs (n = 44) at 10 and 12 mo of age, treated from 4 mo onward with variable vitamin C doses (2.5-3, 30 and 150 mg/d) and from healthy male Strain 13 guinea pigs (n = 8) at 12 mo of age, treated with 30 mg vitamin C/d. NMR measurements were performed on all urine samples. Subsequently, MVDA was carried out on the data obtained using NMR. An NMR fingerprint was identified that reflected the osteoarthritic changes in guinea pigs. The metabolites that comprised the fingerprint indicate that energy and purine metabolism are of major importance in OA. Metabolic fingerprinting also allowed detection of differences in OA-specific metabolites induced by different dietary vitamin C intakes. This study demonstrates the feasibility of metabolic fingerprinting to identify disease-specific profiles of urinary metabolites. NMR fingerprinting is a promising means of identifying new disease markers and of gaining fresh insights into the pathophysiology of disease.}, Key = {fds87690} } @article{fds87695, Author = {VB Kraus}, Title = {Cyclooxygenase-2 inhibitors and nonsteroidal anti-inflammatory drugs in the management of arthritis.}, Journal = {Foot and ankle clinics, United States}, Volume = {8}, Number = {2}, Pages = {187-200, vii}, Year = {2003}, Month = {June}, ISSN = {1083-7515}, Keywords = {Anti-Inflammatory Agents, Non-Steroidal • Arthritis • Cyclooxygenase Inhibitors • Humans • Joints • drug effects • drug therapy* • pharmacology • therapeutic use*}, Abstract = {The management of arthritis pain should be individualized to the needs and characteristics of the patient. The decision to use nonsteroidal anti-inflammatory drugs (NSAIDs), and in particular the cyclooxygenase-2 (COX-2) inhibitors, is multidimensional. The challenge is to achieve optimal pain relief at the minimum dose to minimize adverse effects. Whenever possible, NSAIDs should be given as monotherapies or in combinations at the lowest effective doses. The COX-2 inhibitors are a safe choice for most patients who are at low risk for a cardiovascular event. Individuals who are at risk for thromboses should not receive unopposed COX-2 inhibitors; COX-2 should be given in combination with low-dose aspirin which is expected to be cardioprotective in high-risk patients.}, Key = {fds87695} } @article{fds87658, Author = {JM Jordan and G Luta and T Stabler and JB Renner and AD Dragomir and V Vilim, MC Hochberg and CG Helmick and VB Kraus}, Title = {Ethnic and sex differences in serum levels of cartilage oligomeric matrix protein: the Johnston County Osteoarthritis Project.}, Journal = {Arthritis and rheumatism, United States}, Volume = {48}, Number = {3}, Pages = {675-81}, Year = {2003}, Month = {March}, ISSN = {0004-3591}, Keywords = {African Americans • Aged • Biological Markers • Cartilage, Articular* • Ethnic Groups* • European Continental Ancestry Group • Extracellular Matrix Proteins* • Female • Glycoproteins* • Humans • Knee Joint • Male • Middle Aged • North Carolina • Osteoarthritis, Knee • Random Allocation • Rural Health • Rural Population • Sex Factors* • blood • ethnology • ethnology* • pathology • radiography}, Abstract = {OBJECTIVE: Previous descriptions of potential biomarkers of osteoarthritis (OA) have been limited to Caucasians. In the present study, we examined associations between serum levels of cartilage oligomeric matrix protein (COMP) and ethnicity (African American or Caucasian) and sex in the Johnston County Osteoarthritis Project, a population-based study of OA in rural North Carolina. METHODS: All African Americans and a randomly selected sample of Caucasians who had available sera and either no radiographic evidence of knee or hip OA according to the Kellgren/Lawrence (K/L) system (K/L grade 0) or radiographic evidence of knee OA (K/L grade 2 or higher) were included. Serum COMP levels were quantified by sandwich enzyme-linked immunosorbent assay, using monoclonal antibodies 16-F12 and 17-C10. Linear regression models were used to assess relationships between serum levels of natural log-transformed COMP (ln COMP) and ethnicity and sex, controlling for age, height, body mass index (BMI), radiographic OA, and the presence of other symptomatic joints. Radiographic OA was defined in separate models as the presence, severity, and laterality of radiographic knee OA, the co-occurrence of radiographic knee and hip OA, and the number of knees and hips with radiographic OA. RESULTS: The 769 subjects in the study sample had a mean +/- SD age of 62 +/- 10.3 years. Levels of ln COMP were associated with age, BMI, and all definitions of radiographic OA (P = 0.0001), and varied by ethnicity and sex. In adjusted models, ln COMP was higher in African American women than in Caucasian women (P = 0.003) and higher in Caucasian men than Caucasian women (P = 0.0001). There were no statistically significant differences in serum ln COMP levels between African American men and women. CONCLUSION: Serum COMP levels vary by ethnicity and sex. These factors should be considered in the derivation of standards using this, and possibly other, potential biomarkers of OA.}, Key = {fds87658} } @article{fds87687, Author = {V Vilím and Z Vobůrka and R Vytásek and L Senolt and I Tchetverikov and VB Kraus and K Pavelka}, Title = {Monoclonal antibodies to human cartilage oligomeric matrix protein: epitope mapping and characterization of sandwich ELISA.}, Journal = {Clinica chimica acta; international journal of clinical chemistry, Netherlands}, Volume = {328}, Number = {1-2}, Pages = {59-69}, Year = {2003}, Month = {February}, ISSN = {0009-8981}, Keywords = {Antibodies, Monoclonal • Enzyme-Linked Immunosorbent Assay • Epitope Mapping • Extracellular Matrix Proteins • Glycoproteins • Humans • Synovial Fluid • analysis • chemistry • immunology* • methods*}, Abstract = {BACKGROUND: Cartilage oligomeric matrix protein/thrombospondin 5 (COMP/TSP 5) is one of the most promising serologic markers with regard to an ability to prognose development of osteoarthritis (OA). Our aim was to map the epitopes of three monoclonal antibodies (mAb) to COMP and to develop and characterize a sandwich enzyme-linked immunosorbent assay (ELISA) for measuring COMP levels in human body fluids. METHODS: COMP was digested with trypsin and the NH(2)-terminal sequence of the fragments recognized by each of the mAbs was determined. Steric competition among the mAbs was tested with an antibody capture assay. A sandwich ELISA was developed using unlabeled mAb 16-F12 as a capture antibody, and mAb 17-C10 labeled with biotin as the second antibody. RESULTS: Epitopes of the three mAbs were mapped to three different domains within the COMP subunit (16-F12, NH(2)-terminal domain; 17-C10, EGF-like domain; 12-C4, COOH-terminal domain). These epitopes did not overlap. mAbs 17-C10 and 12-C4 yielded similar serum COMP results when used as the secondary antibodies. Serum COMP levels measured with the new sandwich ELISA using mAbs 16-F12 and 17-C10 correlated strongly with results based on an inhibition ELISA with mAb 17-C10 alone (r(2) = 0.836; P < 0.0001). We characterized the new sandwich ELISA with regards to inter- and intra-assay variability, the range of COMP levels that can be expected in human synovial fluids (SF) and sera (controls and OA and rheumatoid arthritis (RA) patients), and the day-to-day and diurnal variability of COMP levels in sera. CONCLUSIONS: We have developed and characterized a sandwich ELISA for COMP that is sensitive and yields highly reproducible COMP results upon analysis of human sera and synovial fluids.}, Key = {fds87687} } @article{fds87709, Author = {JL Huebner and MA Hanes and B Beekman and JM TeKoppele and VB Kraus}, Title = {A comparative analysis of bone and cartilage metabolism in two strains of guinea-pig with varying degrees of naturally occurring osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society}, Volume = {10}, Number = {10}, Pages = {758-67}, Year = {2002}, Month = {October}, ISSN = {1063-4584}, Keywords = {Amino Acids • Animals • Bone Density • Bone and Bones • Cartilage, Articular • Guinea Pigs • Hindlimb • Joints • Keratan Sulfate • Male • Microscopy, Electron • Osteoarthritis • Osteocalcin • Pilot Projects • Synovial Fluid • analysis • blood • metabolism • metabolism* • pathology • urine}, Abstract = {OBJECTIVE: To evaluate the interaction of bone and cartilage in knee osteoarthritis (OA) pathogenesis in two guinea-pig strains with appreciable differences in bone metabolism. METHODS: Two guinea-pig strains were evaluated for their susceptibilities to OA using semi-quantitative histological grading of knee joints and quantification of biomarkers including urinary excretion of hydroxylysyl-pyridinoline (HP) and lysyl-pyridinoline (LP) collagen cross-links, serum osteocalcin (OC), and synovial fluid levels of keratan sulfate (KS). RESULTS: At 12 months of age, Strain 13 guinea-pigs had minimal to mild histological evidence of OA compared to the Hartley strain guinea-pigs. The Hartley strain, with more severe OA, had a higher rate of bone formation (serum osteocalcin) and bone resorption (HP and LP) evident at a young age with persistence of a greater rate of bone formation at 12 months of age. The Strain 13 possessed much thicker subchondral bone at the outset (2 months) compared to the Hartley; however, the Hartley strain showed the greatest increase in subchondral bone thickness coincident with the development of cartilage degeneration. Thus, the process of subchondral bone thickening, in contrast to the absolute initial subchondral bone thickness, was a hallmark of OA in the guinea-pig. Moreover, Strain 13 had lower intraarticular proteoglycan turnover. Levels of synovial fluid keratan sulfate were positively correlated with the severity of histological OA. CONCLUSIONS: This pilot study represents the first evidence of differential susceptibility to OA in guinea-pigs. Comparison of these two strains of guinea-pig has revealed that increased metabolism within the affected tissues, cartilage and bone, is associated with the development and progression of OA. This work demonstrates that the Strain 13 is a viable age-matched control to the Hartley strain and merits a more in depth evaluation of the contribution of bone and bone metabolism to OA.}, Language = {eng}, Key = {fds87709} } @article{fds87693, Author = {CM Flahiff and DA Narmoneva and JL Huebner and VB Kraus and F Guilak and LA Setton}, Title = {Osmotic loading to determine the intrinsic material properties of guinea pig knee cartilage.}, Journal = {Journal of biomechanics, United States}, Volume = {35}, Number = {9}, Pages = {1285-90}, Year = {2002}, Month = {September}, ISSN = {0021-9290}, Keywords = {Animals • Cartilage, Articular • Elasticity • Femur • Guinea Pigs • Knee Joint • Male • Microscopy, Confocal • Microscopy, Fluorescence • Osmotic Pressure • Patella • Reproducibility of Results • Sensitivity and Specificity • Stress, Mechanical • Tibia • cytology* • methods • physiology • physiology*}, Abstract = {Few methods exist to study cartilage mechanics in small animal joints due to the difficulties associated with handling small tissue samples. In this study, we apply an osmotic loading method to quantify the intrinsic material properties of articular cartilage in small animal joints. Cartilage samples were studied from the femoral condyle and tibial plateau of two-month old guinea pigs. Swelling strains were measured using confocal fluorescence scanning microscopy in samples subjected to osmotic loading. A histochemical staining method was developed and calibrated for quantification of negative fixed charge density in guinea pig cartilage. Site-matched swelling strain data and fixed charge density values were then used with a triphasic theoretical model for cartilage swelling to determine the uniaxial modulus of the cartilage solid matrix. Moduli obtained in this study (7.2 MPa femoral condyle; 10.8 MPa, tibial plateau) compare well with previously reported values for the tensile moduli of human and other animal cartilages determined from uniaxial tension experiments. This study provides the first available data for material properties and fixed charge density in cartilage from the guinea pig knee and suggests a promising method for tracking changes in cartilage mechanics in small animal models of degeneration.}, Key = {fds87693} } @article{fds87699, Author = {AD Dragomir and VB Kraus and JB Renner and G Luta and A Clark and V Vilim and MC Hochberg and CG Helmick and JM Jordan}, Title = {Serum cartilage oligomeric matrix protein and clinical signs and symptoms of potential pre-radiographic hip and knee pathology.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {10}, Number = {9}, Pages = {687-91}, Year = {2002}, Month = {September}, ISSN = {1063-4584}, Keywords = {Aged • Aged, 80 and over • Cartilage, Articular • Enzyme-Linked Immunosorbent Assay • Extracellular Matrix Proteins • Female • Glycoproteins • Hip Joint • Humans • Knee Joint • Male • Middle Aged • blood* • pathology • pathology* • radiography}, Abstract = {OBJECTIVE: To examine the cross-sectional relationship between serum cartilage oligomeric matrix protein (COMP) and hip and knee clinical signs and symptoms in a sample of adults without radiographic hip or knee osteoarthritis (OA). DESIGN: A total of 145 persons with available sera and no evidence of radiographic hip or knee OA (Kellgren-Lawrence grade 0) were randomly selected from the Caucasian participants of the Johnston County Osteoarthritis Project. COMP was quantified by a competitive ELISA assay with a monoclonal antibody 17-C10. Hip and knee clinical signs and symptoms were assessed by physical examination and interview, and their associations with Ln COMP analysed with general linear models. RESULTS: After adjustment for age, gender, body mass index (BMI), and other symptomatic joints, mean Ln COMP was statistically significantly higher among persons with hip-related clinical signs (P=0.018), among those with hip-related symptoms (P=0.046), and among individuals meeting American College of Rheumatology clinical criteria for hip OA (P=0.021). There were no statistically significant associations between any of the knee-related clinical signs and symptoms and Ln COMP. CONCLUSION: Serum COMP may be useful as a biomarker of pre-radiographic hip joint pathology; its utility as a biomarker of pre-radiographic knee joint pathology is unclear.}, Key = {fds87699} } @article{fds87700, Author = {V Vilím and M Olejárová and S Machácek and J Gatterová and VB Kraus, K Pavelka}, Title = {Serum levels of cartilage oligomeric matrix protein (COMP) correlate with radiographic progression of knee osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {10}, Number = {9}, Pages = {707-13}, Year = {2002}, Month = {September}, ISSN = {1063-4584}, Keywords = {Aged • Cartilage, Articular • Double-Blind Method • Enzyme-Linked Immunosorbent Assay • Extracellular Matrix Proteins • Female • Glycoproteins • Humans • Knee Joint • Male • Middle Aged • Osteoarthritis, Knee • Prospective Studies • blood • blood* • pathology • radiography • radiography*}, Abstract = {OBJECTIVE: To evaluate the prognostic utility of serum COMP level measured with a new sandwich ELISA, by correlating COMP level with outcome measures of osteoarthritis (OA) progression. DESIGN: Patients (N=48) had symptomatic primary knee OA of Kellgren-Lawrence (K-L) grade I-III and met ACR criteria. These patients were evaluated prospectively as part of a double-blind drug trial of 3 years' duration and represented the placebo arm of the study. Serum COMP levels were measured by sandwich ELISA with monoclonal antibodies 16-F12 and 17-C10 at baseline and at study end and levels were correlated with changes in (1) joint space width (JSW), (2) K-L grade, (3) Lequesne, and (4) WOMAC indices, over 3 years. RESULTS: The change in JSW over 3 years, summed for both knees, correlated positively with serum COMP level at baseline as well as at study end. Patients were sorted by level of progression based upon a change in K-L grade summed for both knees over 3 years; patients who progressed by two K-L grades were shown to have had significantly higher COMP levels at baseline as well as at study end. Baseline and study end COMP levels did not correlate with the change of Lequesne or WOMAC indices. Baseline COMP levels correlated strongly with end serum COMP levels. CONCLUSION: Serum COMP has the potential to be a prognostic marker of disease progression. High COMP levels, persisting over the 3-year study period in the patients with radiographic progression, indicated differences in disease activity detectable throughout the entire follow-up interval.}, Key = {fds87700} } @article{fds87697, Author = {C Fink and HJ Cooper and JL Huebner and F Guilak and VB Kraus}, Title = {Precision and accuracy of a transportable dual-energy X-ray absorptiometry unit for bone mineral measurements in guinea pigs.}, Journal = {Calcified tissue international, United States}, Volume = {70}, Number = {3}, Pages = {164-9}, Year = {2002}, Month = {March}, ISSN = {0171-967X}, Keywords = {Animals • Bone Density • Densitometry, X-Ray • Guinea Pigs • Male • Observer Variation • Quality Control • Reproducibility of Results • Statistics • methods* • physiology*}, Abstract = {Dual energy X-ray absorptiometry (DXA) is a valuable tool for measuring bone mineral content (BMC) and bone mineral density (BMD) in small-animal research. The present study was devised to establish guidelines and to define sites for bone mineral measurements in guinea pigs and to evaluate the accuracy of a new transportable research DXA unit. Repeated scans were performed on 30 guinea pig hindlimbs (in situ) as well as the isolated bones from these limbs (ex situ). Nine exactly specified regions of interest (ROIs) were analyzed twice for BMC and BMD by three different observers. Additionally, the BMC of whole bones and bone segments as measured by DXA was correlated to ash weights of bone in a subset of five animals to determine the accuracy of the DXA measurements. On ex situ scans, intra-observer variability for BMD ranged from 0.09% to 2.33% and inter-observer variability from 0.23% to 5.86% depending on the site studied, with smaller ROIs exhibiting more variability. Coefficients of variance (CV) for BMC measurements were slightly higher than for BMD. However, BMC offered a better correlation between in situ and ex situ values than BMD. On in situ scans, observer variability for BMD and BMC for comparable sites was higher than the ex situ variability. The results of this study indicate that DXA provides an accurate measurement of BMC even in small specimens. The precision of BMC and BMD measurements in situ can be improved considerably by using specific, well-defined ROIs and by careful placement of the bones to be scanned in close proximity to the scanning surface.}, Key = {fds87697} } @article{fds87708, Author = {AG Clark and AL Rohrbaugh and I Otterness and VB Kraus}, Title = {The effects of ascorbic acid on cartilage metabolism in guinea pig articular cartilage explants.}, Journal = {Matrix biology : journal of the International Society for Matrix Biology}, Volume = {21}, Number = {2}, Pages = {175-84}, Year = {2002}, Month = {March}, ISSN = {0945-053X}, Keywords = {Aggrecans • Animals • Ascorbic Acid • Cartilage, Articular • Cloning, Molecular • Collagen • Collagen Type II • Culture Techniques • Extracellular Matrix • Extracellular Matrix Proteins* • Gene Expression • Guinea Pigs • Lectins, C-Type • Male • Organic Anion Transporters, Sodium-Dependent • Procollagen-Proline Dioxygenase • Protein Biosynthesis • Proteins • Proteoglycans • RNA • Sodium-Coupled Vitamin C Transporters • Symporters* • Transcription, Genetic • biosynthesis • drug effects* • genetics • genetics* • metabolism • pharmacology*}, Abstract = {Ascorbic acid has been associated with the slowing of osteoarthritis progression in guinea pig and man. The goal of this study was to evaluate transcriptional and translational regulation of cartilage matrix components by ascorbic acid. Guinea pig articular cartilage explants were grown in the presence of L-ascorbic acid (L-Asc), D-isoascorbic acid (D-Asc), sodium L-ascorbate (Na L-Asc), sodium D-isoascorbate (Na D-Asc), or ascorbyl-2-phosphate (A2P) to isolate and analyze the acidic and nutrient effects of ascorbic acid. Transcription of type II collagen, prolyl 4-hydroxylase (alpha subunit), and aggrecan increased in response to the antiscorbutic forms of ascorbic acid (L-Asc, Na L-Asc, and A2P) and was stereospecific to the L-forms. Collagen and aggrecan synthesis also increased in response to the antiscorbutic forms but only in the absence of acidity. All ascorbic acid forms tended to increase oxidative damage over control. This was especially true for the non-nutrient D-forms and the high dose L-Asc. Finally, we investigated the ability of chondrocytes to express the newly described sodium-dependent vitamin C transporters (SVCTs). We identified transcripts for SVCT2 but not SVCT1 in guinea pig cartilage explants. This represents the first characterization of SVCTs in chondrocytes. This study confirms that ascorbic acid stimulates collagen synthesis and in addition modestly stimulates aggrecan synthesis. These effects are exerted at both transcriptional and post-transcriptional levels. The stereospecificity of these effects is consistent with chondrocyte expression of SVCT2, shown previously to transport L-Asc more efficiently than D-Asc. Therefore, this transporter may be the primary mechanism by which the L-forms of ascorbic acid enter the chondrocyte to control matrix gene activity.}, Language = {eng}, Key = {fds87708} } @article{fds87660, Author = {VB Kraus and JL Huebner and C Fink and JB King and S Brown and TP Vail and F Guilak}, Title = {Urea as a passive transport marker for arthritis biomarker studies.}, Journal = {Arthritis and rheumatism}, Volume = {46}, Number = {2}, Pages = {420-7}, Year = {2002}, Month = {February}, ISSN = {0004-3591}, Keywords = {Animals • Arthritis • Biological Markers • Biological Transport • Cartilage • Chymopapain • Dogs • Extracellular Matrix Proteins • Glucose • Glycoproteins • Joints • Keratan Sulfate • Lactic Acid • Osmolar Concentration • Synovial Fluid • Urea • analysis • chemically induced • chemistry • metabolism • metabolism* • physiology}, Abstract = {OBJECTIVE: To develop a method to correct for the unknown dilution of synovial fluid that occurs during lavage of a joint, we evaluated the utility of urea, a molecule that is neither synthesized nor metabolized by joint tissues, as a means of correcting for the dilutional effects of lavage procedures and effusions. METHODS: Joint fluids were obtained from normal canine joints by direct aspiration (n = 41) and lavage (n = 10). Acute joint injury was induced in 4 joints by intraarticular injection of chymopapain. Serum and joint fluid levels of urea and joint fluid concentrations of glucose, lactate, cartilage oligomeric matrix protein (COMP), and keratan sulfate (KS) were measured in these 55 joints. RESULTS: Urea concentrations in joint fluid were directly proportional to those in serum throughout a wide range of concentrations in normal joints. From this relationship, the dilution factor introduced by joint lavage was determined. This method was applied to quantify biomarker concentrations in synovial lavage fluid and was found to successfully correct for lavage-induced dilution of glucose, lactate, COMP, and KS to levels equivalent to those in samples aspirated directly. In the context of chymopapain-induced joint effusion, urea concentrations continued to be proportional to serum concentrations, but were much lower, enabling an estimation of the change in the volume of distribution (V(d)) of a marker due to a change in joint water content in the setting of inflammation characterized by effusion. Lactate and KS levels rose markedly in response to chymopapain. After adjustment for the V(d), the glucose concentration in the chymopapain-injected joints did not change. CONCLUSIONS: Urea provides a robust method of quantifying and correcting for the dilution of synovial fluid due to joint lavage or inflammation. This method is potentially applicable to surrogate marker studies in human arthritis.}, Language = {eng}, Key = {fds87660} } @article{fds87662, Author = {CS Carlson and F Guilak and TP Vail and JF Gardin and VB Kraus}, Title = {Synovial fluid biomarker levels predict articular cartilage damage following complete medial meniscectomy in the canine knee.}, Journal = {Journal of orthopaedic research : official publication of the Orthopaedic Research Society, United States}, Volume = {20}, Number = {1}, Pages = {92-100}, Year = {2002}, Month = {January}, ISSN = {0736-0266}, Keywords = {Animals • Biological Markers • Cartilage, Articular • Dogs • Knee Joint • Menisci, Tibial • Predictive Value of Tests • Synovial Fluid • Tibia • chemistry* • pathology • pathology* • surgery • surgery*}, Abstract = {The purposes of this study were to document the histological changes present in the tibial plateaus 12 weeks after complete medial meniscectomy in dogs and to determine if synovial lavage fluid biomarker levels are predictive of the severity of joint damage. Twelve adult dogs underwent complete unilateral medial meniscectomy and synovial lavage fluid biomarker levels, including cartilage oligomeric matrix protein (COMP), keratan sulfate (5D4). 3B3(-), and 3B3(+), were measured serially at 4-week intervals. The dogs were euthanized 12 weeks after surgery and each medial and lateral tibial plateau from the meniscectomized and contralateral knees was graded histologically. Histological data were analyzed using principal components analysis, which resulted in 4 factors that explained 70% of the variation in the data. Factor 2 (weighted most heavily by subchondral bone thickness) and Factor 3 (representative of articular cartilage damage) were significantly affected by compartmental site (P < 0.01 for both). Both of these factors were highest in the medial tibial plateau of the meniscectomized knee, and Factor 3 was significantly higher in this site than in the medial tibial plateau of the contralateral knee (P < 0.01). Peak levels of all 4 synovial lavage fluid biomarkers occurred at 4 weeks post-meniscectomy and 4-week minus baseline levels of all biomarkers were significantly correlated with the Factor 3 scores. This study demonstrates that significant articular cartilage damage occurs relatively quickly following complete medial meniscectomy in dogs and establishes the content and criterion validity for these synovial fluid lavage biomarkers in canine meniscectomy as surrogate measures of articular cartilage damage.}, Key = {fds87662} } @article{fds87711, Author = {V Vilím and R Vytásek and M Olejárová and S Machácek and J Gatterová, B Procházka and VB Kraus and K Pavelka}, Title = {Serum cartilage oligomeric matrix protein reflects the presence of clinically diagnosed synovitis in patients with knee osteoarthritis.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, England}, Volume = {9}, Number = {7}, Pages = {612-8}, Year = {2001}, Month = {October}, ISSN = {1063-4584}, Keywords = {Adult • Age Factors • Aged • Analysis of Variance • Antibodies, Monoclonal • Biological Markers • C-Reactive Protein • Confidence Intervals • Enzyme-Linked Immunosorbent Assay • Extracellular Matrix Proteins • Female • Glycoproteins • Humans • Linear Models • Male • Middle Aged • Normal Distribution • Osteoarthritis, Knee • Sensitivity and Specificity • Severity of Illness Index • Statistics, Nonparametric • Synovitis • analysis • blood • blood* • complications • diagnostic use • etiology • methods}, Abstract = {OBJECTIVE: Cartilage oligomeric matrix protein (COMP) is a component of articular cartilage whose serum levels show a strong correlation with radiographic osteoarthritis (OA) status. It has recently been found, however, that COMP is also produced in synovium. To assess the hypothesis that synovitis affects serum COMP levels in patients with knee OA, we collected sera for COMP simultaneous with a clinical examination for synovitis. DESIGN: Sera were collected from OA patients who fulfilled the American College of Rheumatology criteria for knee OA. Radiographs were classified according to the grading system of Kellgren and Lawrence. Synovitis was diagnosed clinically by joint tenderness plus swelling and/or increased warmth over the joint. COMP levels in sera were measured by inhibition ELISA with monoclonal antibody (mAb) 17-C10. RESULTS: Serum COMP levels were significantly correlated with age, synovitis and an interaction of synovitis and OA severity. Synovitis showed the strongest effect on COMP levels (R=0.1587, P< 0.01), in contrast to C-reactive protein, duration of OA and OA severity score which showed no significant effect on COMP levels. Individual signs of synovitis, namely, joint tenderness and warmth had a significant effect on serum COMP levels while swelling alone did not. CONCLUSION: Synovitis exerts a significant effect on serum COMP levels measured with mAb 17-C10 in OA patients. These findings underscore the importance of the clinical joint examination to assess for synovitis, when attempting to apply objective measures, such as COMP, to the clinical setting.}, Key = {fds87711} } @article{fds87702, Author = {JY Wang and AE Baer and VB Kraus and LA Setton}, Title = {Intervertebral disc cells exhibit differences in gene expression in alginate and monolayer culture.}, Journal = {Spine, United States}, Volume = {26}, Number = {16}, Pages = {1747-51; discussion 1752}, Year = {2001}, Month = {August}, ISSN = {0362-2436}, Keywords = {Aggrecans • Alginates • Animals • Cells, Cultured • Collagen • Culture Media • Culture Techniques • DNA Primers • Extracellular Matrix Proteins* • Gene Expression • Glucuronic Acid • Hexuronic Acids • Intervertebral Disk • Lectins, C-Type • Lumbar Vertebrae • Phenotype • Proteoglycans • RNA, Messenger • Reverse Transcriptase Polymerase Chain Reaction • Swine • biosynthesis • chemistry • cytology • drug effects* • genetics* • metabolism • methods* • pharmacology*}, Abstract = {STUDY DESIGN: The mRNA levels of aggrecan and collagen were quantified in intervertebral disc cells cultured under three conditions: primary alginate culture, monolayer culture, and re-encapsulation in alginate after monolayer culture. OBJECTIVES: To compare the phenotype of intervertebral disc cells under different culture conditions and to investigate the reversibility of cell phenotype after re-encapsulation in alginate after monolayer culture. SUMMARY OF BACKGROUND DATA: The intervertebral disc contains heterogeneous populations of cells that vary with anatomic region. These cells possess significant differences in phenotype that can be preserved in vitro, although the effect of culture conditions on the phenotype of these cells is poorly understood. METHODS: The intervertebral disc cells of 4-5-month-old pigs were isolated enzymatically from three anatomic zones: anulus fibrosus (AF), transition zone (TZ), and nucleus pulposus (NP). Gene expression levels of aggrecan and collagen Types I and II were measured using a quantitative reverse transcriptase--polymerase chain reaction. RESULTS: Gene expression levels of anulus fibrosus and transition zone cells were shifted in monolayer compared with alginate, although the shift was partially reversed when re-encapsulated in alginate. However, NP cells appeared to be insensitive to culture conditions. Furthermore, characteristic patterns of gene expression among AF, TZ, and NP cells in primary alginate culture did not exist in monolayer culture, but they were also observed after re-encapsulation in alginate. CONCLUSION: The findings of this study suggest that anulus fibrosus and transition zone cells undergo a reversible shift in phenotype when cultured in monolayer compared with alginate. These differences suggest that the culture system exerts a strong influence on cell phenotype and may play a role in the response of these cells to biophysical and biochemical stimuli in vitro.}, Key = {fds87702} } @article{fds87698, Author = {EW St Clair and WE Wilkinson and DS Pisetsky and DJ Sexton and R Drew and VB Kraus and RA Greenwald}, Title = {The effects of intravenous doxycycline therapy for rheumatoid arthritis: a randomized, double-blind, placebo-controlled trial.}, Journal = {Arthritis and rheumatism, United States}, Volume = {44}, Number = {5}, Pages = {1043-7}, Year = {2001}, Month = {May}, ISSN = {0004-3591}, Keywords = {Adult • Amino Acids • Anti-Bacterial Agents • Arthritis, Rheumatoid • Azithromycin • Collagen • Double-Blind Method • Doxycycline • Female • Humans • Injections, Intravenous • Male • Middle Aged • Patient Dropouts • administration & dosage • administration & dosage* • adverse effects • drug therapy* • metabolism • urine}, Abstract = {OBJECTIVE: To determine the feasibility, safety, and potential clinical efficacy of intravenous (IV) doxycycline therapy for rheumatoid arthritis (RA), as well as its possible effects on serum and urinary markers of collagen breakdown. METHODS: The exploratory trial was designed as a 16-week, single-center, randomized, double-blind, placebo-controlled trial. Eligible subjects with active seropositive or erosive RA were randomly allocated into 3 treatment groups: doxycycline 200 mg IV, azithromycin 250 mg orally, or placebo. The blinded IV study drug was administered once daily for the first 3 weeks by home self-infusion and then weekly for the next 8 weeks, concurrent with the blinded oral study drug at the prescribed doses. The primary end points were the change between baseline and week 4 in the tender joint count, erythrocyte sedimentation rate, and urinary excretion of pyridinoline. RESULTS: The trial was stopped prematurely after enrollment of 31 patients. Three subjects were withdrawn because of worsening arthritis, and 1 patient was withdrawn when newly diagnosed with breast cancer. Infusion-related events occurred in 13 (42%) of 31 patients, but none were serious. There were 4 serious adverse events unrelated to the study drug, including a new diagnosis of breast cancer in 3 cases and hospitalization for abdominal pain in 1 case. No significant differences were observed across treatment groups in any of the 3 primary clinical end points. CONCLUSION: Although IV doxycycline therapy was generally well-tolerated by patients in this trial, it did not show any evidence of reducing disease activity or collagen crosslink production.}, Key = {fds87698} } @article{fds87692, Author = {AE Baer and JY Wang and VB Kraus and LA Setton}, Title = {Collagen gene expression and mechanical properties of intervertebral disc cell-alginate cultures.}, Journal = {Journal of orthopaedic research : official publication of the Orthopaedic Research Society, United States}, Volume = {19}, Number = {1}, Pages = {2-10}, Year = {2001}, Month = {January}, ISSN = {0736-0266}, Keywords = {Alginates • Animals • Biomechanics • Cells, Cultured • Collagen • Glucuronic Acid • Hexuronic Acids • Intervertebral Disk • RNA, Messenger • Swine • analysis • cytology* • genetics* • metabolism}, Abstract = {Cells of the intervertebral disc have a limited capacity for matrix repair that may contribute to the onset and progression of degenerative disc changes. In this study, the biosynthetic capacity of cells isolated from specific regions of the porcine intervertebral disc was evaluated in vitro. Using a competitive reverse transcription-polymerase chain reaction technique, gene expression levels for types I and II collagen were quantified in cells cultured for up to 21 d in a three-dimensional alginate culture system and compared to levels obtained for cells in vivo. The mechanical properties of cell-alginate constructs were measured in compression and shear after periods of culture up to 16 weeks. Cells from the anulus fibrosus expressed the most type I collagen mRNA in vivo and in vitro, while cells from the transition zone expressed the most type II collagen mRNA in vivo and in vitro. Mechanical testing results indicate that a mechanically functional matrix did not form at any time during the culture period; rather, decreases of up to 50% were observed in the compressive and shear moduli of the cell-alginate constructs compared to alginate with no cells. Together with results of prior studies, these results suggest that intervertebral disc cells maintain characteristics of their phenotype when cultured in alginate, but the molecules they synthesize are not able to form a mechanically functional matrix in vitro.}, Key = {fds87692} } @article{fds87649, Title = {3. Wang, YJ, AE. Baer, VB Kraus, and LA Setton. 2001. Intervertebral Disc Cells Exhibit Differences in Gene Expression in Alginate and Monolayer Culture. Spine 26: 1747-1751.}, Year = {2001}, Key = {fds87649} } @article{fds87650, Title = {6. Kraus, VB, JL Huebner, C Fink, J King, S Brown, TP Vail and F Guilak. 2001. Urea as a passive transport marker for arthritis biomarker studies. Arthritis & Rheum (In Press).}, Year = {2001}, Key = {fds87650} } @article{fds87651, Title = {10. Flahiff, CM, Narmoneva DA, Huebner JL, Kraus VB, Guilak F and Setton LA. 2001. Osmotic loading to determine the intrinsic material properties of guinea pig knee cartilage. J Biomechanics (In Press).}, Year = {2001}, Key = {fds87651} } @article{fds87652, Title = {3. St. Clair, EW and VB Kraus. 2001. The pathophysiology and treatment of rheumatoid arthritis and osteoarthritis. In The Pathophysiology and Therapeutics of Human Disease, eds, F Neelon, in press.}, Year = {2001}, Key = {fds87652} } @article{fds87653, Title = {4. VB Kraus, Y Li, E Martin, JA Jordan, JB Renner, M Doherty, AG Wilson, R Moskowitz, M Hochberg, R Loeser, Scott Sundseth. 2001. Articular hypermobility and hand osteoarthritis. Arthritis Rheum 44 (9 Suppl): 529.}, Year = {2001}, Key = {fds87653} } @article{fds87654, Title = {5. Chen,J; JY Wang; AE Baer, VB Kraus and LA Setton. 2002. Zone analysis of gene expression in intervertebral disc tissue by cDNA microarray and real- time quantitative RT-PCR. Trans Orthop Res Soc 27: 811.}, Year = {2001}, Key = {fds87654} } @article{fds87655, Title = {7. Rohrbaugh, R, A Clark and VB Kraus. 2002 meeting. The effects of ascorbic acid on cartilage metabolism in articular cartilage explants. Trans Orthop Res Soc 27: 373.}, Year = {2001}, Key = {fds87655} } @article{fds87673, Title = {1. Baer AE, Wang JY, Kraus VB, Setton LA: Collagen gene expression and mechanical properties of intervertebral disc cell-alginate cultures. J Orthop Res 19:2-10, 2001.}, Year = {2001}, Key = {fds87673} } @article{fds87674, Title = {2. Vilim, V, R Vytasek, M Olejarova, S Machasek, J Gatterova, B Prochazka, VB Kraus, and K Pavelka. 2001. Serum cartilage oligomeric matrix protein reflects the presence of clinically diagnosed synovitis in patients with knee osteoarthritis. Osteoarthritis & Cartilage 9:612-618.}, Year = {2001}, Key = {fds87674} } @article{fds87675, Title = {4. Hale, LP, AG Clark, J Li, PK Greer and VB Kraus. 2001. Age-related thymic atrophy in the guinea pig: effects of long-term supplementation with vitamin C. Developmental and Comparative Immunology 25: 509-518.}, Year = {2001}, Key = {fds87675} } @article{fds87676, Title = {5. St.Clair, WE, WE Wilkinson, DS Pisetsky, DJ Sexton, R Drew, VB Kraus and RW Greenwald. 2001. Intravenous doxycycline therapy for rheumatoid arthritis. Arthritis Rheum 44(5):1043-1047.}, Year = {2001}, Key = {fds87676} } @article{fds87677, Title = {7. Carlson, CS, F Guilak, TP Vail, JF Gardin and VB Kraus. 2001. Synovial fluid biomarker levels predict articular cartilage damage following complete medial meniscectomy in the canine knee. J Orthopaedic Res (in press).}, Year = {2001}, Key = {fds87677} } @article{fds87678, Title = {*Guilak, F, LA Setton, and VB Kraus. 2000. Structure and function of articular cartilage. In Principles and Practice of Orthopaedic Sports Medicine, eds. WE Garrett Jr., KP Speer, and DT Kirkendall, Lippincott Williams and Wilkins, Philadelphia, pp. 53-73.}, Year = {2001}, Key = {fds87678} } @article{fds87679, Title = {2. *Kraus, VB and D Wiggin. Arthritis. 2002. In Textbook of Clinical Exercise Physiology, eds. J Ehrman, P Gordan, P Visich and S Keteyian, Human Kinetics, Champaign, IL., in press.}, Year = {2001}, Key = {fds87679} } @article{fds87680, Title = {4. *Kraus, VB and E Martin. 2002. Laboratory approaches to the identification of genetic association in osteoarthritis. In Osteoarthritis (2nd ed), eds, K Brandt, M Doherty and S Lohmander, Oxford University Press, Oxford, in press.}, Year = {2001}, Key = {fds87680} } @article{fds87681, Title = {Published Abstracts or Transactions (year 2001) 1. Vilim, V, S Machacek, L Sedova, J Gatterova, VB Kraus and K Pavelka. 2001. Determination of serum COMP by sandwich ELISA indicates no prognostic value in early rheumatoid arthriits. Transactions of the Orthopaedic Research Society (26): 648.}, Year = {2001}, Key = {fds87681} } @article{fds87682, Title = {2. Huguenin, T, JM Jordan, VB Kraus, G Luta, JB Renner, AD Dragomir, A Salazar, MC Hochberg and CG Helmick. 2001. Clinical and symptomatic hand osteoarthritis and functional status. Arthritis Rheum 44 (9 Suppl): 1042.}, Year = {2001}, Key = {fds87682} } @article{fds87683, Title = {3. VB Kraus, G Varju, Y Li, E Martin, JA Jordan, JB Renner, M Doherty, AG Wilson, R Moskowitz, M Hochberg, R Loeser, S Sundseth. 2001. Assessment of the usefulness of clinical hand examination for determination of OA affected status for genetic studies. Arthritis Rheum 44 (9 Suppl): 528.}, Year = {2001}, Key = {fds87683} } @article{fds87684, Title = {6. Vilim, V, M Olejarova, S Machacek, J Gatterova, VB Kraus and K Pavelka. 2002 meeting. Serum levels of COMP correlate with radiographic progression of knee osteoarthritis. Trans Orthop Res Soc 27: 421.}, Year = {2001}, Key = {fds87684} } @article{fds87685, Author = {E Lindhorst and TP Vail and F Guilak and H Wang and LA Setton and V Vilim and VB Kraus}, Title = {Longitudinal characterization of synovial fluid biomarkers in the canine meniscectomy model of osteoarthritis.}, Journal = {Journal of orthopaedic research : official publication of the Orthopaedic Research Society, UNITED STATES}, Volume = {18}, Number = {2}, Pages = {269-80}, Year = {2000}, Month = {March}, ISSN = {0736-0266}, Keywords = {Animals • Bacterial Proteins • Biological Markers • Cartilage, Articular • Chondroitin Sulfates • Disease Models, Animal* • Dogs • Epitopes • Keratan Sulfate • Male • Membrane Proteins* • Menisci, Tibial • Osteoarthritis • Synovial Fluid • Transferases* • analysis* • chemistry* • metabolism* • pathology • surgery*}, Abstract = {Damage to the meniscus can lead to posttraumatic osteoarthritis. Early markers of joint injury and tissue disease may be useful in developing and administering clinical treatment. We investigated the effects of total medial meniscectomy on biomarkers measured serially in synovial lavage fluid each month for 3 months. Following meniscectomy in dogs, four biomarkers were evaluated: cartilage oligomeric matrix protein, keratan sulfate epitope (5D4), the 3B3(-) neoepitope of chondroitin-6-sulfate, and the 3B3(+) chondroitinase-generated epitope of chondroitin-6-sulfate. Meniscectomy led to statistically significant elevations of all four biomarkers, with levels peaking at 4 weeks. By 12 weeks, the level of the 5D4 epitope returned to the preoperative baseline level whereas that of cartilage oligomeric matrix protein, 3B3(-), and 3B3(+) remained above the baseline. Concentrations of these biomarkers in the knees not operated on did not change significantly from the baseline. The levels of cartilage oligomeric matrix protein and 3B3(-) relative to 3B3(+) remained constant in all knees. In contrast, the level of 5D4 relative to 3B3(+) declined over time in the knee operated on but remained constant in the knee not operated on. These results demonstrate a quantitative change in the molecular components of synovial fluid after meniscectomy, as well as a qualitative change evinced by an alteration in the relative proportions of these epitopes. Extensive analyses showed a strong correlation between serum levels of 3B3(-) from the femoral and cephalic veins; however, serum 3B3(-) was not correlated with synovial fluid 3B3(-). These findings support the hypothesis that the concentrations of select cartilage biomarkers in synovial fluid are altered following meniscectomy and are promising tools for objectively monitoring the induction of osteoarthritis in this model system.}, Key = {fds87685} } @article{fds87646, Title = {4. Lindhorst, E, TP Vail, F Guilak, H Wang, LA Setton, V Vilim, and VB Kraus. 2000. Longitudinal characterization of synovial fluid biomarkers in the canine meniscectomy model of osteoarthritis. J Orthop Res 18:269-280.}, Year = {2000}, Key = {fds87646} } @article{fds87686, Author = {AG Clark and JM Jordan and V Vilim and JB Renner and AD Dragomir and G Luta, VB Kraus}, Title = {Serum cartilage oligomeric matrix protein reflects osteoarthritis presence and severity: the Johnston County Osteoarthritis Project.}, Journal = {Arthritis and rheumatism, UNITED STATES}, Volume = {42}, Number = {11}, Pages = {2356-64}, Year = {1999}, Month = {November}, ISSN = {0004-3591}, Keywords = {Aged • Aged, 80 and over • Biological Markers • Disease Progression • Extracellular Matrix Proteins • Female • Glycoproteins • Hip Joint • Humans • Knee Joint • Male • Middle Aged • Osteoarthritis, Knee • blood • blood* • radiography}, Abstract = {OBJECTIVE: To characterize serum cartilage oligomeric matrix protein (COMP) levels by age and gender for a radiographically defined population free of hip and knee osteoarthritis (OA), and to examine the potential utility of COMP as a diagnostic biomarker for knee OA. METHODS: Serum samples and knee and hip radiographs were obtained at a baseline evaluation as part of the Johnston County Osteoarthritis Project, a population-based study of OA in rural North Carolina. A total of 291 Caucasian participants were randomly selected for COMP analysis, 143 patients with radiographic knee OA (Kellgren/Lawrence [K/L] grade > or = 2) and 148 controls with neither hip nor knee OA (K/L grade 0), evenly distributed by age and gender. COMP was quantified by competitive enzyme-linked immunosorbent assay with monoclonal antibody 17-C10. The natural log-transformed COMP data were analyzed using general linear models. RESULTS: Serum COMP levels were significantly elevated (P = 0.0001) in the age > or = 65 group (mean +/- SD 1,302.1 +/- 496.7 ng/ml) versus the age 45-54 and age 55-64 groups (1,058.1 +/- 432.4 and 1,038.6 +/- 313.3, respectively). Serum COMP levels of the OA group were significantly higher than those of the control group (1,208.57 +/- 487.47 ng/ml versus 1,061.83 +/- 370.58 ng/ml; P = 0.0093). Serum COMP levels also increased significantly with knee OA K/L grade (P = 0.0047), knee OA laterality (P = 0.0043), and number of knee and hip joints involved (P = 0.0001). There was no significant difference in serum COMP levels by gender or obesity. CONCLUSION: We demonstrate that in a population-based sample, serum COMP levels can distinguish an OA-affected subgroup from an unaffected subgroup and can reflect disease severity and multiple joint involvement in OA.}, Key = {fds87686} } @article{fds87666, Title = {3. Clark, AG, J Jordan, V Vilim, JB Renner, A Dragomir, G Luta, and VB Kraus. 1999. Serum cartilage oligomeric matrix protein reflects osteoarthritis presence and severity: the Johnston County Osteoarthritis Project. Arthritis Rheum 42(11): 2356-2364.}, Year = {1999}, Key = {fds87666} } @article{fds87688, Author = {JL Huebner and IG Otterness and EM Freund and B Caterson and VB Kraus}, Title = {Collagenase 1 and collagenase 3 expression in a guinea pig model of osteoarthritis.}, Journal = {Arthritis and rheumatism, UNITED STATES}, Volume = {41}, Number = {5}, Pages = {877-90}, Year = {1998}, Month = {May}, ISSN = {0004-3591}, Keywords = {Animals • Blotting, Southern • Collagenases • DNA Primers • Disease Models, Animal • Glyceraldehyde-3-Phosphate Dehydrogenases • Guinea Pigs • Humans • Immunohistochemistry • Male • Matrix Metalloproteinase 1 • Matrix Metalloproteinase 13 • Menisci, Tibial • Mice • Osteoarthritis • Polymerase Chain Reaction • RNA, Messenger • Rats • Species Specificity • chemistry • enzymology • enzymology* • etiology • genetics • metabolism • metabolism* • pathology}, Abstract = {OBJECTIVE: To analyze the in vivo compartmental expression of collagenases 1 and 3 (MMP-1 and MMP-13) in the Hartley guinea pig model of spontaneously occurring osteoarthritis (OA) for the purpose of elucidating their roles in the pathogenesis of OA. METHODS: Competitive reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemistry quantification of messenger RNA (mRNA) and protein levels in medial and lateral tibial cartilage obtained from the knee joints of 2-month-old (no OA) and 12-month-old (OA) guinea pigs. RESULTS: The patterns of mRNA expression of collagenases 1 and 3 varied with the age of the animal and the compartment of the knee. We also found focal areas of collagenase 1 and collagenase 3 proteins localized to the extracellular matrix of OA lesion sites, coincident with three-quarter/one-quarter collagen cleavage. Collagenase 3 protein was also abundant throughout the medial tibial cartilage of 2-month-old animals. CONCLUSION: This represents the first description of bona fide collagenase 1 in a rodent species. Recent evidence, however, based on analysis of mitochondrial DNA homologies, suggests that the guinea pig is not a member of the order Rodentia and may be more closely allied with lagomorphs. This taxonomic controversy leaves open to question the issue of the expression of collagenase 1 in other rodents, such as mice and rats. The presence of active collagenases 1 and 3 at OA lesion sites is consistent with an important role of these enzymes in the cartilage degradation of OA in guinea pigs. The expression of collagenase 3 in medial tibial cartilage from 2-month-old guinea pigs may signify a role of this enzyme in cartilage remodeling with growth and development, or it may represent an early molecular manifestation of OA.}, Key = {fds87688} } @article{fds87665, Title = {2. Huebner, JL, IG Otterness, EMN Freund, B Caterson and VB Kraus. 1998. Collagenase-1 and Collagenase-3 Expression in a Guinea Pig Model of Osteoarthritis. Arthritis Rheum 41(5): 877-890.}, Year = {1998}, Key = {fds87665} } @article{fds87659, Author = {AE Bello and WE Garrett and H Wang and J Lohnes and E DeLong and B Caterson, VB Kraus}, Title = {Comparison of synovial fluid cartilage marker concentrations and chondral damage assessed arthroscopically in acute knee injury.}, Journal = {Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, ENGLAND}, Volume = {5}, Number = {6}, Pages = {419-26}, Year = {1997}, Month = {November}, ISSN = {1063-4584}, Keywords = {Acute Disease • Adolescent • Adult • Arthroscopy • Biological Markers • Cartilage, Articular • Epitopes • Female • Glycosaminoglycans • Humans • Injury Severity Score • Knee Injuries • Male • Middle Aged • Prospective Studies • Single-Blind Method • Synovial Fluid • analysis • analysis* • chemistry* • metabolism* • pathology • pathology*}, Abstract = {OBJECTIVE: To examine the correlation between synovial fluid cartilage markers and degree of cartilage damage determined by arthroscopic evaluation in subjects with acute knee injury. DESIGN: Chondral damage was quantified using a validated arthroscopic scoring system in 20 subjects with effusive acute knee injuries of less then 4 months duration and no history or radiographic evidence of joint pathology. Levels of synovial fluid 3B3(-) neoepitope, 3B3(+) chondroitinase generated epitope of proteoglycan, keratan sulfate (KS) and hyaluronic acid (HA) were measured by competitive enzyme-linked immunosorbent assays using monoclonal antibodies 3B3 and 5D4. Total sulfated glycosaminoglycan (GAG) was measured by 1,9-dimethylmethylene blue colorimetric dye-binding assay. RESULTS: We found a dramatic decrease in levels of 3B3(-) (rs = -0.62, P = 0.004), and GAG (rs = -0.49, P = 0.03) with increasing chondral damage score; but no correlation of damage score with 3B3(+), KS or HA levels. CONCLUSION: These data reveal a change in cartilage metabolism within the first 4 months of symptomatic knee injury evinced by a significant inverse correlation of 3B3(-) and GAG levels to chondral lesion severity. These results suggest that serial measurement of these synovial fluid markers in the setting of acute knee injury could predict chondral lesion severity and aid in the decision to intervene surgically.}, Key = {fds87659} } @article{fds87694, Author = {VB Kraus}, Title = {Pathogenesis and treatment of osteoarthritis.}, Journal = {The Medical clinics of North America, UNITED STATES}, Volume = {81}, Number = {1}, Pages = {85-112}, Year = {1997}, Month = {January}, ISSN = {0025-7125}, Keywords = {Cartilage, Articular • Disease Progression • Environment • Feasibility Studies • Humans • Molecular Biology • Osteoarthritis • Risk Factors • classification • drug therapy • etiology* • genetics • pathology}, Abstract = {OA represents the final common pathway of a number of pathologic processes. The challenge is to define and classify the subsets of OA to understand the causes and to devise specific therapies. Effective chondroprotective therapies will be most useful when applied to high-risk individuals before the emergence of symptomatic OA. This will be feasible only with an improved understanding of the complex interaction of genes and environment in the OA disease process. Moreover, identifying the heritable bases of this disease will provide insight into the molecular mechanisms of the complex pathway that results in OA. Clinicians who encounter and treat OA patients can look forward to the development of more effective and innovative therapies based on a rapidly improving understanding of OA.}, Key = {fds87694} } @article{fds87648, Title = {Huebner, JL, IG Otterness, EMN Freund, B Caterson and VB Kraus. 1997. Collagenase-1 and Collagenase-3 Expression in a Guinea Pig Model of Osteoarthritis. Arthritis Rheum (in press).}, Year = {1997}, Key = {fds87648} } @article{fds87664, Title = {1. Kraus, VB. 1997. Pathogenesis and Treatment of Osteoarthritis. Med. Clinics of North Amer. 81(1): 85-112.}, Year = {1997}, Key = {fds87664} } @article{fds87671, Title = {MANUSCRIPTS Bello, AE, WE Garrett, H Wang, J Lohnes, E DeLong, B Caterson and VB Kraus. 1997. Comparison of synovial fluid cartilage marker concentrations and chondral damage assessed arthroscopically in acute knee injury. Osteo & Cartilage 5(6):419-426.}, Year = {1997}, Key = {fds87671} } @article{fds87672, Title = {ABSTRACTS Lindhorst, E, TP Vail, F Guilak, LA Setton, SP Scully and VB Kraus. 1997. Longitudinal characterization of the canine meniscectomy model of osteoarthritis with cartilage biomarkers. Trans Ortho Res Soc 22: 425. Huebner, JL, EMN Freund, B Caterson, and VB Kraus. 1997. Identification and localization of collagenase in a guinea pig model of osteoarthritis. Trans Ortho Res Soc 22: 172. Kraus, VB, N Gell and H Wang. 1997. Pilot study of bone and cartilage serum biomarkers with aquatic exercise. (poster and podium presentation) Arthritis Research Conference co-sponsored by ACR, AF and NIAMS, C18. Kraus, VB and AE Clark. 1997. Selective uptake of aggrecan fragments by arthritic synovial fibroblasts. 1997. Arthritis Research Conference co-sponsored by ACR, AF and NIAMS, P56. Huebner, JL and VB Kraus. 1998. Collagenase-3 expression in a guinea pig model of osteoarthritis. 44th Annual Meeting of the Orthopaedic Research Society, New Orleans. (accepted) Clark, AG, V Vilim and VB Kraus. 1998. Production of cartilage oligomeric matrix protein MRNA and protein by cultured human synovial fibroblasts. 44th Annual Meeting of the Orthopaedic Research Society, New Orleans. (accepted) Lindhorst, E, F Guilak, SP Scully, TP Vail, V Vilim, A Smitten and VB Kraus. 1998. Allograft reconstruction of the medial meniscus prevents synovial fluid biomarker elevations following total meniscectomy. 44th Annual Meeting of the Orthopaedic Research Society, New Orleans. (accepted, podium presentation).}, Year = {1997}, Key = {fds87672} } @article{fds87670, Title = {Kraus, V.M.B., C.E. Hughes, P. Neame, D. Heinegard, J. Dudhia, T. Hardingham, and B. Caterson. 1996. Production and characterization of a novel monoclonal antibody to the G3 domain of cartilage aggrecan. Trans. Orthop. Res. Soc. 22: 763.}, Year = {1996}, Key = {fds87670} } @article{fds87663, Author = {VB Kraus and JA Inostroza and K Yeung and D Reinberg, JR Nevins}, Title = {Interaction of the Dr1 inhibitory factor with the TATA binding protein is disrupted by adenovirus E1A.}, Journal = {Proceedings of the National Academy of Sciences of the United States of America, UNITED STATES}, Volume = {91}, Number = {14}, Pages = {6279-82}, Year = {1994}, Month = {July}, ISSN = {0027-8424}, Keywords = {Adenovirus E1A Proteins • Animals • DNA-Binding Proteins • Glutathione Transferase • Heat-Shock Proteins • Hela Cells • Humans • Luciferases • Phosphoproteins • Rabbits • Recombinant Fusion Proteins • TATA Box • TATA-Box Binding Protein • Transcription Factors • Transcription, Genetic • Transfection • biosynthesis • isolation & purification • metabolism • metabolism*}, Abstract = {Past experiments have shown that the adenovirus E1A12S product activates the hsp70 promoter, dependent on the TATA element and dependent on N-terminal E1A sequences. Other experiments have identified a factor termed Dr1 that interacts with and inhibits the transcriptional activity of the TATA-binding protein (TBP). We now find that the E1A12S protein can disrupt the interaction of the Dr1 factor with the TATA-specific TBP factor, allowing the productive interaction of TBP with TFIIA. This E1A-mediated disruption is dependent on N-terminal sequences that are also essential for the TATA-dependent trans-activation of the hsp70 promoter. Moreover, we also find that Dr1 expression in transfected cells can inhibit transcription from the hsp70 promoter and that this can be overcome by coexpression of the wild-type E1A protein, dependent on N-terminal sequences. We conclude that the activation of hsp70 through the TATA element may be mechanistically similar to the activation of the E2 promoter via E2F, in each case involving a release of a transcription factor from an inactive complex.}, Key = {fds87663} } @article{fds87647, Title = {Kraus, V.B., C.H. Hughes and B. Caterson. 1994. Uptake of chondroitin-sulfate bearing fragments of cartilage aggrecan by rheumatoid and osteoarthritic synovial fibroblasts. Arthritis & Rheumatism 37(9) Suppl.: S192.}, Year = {1994}, Key = {fds87647} } @article{fds87669, Title = {Kraus, V.B., J.A. Inostroza, K. Yeung, D. Reinberg, and J.R. Nevins. 1994. Interaction of the Dr1 inhibitory factor with the TATA binding protein is disrupted by adenovirus E1A. Proc. Nat'l. Acad. Sci. USA. 91:6279-6282.}, Year = {1994}, Key = {fds87669} } @article{fds87696, Author = {DA Taylor and VB Kraus and JJ Schwarz and EN Olson and WE Kraus}, Title = {E1A-mediated inhibition of myogenesis correlates with a direct physical interaction of E1A12S and basic helix-loop-helix proteins.}, Journal = {Molecular and cellular biology, UNITED STATES}, Volume = {13}, Number = {8}, Pages = {4714-27}, Year = {1993}, Month = {August}, ISSN = {0270-7306}, Keywords = {Adenovirus E1A Proteins • Base Sequence • Cell Differentiation • Creatine Kinase • DNA-Binding Proteins • Enhancer Elements (Genetics) • Gene Expression Regulation • Humans • Molecular Sequence Data • Muscle Proteins • Muscles • Myogenin • Oligodeoxyribonucleotides • Protein Binding • Recombinant Fusion Proteins • Repressor Proteins • Structure-Activity Relationship • Transcription Factors • Transcription, Genetic • Tumor Cells, Cultured • chemistry • cytology* • genetics* • metabolism*}, Abstract = {The observation that adenovirus E1A gene products can inhibit differentiation of skeletal myocytes suggested that E1A may interfere with the activity of myogenic basic helix-loop-helix (bHLH) transcription factors. We have examined the ability of E1A to mediate repression of the muscle-specific creatine kinase (MCK) gene. Both the E1A12S and E1A13S products repressed MCK transcription in a concentration-dependent fashion. In contrast, amino-terminal deletion mutants (d2-36 and d15-35) of E1A12S were defective for repression. E1A12S also repressed expression of a promoter containing a multimer of the MCK high-affinity E box (the consensus site for myogenic bHLH protein binding) that was dependent, in C3H10T1/2 cells, on coexpression of a myogenin bHLH-VP16 fusion protein. A series of coprecipitation experiments with glutathione S-transferase fusion and in vitro-translated proteins demonstrated that E1A12S, but not amino-terminal E1A deletion mutants, could bind to full-length myogenin and E12 and to deletion mutants of myogenin and E12 that spare the bHLH domains. Thus, the bHLH domains of myogenin and E12, and the high-affinity E box, are targets for E1A-mediated repression of the MCK enhancer, and domains of E1A required for repression of muscle-specific gene transcription also mediate binding to bHLH proteins. We conclude that E1A mediates repression of muscle-specific gene transcription through its amino-terminal domain and propose that this may involve a direct physical interaction between E1A and the bHLH region of myogenic determination proteins.}, Key = {fds87696} } @article{fds87667, Title = {Taylor, D.A., V.B. Kraus, J.J. Schwarz, E.N. Olson, and W.E. Kraus. 1993. E1A-mediated inhibition of myogenesis correlates with a direct physical interaction of E1A12S and basic-helix-loop-helix proteins. Mol. Cell. Biol. 13:4714-4727.}, Year = {1993}, Key = {fds87667} } @article{fds87668, Title = {Kraus, V.M.B. 1993. Transcriptional control mechanisms by E1A and E1A-like DNA tumor viral oncoproteins. Ph.D. Thesis. Duke University.}, Year = {1993}, Key = {fds87668} } @article{fds87691, Author = {VB Kraus and E Moran, JR Nevins}, Title = {Promoter-specific trans-activation by the adenovirus E1A12S product involves separate E1A domains.}, Journal = {Molecular and cellular biology, UNITED STATES}, Volume = {12}, Number = {10}, Pages = {4391-9}, Year = {1992}, Month = {October}, ISSN = {0270-7306}, Keywords = {Adenovirus E1A Proteins • Binding Sites • Blotting, Western • Cell Line • Cloning, Molecular • Heat-Shock Proteins • Precipitin Tests • Promoter Regions (Genetics)* • Trans-Activation (Genetics)* • Trans-Activators • Transfection • chemistry • genetics • genetics* • metabolism*}, Abstract = {Recent studies have shown that the adenovirus E1A12S product can trans-activate transcription by activating the transcription factor E2F. However, E2F cannot be the only target for the E1A12S product, since several cellular promoters have been found to be activated by the E1A12S protein even though they lack E2F sites. Indeed, we now show that activation of the hsp70 promoter by the E1A12S product requires the TATAA sequence. Moreover, activation of the hsp70 promoter requires the N-terminal domain of the E1A protein and does not require the conserved region 2 sequences which are required for the E2F-dependent activation of transcription. We conclude that the targeting of distinct transcription factors, leading to trans-activation of transcription of multiple promoters, involves distinct domains of the E1A proteins that are also required for oncogenic activity.}, Key = {fds87691} } @article{fds87657, Author = {S Chellappan and VB Kraus and B Kroger and K Munger and PM Howley and WC Phelps, JR Nevins}, Title = {Adenovirus E1A, simian virus 40 tumor antigen, and human papillomavirus E7 protein share the capacity to disrupt the interaction between transcription factor E2F and the retinoblastoma gene product.}, Journal = {Proceedings of the National Academy of Sciences of the United States of America, UNITED STATES}, Volume = {89}, Number = {10}, Pages = {4549-53}, Year = {1992}, Month = {May}, ISSN = {0027-8424}, Keywords = {Adenovirus Early Proteins • Amino Acid Sequence • Antigens, Polyomavirus Transforming • Carrier Proteins* • Cell Cycle Proteins* • Cell Line • Cell Line, Transformed • Cyclins • DNA-Binding Proteins* • E2F Transcription Factors • Female • Genes, Retinoblastoma • Glutathione Transferase • Hela Cells • Humans • Molecular Sequence Data • Oncogene Proteins, Viral • Papillomaviridae • Recombinant Fusion Proteins • Retinoblastoma Protein • Sequence Homology, Nucleic Acid • Simian virus 40 • Transcription Factor DP1 • Transcription Factors • Uterine Cervical Neoplasms • genetics • isolation & purification • metabolism • metabolism*}, Abstract = {The adenovirus E1A gene product, the simian virus 40 large tumor antigen, and the human papillomavirus E7 protein share a short amino acid sequence that constitutes a domain required for the transforming activity of these proteins. These sequences are also required for these proteins to bind to the retinoblastoma gene product (pRb). Recent experiments have shown that E1A can dissociate complexes containing the transcription factor E2F bound to pRb, dependent on this conserved sequence element. We now show that the E7 protein and the simian virus 40 large tumor antigen can dissociate the E2F-pRb complex, dependent on this conserved sequence element. We also find that the E2F-pRb complex is absent in various human cervical carcinoma cell lines that either express the E7 protein or harbor an RB1 mutation, suggesting that the loss of the E2F-pRb interaction may be an important aspect in human cervical carcinogenesis. We suggest that the ability of E1A, the simian virus 40 large tumor antigen, and E7 to dissociate the E2F-pRb complex may be a common activity of these viral proteins that has evolved to stimulate quiescent cells into a proliferating state so that viral replication can proceed efficiently. In circumstances in which a lytic infection does not proceed, the consequence of this action may be to initiate the oncogenic process in a manner analogous to the mutation of the RB1 gene.}, Key = {fds87657} } @article{fds87706, Author = {P Raychaudhuri and S Bagchi and SH Devoto and VB Kraus and E Moran, JR Nevins}, Title = {Domains of the adenovirus E1A protein required for oncogenic activity are also required for dissociation of E2F transcription factor complexes.}, Journal = {Genes & development, UNITED STATES}, Volume = {5}, Number = {7}, Pages = {1200-11}, Year = {1991}, Month = {July}, ISSN = {0890-9369}, Keywords = {Adenoviridae • Adenovirus Early Proteins • Amino Acid Sequence • Animals • Base Sequence • Binding, Competitive • Carrier Proteins* • Cell Cycle Proteins* • Cyclins • DNA-Binding Proteins* • E2F Transcription Factors • L Cells (Cell Line) • Mice • Oncogene Proteins, Viral • Teratoma • Trans-Activation (Genetics) • Transcription Factor DP1 • Transcription Factors • antagonists & inhibitors • genetics • genetics* • physiology • physiology*}, Abstract = {Recent experiments have shown that the cellular E2F transcription factor is found in complexes with cellular proteins and that one such complex contains the cyclin-A protein. Isolation of a cellular activity, which we term E2F-BF, can reconstitute the E2F-cyclin-A complex and has permitted a more detailed analysis of the mechanism of E1A dissociation. Through the analysis of a series of E1A mutants, we find that sequences in conserved region 1 (CR1) and conserved region 2 (CR2) are important for dissociation of the E2F complex, whereas amino-terminal sequences are not required. In contrast to the requirements for dissociation, only the CR1 sequences are required to block formation of the complex if E1A is added when the components are combined. We have also identified an activity, termed E2F-I, that inhibits E2F binding to DNA, again apparently through the formation of a complex with E2F. This inhibitory activity is also blocked by E1A, dependent on the same elements of the E1A protein that disrupt the interaction with E2F-BF. Because the E1A sequences that are important for releasing E2F from these interactions are also sequences necessary for oncogenesis, we suggest that this activity may be a critical component of the transforming activity of E1A.}, Key = {fds87706} } @article{fds87656, Author = {S Manzi and VB Kraus and EW St Clair}, Title = {An unusual photoactivated skin eruption. Quinidine-induced livedo reticularis.}, Journal = {Archives of dermatology, UNITED STATES}, Volume = {125}, Number = {3}, Pages = {417-8, 421-2}, Year = {1989}, Month = {March}, ISSN = {0003-987X}, Keywords = {Epidermis • Female • Humans • Middle Aged • Necrosis • Photosensitivity Disorders • Quinidine • Skin • adverse effects* • blood supply* • chemically induced* • pathology}, Key = {fds87656} } @article{fds87689, Author = {VB Kraus and EA Harden and B Wittels and JO Moore and BF Haynes}, Title = {Demonstration of phenotypic abnormalities of thymic epithelium in thymoma including two cases with abundant Langerhans cells.}, Journal = {The American journal of pathology, UNITED STATES}, Volume = {132}, Number = {3}, Pages = {552-62}, Year = {1988}, Month = {September}, ISSN = {0002-9440}, Keywords = {Adult • Aged • Antibodies, Monoclonal • Antigens, Differentiation, T-Lymphocyte • Epithelium • Female • Humans • Langerhans Cells • Male • Middle Aged • Myasthenia Gravis • Phenotype • Thymoma • Thymus Neoplasms • immunology • pathology • pathology*}, Abstract = {A panel of monoclonal antibodies that phenotypically define stages of normal human thymic epithelial (TE) cell maturation was used to compare thymic epithelium of nine thymomas with hyperplastic thymic epithelium in myasthenia gravis (MG) and thymic epithelium of normal thymuses. It has been shown previously that normal thymic epithelial cells express antigens of early TE cell maturation (A2B5, TE-4) throughout thymic ontogeny and acquire antigens 12/1-2, TE8, and TE-15 at 14 to 16 weeks of fetal gestation. Hyperplastic MG thymic epithelial cells expressed TE antigens in phenotypic patterns similar to that seen in normal postnatal thymus, ie, TE in subcapsular cortex and medulla was TE4+, A2B5+, and 12/1 - 2+ and Hassall's bodies were reactive with antibodies TE8 and TE15. In contrast, thymic epithelium in primary mediastinal thymomas was TE4+, A2B5+, TE8-, and greater than 75% of thymoma epithelium was 12/1 - 2-, a thymic epithelial phenotype similar to that seen on normal fetal thymic epithelium at 14 to 16 weeks fetal gestation. In one subject with a mature epithelial histologic pattern, thymoma epithelium was found to be strongly TE8+, a phenotype suggestive of a later stage of TE maturation. Lymphocytes in five of seven thymomas with immature thymic epithelial cells predominantly expressed immature thymocyte phenotype while two thymomas with immature epithelial phenotype showed a predominance of Langerhans cells and surrounding lymphocytes expressing a mature phenotype. Lymphocytes in the thymoma with differentiated epithelial cells expressed a mature thymocyte phenotype. Thus, in thymomas of varying histologic types, phenotypic abnormalities of thymic epithelium are present; these phenotypic abnormalities may reflect abnormal thymic epithelial maturation.}, Key = {fds87689} } @article{fds87701, Author = {VB Kraus and JN Baraniuk and GB Hill and NB Allen}, Title = {Ureaplasma urealyticum septic arthritis in hypogammaglobulinemia.}, Journal = {The Journal of rheumatology, CANADA}, Volume = {15}, Number = {2}, Pages = {369-71}, Year = {1988}, Month = {February}, ISSN = {0315-162X}, Keywords = {Adult • Agammaglobulinemia • Arthritis, Infectious • Bacterial Infections • Doxycycline • Humans • Male • Pelvis • Streptomycin • Tetracycline Resistance • Ureaplasma • complications* • drug therapy • microbiology • radiography • therapeutic use}, Abstract = {We describe a hypogammaglobulinemic man with erosive oligoarticular septic arthritis due to Ureaplasma urealyticum. His clinical course was complicated by a subcutaneous abscess. Multiple synovial cultures were negative until finally cultures specific for mycoplasmas were performed. Serologic diagnosis cannot be relied upon in hypogammaglobulinemic patients because they do not mount a perceptible antibody response. This underscores the importance of a high clinical suspicion of mycoplasmas as etiologic agents of septic arthritis in this population and early communication with the microbiology laboratory so that appropriate cultures for mycoplasmas can be performed and joint destruction minimized.}, Key = {fds87701} } @article{fds87710, Author = {VB Kraus and WJ Fulkerson and MA Gowen and WM Samuelson}, Title = {Straw lung.}, Journal = {The New England journal of medicine, UNITED STATES}, Volume = {312}, Number = {14}, Pages = {924}, Year = {1985}, Month = {April}, ISSN = {0028-4793}, Keywords = {Adult • Female • Foreign Bodies • Humans • Lung* • Plastics* • diagnosis*}, Key = {fds87710} }

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