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Published in: Clinical Rheumatology 12/2019

01-12-2019 | Knee Osteoarthritis | Original Article

Associations between serum IL-8 and knee symptoms, joint structures, and cartilage or bone biomarkers in patients with knee osteoarthritis

Authors: Guangfeng Ruan, Jianhua Xu, Kang Wang, Shuang Zheng, Juan Wu, Fuqin Bian, Bingru Chang, Yan Zhang, Tao Meng, Zhaohua Zhu, Weiyu Han, Changhai Ding

Published in: Clinical Rheumatology | Issue 12/2019

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Abstract

Objective

The aim of this study was to investigate cross-sectional associations between serum levels of IL-8 and the above outcomes in patients with knee osteoarthritis (OA).

Methods

A total of 160 subjects with clinical knee OA were included. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and Lequesne index were used to assess the joint symptom. Magnetic resonance imaging was used to measure knee structural abnormalities including infrapatellar fat pad (IPFP) signal intensity alternation. Knee radiographic OA was assessed by radiography using the Kellgren-Lawrence (K-L) grading system. Enzyme-linked immunosorbent assay was used to measure the serum levels of IL-8 and cartilage or bone biomarkers.

Results

In multivariable analyses, serum IL-8 was positively associated with WOMAC weight-bearing pain (β 2.85, P = 0.028), WOMAC physical dysfunction (β 12.71, P = 0.048), and Lequesne index (β 1.65, P = 0.015), and had positive associations with IPFP signal intensity alteration (OR 3.18, P = 0.011) and serum levels of N-telopeptide of type I collagen (NTXI), N-terminal procollagen III propeptide (PIIINP), matrix metalloproteinase (MMP)3, and MMP13 (β 0.24–1.44, all P < 0.05) in patients with clinical knee OA. Furthermore, there were positive associations between IL-8 and WOMAC score (β 22.49, P = 0.037), K-L grades (OR 3.88, P = 0.013), and IPFP signal intensity alteration (OR 3.20, P = 0.033) in patients with radiographic OA.

Conclusions

Serum levels of IL-8 were positively associated with increased knee symptoms, IPFP signal intensity alteration, and serum levels of bone and/or cartilage biomarkers, suggesting that IL-8 may have a role to play in knee OA.
Key Point
This study systemically investigates the associations between serum IL 8 and knee symptoms, joint structures, and cartilage or bone biomarkers in patients with knee osteoarthritis, and some significant associations have been found, suggesting that IL 8 may have a role to play in knee OA.
Literature
1.
go back to reference Wu J, Wang K, Xu J, Ruan G, Zhu Q, Cai J, Ren J, Zheng S, Zhu Z, Otahal P, Ding C (2017) Associations between serum ghrelin and knee symptoms, joint structures and cartilage or bone biomarkers in patients with knee osteoarthritis. Osteoarthr Cartil 25:1428–1435CrossRef Wu J, Wang K, Xu J, Ruan G, Zhu Q, Cai J, Ren J, Zheng S, Zhu Z, Otahal P, Ding C (2017) Associations between serum ghrelin and knee symptoms, joint structures and cartilage or bone biomarkers in patients with knee osteoarthritis. Osteoarthr Cartil 25:1428–1435CrossRef
2.
go back to reference Cai J, Xu J, Wang K, Zheng S, He F, Huan S, Xu S, Zhang H, Laslett L, Ding C (2015) Association between infrapatellar fat pad volume and knee structural changes in patients with knee osteoarthritis. J Rheumatol 42:1878–1884CrossRef Cai J, Xu J, Wang K, Zheng S, He F, Huan S, Xu S, Zhang H, Laslett L, Ding C (2015) Association between infrapatellar fat pad volume and knee structural changes in patients with knee osteoarthritis. J Rheumatol 42:1878–1884CrossRef
3.
go back to reference Robinson WH, Lepus CM, Wang Q, Raghu H, Mao R, Lindstrom TM, Sokolove J (2016) Low-grade inflammation as a key mediator of the pathogenesis of osteoarthritis. Nat Rev Rheumatol 12:580–592CrossRef Robinson WH, Lepus CM, Wang Q, Raghu H, Mao R, Lindstrom TM, Sokolove J (2016) Low-grade inflammation as a key mediator of the pathogenesis of osteoarthritis. Nat Rev Rheumatol 12:580–592CrossRef
4.
go back to reference Pan F, Han W, Wang X, Liu Z, Jin X, Antony B, Cicuttini F, Jones G, Ding C (2015) A longitudinal study of the association between infrapatellar fat pad maximal area and changes in knee symptoms and structure in older adults. Ann Rheum Dis 74:1818–1824CrossRef Pan F, Han W, Wang X, Liu Z, Jin X, Antony B, Cicuttini F, Jones G, Ding C (2015) A longitudinal study of the association between infrapatellar fat pad maximal area and changes in knee symptoms and structure in older adults. Ann Rheum Dis 74:1818–1824CrossRef
5.
go back to reference He Y, Liang X, Wu X, Meng C, Wu B, Fu D, Jin S, Yang SH, Wang H (2014) Association between interleukin 8 −251 A/T and +781 C/T polymorphisms and osteoarthritis risk. Immunol Lett 162:207–211CrossRef He Y, Liang X, Wu X, Meng C, Wu B, Fu D, Jin S, Yang SH, Wang H (2014) Association between interleukin 8 −251 A/T and +781 C/T polymorphisms and osteoarthritis risk. Immunol Lett 162:207–211CrossRef
6.
go back to reference Kaneko S, Satoh T, Chiba J, Ju C, Inoue K (2000) J K. Interleukin-6 and interleukin-8 levels in serum and synovial fluid of patients with osteoarthritis. Cytokines Cell Mol Ther 6:71–79CrossRef Kaneko S, Satoh T, Chiba J, Ju C, Inoue K (2000) J K. Interleukin-6 and interleukin-8 levels in serum and synovial fluid of patients with osteoarthritis. Cytokines Cell Mol Ther 6:71–79CrossRef
7.
go back to reference Monibi F, Roller BL, Stoker A, Garner B, Bal S, Cook JL (2016) Identification of synovial fluid biomarkers for knee osteoarthritis and correlation with radiographic assessment. J Knee Surg 29:242–247CrossRef Monibi F, Roller BL, Stoker A, Garner B, Bal S, Cook JL (2016) Identification of synovial fluid biomarkers for knee osteoarthritis and correlation with radiographic assessment. J Knee Surg 29:242–247CrossRef
8.
go back to reference Hulejová H, Barešová V, Klézl Z, Polanská M, Adam M, Šenolt L (2007) Increased level of cytokines and matrix metalloproteinases in osteoarthritic subchondral bone. Cytokine. 38:151–156CrossRef Hulejová H, Barešová V, Klézl Z, Polanská M, Adam M, Šenolt L (2007) Increased level of cytokines and matrix metalloproteinases in osteoarthritic subchondral bone. Cytokine. 38:151–156CrossRef
9.
go back to reference Leung YY, Huebner JL, Haaland B, Wong SBS, Kraus VB (2017) Synovial fluid pro-inflammatory profile differs according to the characteristics of knee pain. Osteoarthr Cartil 25:1420–1427CrossRef Leung YY, Huebner JL, Haaland B, Wong SBS, Kraus VB (2017) Synovial fluid pro-inflammatory profile differs according to the characteristics of knee pain. Osteoarthr Cartil 25:1420–1427CrossRef
10.
go back to reference Takahashi A, de Andrés MC, Hashimoto K, Itoi E, Oreffo ROC (2015) Epigenetic regulation of interleukin-8, an inflammatory chemokine, in osteoarthritis. Osteoarthr Cartil 23:1946–1954CrossRef Takahashi A, de Andrés MC, Hashimoto K, Itoi E, Oreffo ROC (2015) Epigenetic regulation of interleukin-8, an inflammatory chemokine, in osteoarthritis. Osteoarthr Cartil 23:1946–1954CrossRef
11.
go back to reference Yang J, Wang N (2015) Genome-wide expression and methylation profiles reveal candidate genes and biological processes underlying synovial inflammatory tissue of patients with osteoarthritis. Int J Rheum Dis 18:783–790CrossRef Yang J, Wang N (2015) Genome-wide expression and methylation profiles reveal candidate genes and biological processes underlying synovial inflammatory tissue of patients with osteoarthritis. Int J Rheum Dis 18:783–790CrossRef
12.
go back to reference Kawasaki T, Inoue K (1998) Ushiyama T, S F. Assessment of the American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee. Ryumachi. 38:2–5PubMed Kawasaki T, Inoue K (1998) Ushiyama T, S F. Assessment of the American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee. Ryumachi. 38:2–5PubMed
13.
go back to reference Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthrosis. Ann Rheum Dis 16:494–502CrossRef Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthrosis. Ann Rheum Dis 16:494–502CrossRef
14.
go back to reference Peterfy CG, Guermazi A, Zaim S, Tirman PFJ, Miaux Y, White D, Kothari M, Lu Y, Fye K, Zhao S, Genant HK (2004) Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis. Osteoarthr Cartil 12:177–190CrossRef Peterfy CG, Guermazi A, Zaim S, Tirman PFJ, Miaux Y, White D, Kothari M, Lu Y, Fye K, Zhao S, Genant HK (2004) Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis. Osteoarthr Cartil 12:177–190CrossRef
15.
go back to reference Drapé JL, Pessis E, Auleley GR, Chevrot A, Dougados M, Ayral X (1998) Quantitative MR imaging evaluation of chondropathy in osteoarthritic knees. Radiology. 208:49–55CrossRef Drapé JL, Pessis E, Auleley GR, Chevrot A, Dougados M, Ayral X (1998) Quantitative MR imaging evaluation of chondropathy in osteoarthritic knees. Radiology. 208:49–55CrossRef
16.
go back to reference Hunter DJ, Guermazi A, Lo GH, Grainger AJ, Conaghan PG, Boudreau RM, Roemer FW (2011) Evolution of semiquantitative whole joint assessment of knee OA: MOAKS (MRI Osteoarthritis Knee Score). Osteoarthr Cartil / OARS, Osteoarthr Res Soc 19:990–1002CrossRef Hunter DJ, Guermazi A, Lo GH, Grainger AJ, Conaghan PG, Boudreau RM, Roemer FW (2011) Evolution of semiquantitative whole joint assessment of knee OA: MOAKS (MRI Osteoarthritis Knee Score). Osteoarthr Cartil / OARS, Osteoarthr Res Soc 19:990–1002CrossRef
17.
go back to reference Fenn S, Datir A, Saifuddin A (2009) Synovial recesses of the knee: MR imaging review of anatomical and pathological features. Skelet Radiol 38:317–328CrossRef Fenn S, Datir A, Saifuddin A (2009) Synovial recesses of the knee: MR imaging review of anatomical and pathological features. Skelet Radiol 38:317–328CrossRef
18.
go back to reference Rai MF, Sandell L (2011) Inflammatory mediators: tracing links between obesity and osteoarthritis, vol 21, pp 131–142 Rai MF, Sandell L (2011) Inflammatory mediators: tracing links between obesity and osteoarthritis, vol 21, pp 131–142
19.
go back to reference Eymard F, Pigenet A, Citadelle D, Flouzat-Lachaniette C-H, Poignard A, Benelli C, Berenbaum F, Chevalier X, Houard X (2014) Induction of an inflammatory and prodegradative phenotype in autologous fibroblast-like synoviocytes by the infrapatellar fat pad from patients with knee osteoarthritis. Arthritis Rheumatol 66:2165–2174CrossRef Eymard F, Pigenet A, Citadelle D, Flouzat-Lachaniette C-H, Poignard A, Benelli C, Berenbaum F, Chevalier X, Houard X (2014) Induction of an inflammatory and prodegradative phenotype in autologous fibroblast-like synoviocytes by the infrapatellar fat pad from patients with knee osteoarthritis. Arthritis Rheumatol 66:2165–2174CrossRef
20.
go back to reference Eymard F, Pigenet A, Citadelle D, Tordjman J, Foucher L, Rose C, Flouzat Lachaniette CH, Rouault C, Clément K, Berenbaum F, Chevalier X, Houard X (2017) Knee and hip intra-articular adipose tissues (IAATs) compared with autologous subcutaneous adipose tissue: a specific phenotype for a central player in osteoarthritis. Ann Rheum Dis 76:1142–1148CrossRef Eymard F, Pigenet A, Citadelle D, Tordjman J, Foucher L, Rose C, Flouzat Lachaniette CH, Rouault C, Clément K, Berenbaum F, Chevalier X, Houard X (2017) Knee and hip intra-articular adipose tissues (IAATs) compared with autologous subcutaneous adipose tissue: a specific phenotype for a central player in osteoarthritis. Ann Rheum Dis 76:1142–1148CrossRef
21.
go back to reference Valcamonica E, Chighizola CB, Comi D, De Lucia O, Pisoni L, Murgo A et al (2014) Levels of chemerin and interleukin 8 in the synovial fluid of patients with inflammatory arthritides and osteoarthritis. Clin Exp Rheumatol 32:243–250PubMed Valcamonica E, Chighizola CB, Comi D, De Lucia O, Pisoni L, Murgo A et al (2014) Levels of chemerin and interleukin 8 in the synovial fluid of patients with inflammatory arthritides and osteoarthritis. Clin Exp Rheumatol 32:243–250PubMed
22.
go back to reference Xu Q, Chen B, Wang Y, Wang X, Han D, Ding D et al (2017) The effectiveness of manual therapy for relieving pain, stiffness, and dysfunction in knee osteoarthritis: a systematic review and meta-analysis. Pain Physician 20:229–243PubMed Xu Q, Chen B, Wang Y, Wang X, Han D, Ding D et al (2017) The effectiveness of manual therapy for relieving pain, stiffness, and dysfunction in knee osteoarthritis: a systematic review and meta-analysis. Pain Physician 20:229–243PubMed
23.
go back to reference Davis J, Eaton CB, Lo GH, Lu B, Price LL, McAlindon TE et al (2017) Knee symptoms among adults at risk for accelerated knee osteoarthritis: data from the Osteoarthritis Initiative. Clin Rheumatol 36:1083–1089CrossRef Davis J, Eaton CB, Lo GH, Lu B, Price LL, McAlindon TE et al (2017) Knee symptoms among adults at risk for accelerated knee osteoarthritis: data from the Osteoarthritis Initiative. Clin Rheumatol 36:1083–1089CrossRef
24.
go back to reference Kosek E, Finn A, Ultenius C, Hugo A, Svensson C, Ahmed AS (2018) Differences in neuroimmune signalling between male and female patients suffering from knee osteoarthritis. J Neuroimmunol 321:49–60CrossRef Kosek E, Finn A, Ultenius C, Hugo A, Svensson C, Ahmed AS (2018) Differences in neuroimmune signalling between male and female patients suffering from knee osteoarthritis. J Neuroimmunol 321:49–60CrossRef
25.
go back to reference Roemer FW, Jarraya M, Felson DT, Hayashi D, Crema MD, Loeuille D, Guermazi A (2016) Magnetic resonance imaging of Hoffa’s fat pad and relevance for osteoarthritis research: a narrative review. Osteoarthr Cartil 24:383–397CrossRef Roemer FW, Jarraya M, Felson DT, Hayashi D, Crema MD, Loeuille D, Guermazi A (2016) Magnetic resonance imaging of Hoffa’s fat pad and relevance for osteoarthritis research: a narrative review. Osteoarthr Cartil 24:383–397CrossRef
26.
go back to reference Roemer FW, Kwoh CK, Hannon MJ, Hunter DJ, Eckstein F, Fujii T, Boudreau RM, Guermazi A (2015) What comes first? Multitissue involvement leading to radiographic osteoarthritis: magnetic resonance imaging–based trajectory analysis over four years in the osteoarthritis initiative. Arthritis Rheumatol 67:2085–2096CrossRef Roemer FW, Kwoh CK, Hannon MJ, Hunter DJ, Eckstein F, Fujii T, Boudreau RM, Guermazi A (2015) What comes first? Multitissue involvement leading to radiographic osteoarthritis: magnetic resonance imaging–based trajectory analysis over four years in the osteoarthritis initiative. Arthritis Rheumatol 67:2085–2096CrossRef
27.
go back to reference Han W, Aitken D, Zhu Z, Halliday A, Wang X, Antony B, Cicuttini F, Jones G, Ding C (2016) Signal intensity alteration in the infrapatellar fat pad at baseline for the prediction of knee symptoms and structure in older adults: a cohort study. Ann Rheum Dis 75:1783–1788CrossRef Han W, Aitken D, Zhu Z, Halliday A, Wang X, Antony B, Cicuttini F, Jones G, Ding C (2016) Signal intensity alteration in the infrapatellar fat pad at baseline for the prediction of knee symptoms and structure in older adults: a cohort study. Ann Rheum Dis 75:1783–1788CrossRef
28.
go back to reference Sharif M, George E, Dieppe PA (1996) Synovial fluid and serum concentrations of aminoterminal propeptide of type III procollagen in healthy volunteers and patients with joint disease. Ann Rheum Dis 55:47–51CrossRef Sharif M, George E, Dieppe PA (1996) Synovial fluid and serum concentrations of aminoterminal propeptide of type III procollagen in healthy volunteers and patients with joint disease. Ann Rheum Dis 55:47–51CrossRef
29.
go back to reference S GN, Kamal W, George J, Manssor E (2017) Radiological and biochemical effects (CTX-II, MMP-3, 8, and 13) of low-level laser therapy (LLLT) in chronic osteoarthritis in Al-Kharj, Saudi Arabia. Lasers Med Sci 32:297–303CrossRef S GN, Kamal W, George J, Manssor E (2017) Radiological and biochemical effects (CTX-II, MMP-3, 8, and 13) of low-level laser therapy (LLLT) in chronic osteoarthritis in Al-Kharj, Saudi Arabia. Lasers Med Sci 32:297–303CrossRef
30.
go back to reference Neuhold LA, Killar L, Zhao W, Sung M-LA, Warner L, Kulik J, Turner J, Wu W, Billinghurst C, Meijers T, Poole AR, Babij P, DeGennaro LJ (2001) Postnatal expression in hyaline cartilage of constitutively active human collagenase-3 (MMP-13) induces osteoarthritis in mice. J Clin Investig 107:35–44CrossRef Neuhold LA, Killar L, Zhao W, Sung M-LA, Warner L, Kulik J, Turner J, Wu W, Billinghurst C, Meijers T, Poole AR, Babij P, DeGennaro LJ (2001) Postnatal expression in hyaline cartilage of constitutively active human collagenase-3 (MMP-13) induces osteoarthritis in mice. J Clin Investig 107:35–44CrossRef
31.
go back to reference Roemer FW, Guermazi A, Zhang Y, Yang M, Hunter DJ, Crema MD, Bohndorf K (2009) Hoffa’s fat pad: evaluation on unenhanced MR images as a measure of patellofemoral synovitis in osteoarthritis. Am J Roentgenol 192:1696–1700CrossRef Roemer FW, Guermazi A, Zhang Y, Yang M, Hunter DJ, Crema MD, Bohndorf K (2009) Hoffa’s fat pad: evaluation on unenhanced MR images as a measure of patellofemoral synovitis in osteoarthritis. Am J Roentgenol 192:1696–1700CrossRef
Metadata
Title
Associations between serum IL-8 and knee symptoms, joint structures, and cartilage or bone biomarkers in patients with knee osteoarthritis
Authors
Guangfeng Ruan
Jianhua Xu
Kang Wang
Shuang Zheng
Juan Wu
Fuqin Bian
Bingru Chang
Yan Zhang
Tao Meng
Zhaohua Zhu
Weiyu Han
Changhai Ding
Publication date
01-12-2019
Publisher
Springer London
Published in
Clinical Rheumatology / Issue 12/2019
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-019-04718-8

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