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Published in: International Orthopaedics 2/2009

01-04-2009 | Original Paper

Correlation between synovial fluid and serum IL-1β levels after ACL surgery–preliminary report

Authors: Nikica Darabos, Zeljka Hundric-Haspl, Miroslav Haspl, Alemka Markotic, Anela Darabos, Carsten Moser

Published in: International Orthopaedics | Issue 2/2009

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Abstract

The possibility of controlling the harmful intra-articular influence of elevated interleukin (IL)-1β synovial fluid concentration after anterior cruciate ligament (ACL) surgery could be useful. We investigated the correlation between serum and synovial fluid IL-1β levels following ACL reconstruction. We measured IL-1β concentration periodically in three synovial fluid and four serum samples in each of 20 patients receiving either autologous conditioned serum (ACS) containing endogenous anti-inflammatory cytokines including IL-1Ra and several growth factors (group A) or placebo (group B). A decrease in IL-1β synovial fluid concentration appeared to be more pronounced in absolute terms in group A. In eight patients serum IL-1β was detected on the 6th postoperative day. In four of them whose synovial fluid levels were over 10 pg/ml on the 6th postoperative day, serum IL-1β was detected on the 10th postoperative day. The results were different in group B. Correlation between serum and synovial fluid IL-1β appearance persists in patients after ACL surgery and ACS application. This study is an example of ACS influence on the ACL healing process controlling the IL-1β levels on the basis of the serum IL-1β detection.
Literature
2.
3.
go back to reference Borovecki F, Pecina-Slaus N, Vukicevic S (2007) Biological mechanisms of bone and cartilage remodelling—genomic perspective. Int Orthop 31:799–805PubMedCrossRef Borovecki F, Pecina-Slaus N, Vukicevic S (2007) Biological mechanisms of bone and cartilage remodelling—genomic perspective. Int Orthop 31:799–805PubMedCrossRef
4.
go back to reference Cameron M, Buchgraber A, Passler H, Vogt M, Thonar E, Fu F, Evans CH (1997) The natural history of the anterior ligament-deficient knee. Changes in synovial fluid cytokine and keratan sulfate concentrations. Am J Sports Med 25:751–754PubMedCrossRef Cameron M, Buchgraber A, Passler H, Vogt M, Thonar E, Fu F, Evans CH (1997) The natural history of the anterior ligament-deficient knee. Changes in synovial fluid cytokine and keratan sulfate concentrations. Am J Sports Med 25:751–754PubMedCrossRef
5.
go back to reference Cameron ML, Fu FH, Paessler HH, Schneider M, Evans CH (1994) Synovial fluid cytokine concentrations as possible prognostic indicators in the ACL-deficient knee. Knee Surg Sports Traumatol Arthrosc 2:38–44PubMedCrossRef Cameron ML, Fu FH, Paessler HH, Schneider M, Evans CH (1994) Synovial fluid cytokine concentrations as possible prognostic indicators in the ACL-deficient knee. Knee Surg Sports Traumatol Arthrosc 2:38–44PubMedCrossRef
7.
go back to reference Dinarello CA (1994) The interleukin-1 family: 10 years of discovery. FASEB J 8:1314–1325PubMed Dinarello CA (1994) The interleukin-1 family: 10 years of discovery. FASEB J 8:1314–1325PubMed
8.
go back to reference Dinarello CA (2001) The role of the interleukin-1-receptor antagonist in blocking inflammation mediated by interleukin-1. N Engl J Med 343:732–734CrossRef Dinarello CA (2001) The role of the interleukin-1-receptor antagonist in blocking inflammation mediated by interleukin-1. N Engl J Med 343:732–734CrossRef
9.
go back to reference Fernandes J, Tardif G, Martel-Pelletier J, Lascau-Coman V, Dupuis M, Moldovan F, Sheppard M, Krishnan BR, Pelletier JP (1999) In vivo transfer of interleukin-1 receptor antagonist gene in osteoarthritic rabbit knee joints: prevention of osteoarthritis progression. Am J Pathol 154:1159–1169PubMed Fernandes J, Tardif G, Martel-Pelletier J, Lascau-Coman V, Dupuis M, Moldovan F, Sheppard M, Krishnan BR, Pelletier JP (1999) In vivo transfer of interleukin-1 receptor antagonist gene in osteoarthritic rabbit knee joints: prevention of osteoarthritis progression. Am J Pathol 154:1159–1169PubMed
10.
go back to reference Frank C, Amiel D, Woo SL, Akeson W (1985) Normal ligament properties and ligament healing. Clin Orthop Relat Res 196:15–25PubMed Frank C, Amiel D, Woo SL, Akeson W (1985) Normal ligament properties and ligament healing. Clin Orthop Relat Res 196:15–25PubMed
11.
go back to reference Gonzalez C, Cava F, Ayllon A, Guevara P, Navajo JA, Gonzalez-Buitrago JM (2001) Biological variation of interleukin-1b, interleukin-8 and tumor necrosis factor-a in serum of healthy individuals. Clin Chem Lab Med 39:836–841PubMedCrossRef Gonzalez C, Cava F, Ayllon A, Guevara P, Navajo JA, Gonzalez-Buitrago JM (2001) Biological variation of interleukin-1b, interleukin-8 and tumor necrosis factor-a in serum of healthy individuals. Clin Chem Lab Med 39:836–841PubMedCrossRef
12.
go back to reference Granowitz EV, Clark BD, Mancilla J, Dinarello CA (1991) Interleukin-1 receptor antagonist competitively inhibits the binding of interleukin-1 to the type II intereleukin-1 receptor. J Biol Chem 266:14147–14150PubMed Granowitz EV, Clark BD, Mancilla J, Dinarello CA (1991) Interleukin-1 receptor antagonist competitively inhibits the binding of interleukin-1 to the type II intereleukin-1 receptor. J Biol Chem 266:14147–14150PubMed
13.
go back to reference Hoher J, Moller HD, Fu F (1998) Bone tunnel enlargement after anterior cruciate ligament reconstruction: fact or fiction? Knee Surg Sports Traumatol Arthrosc 6:231–240PubMedCrossRef Hoher J, Moller HD, Fu F (1998) Bone tunnel enlargement after anterior cruciate ligament reconstruction: fact or fiction? Knee Surg Sports Traumatol Arthrosc 6:231–240PubMedCrossRef
14.
go back to reference Hundrić-Haspl Z, Pecina M, Haspl M, Tomicic M, Jukic I (2006) Plasma cytokines as markers of aseptic prosthesis loosening. Clin Orthop Relat Res 453:299–304PubMedCrossRef Hundrić-Haspl Z, Pecina M, Haspl M, Tomicic M, Jukic I (2006) Plasma cytokines as markers of aseptic prosthesis loosening. Clin Orthop Relat Res 453:299–304PubMedCrossRef
15.
16.
go back to reference Irie K, Uchiyama E, Iwaso H (2003) Intraarticular inflammatory cytokines in acute anterior cruciate ligament injured knee. Knee 10:93–96PubMedCrossRef Irie K, Uchiyama E, Iwaso H (2003) Intraarticular inflammatory cytokines in acute anterior cruciate ligament injured knee. Knee 10:93–96PubMedCrossRef
17.
go back to reference Manologas SC, Jilka RL (1995) Bone marrow, cytokines, and bone remodeling. Emerging insights into the pathophysiology of osteoporosis. N Engl J Med 332:305–311CrossRef Manologas SC, Jilka RL (1995) Bone marrow, cytokines, and bone remodeling. Emerging insights into the pathophysiology of osteoporosis. N Engl J Med 332:305–311CrossRef
18.
go back to reference Marks P, Cameron M (2000) Inflammatory cytokine profiles correlate with the degree of chondrosis in the chronic anterior cruciate ligament deficient knee. ACL study meeting, Rhodes, Greece Marks P, Cameron M (2000) Inflammatory cytokine profiles correlate with the degree of chondrosis in the chronic anterior cruciate ligament deficient knee. ACL study meeting, Rhodes, Greece
19.
go back to reference Meijer H, Reinecke J, Becker C, Tholen G, Wehling P (2003) The production of anti-inflammatory cytokines in whole blood by physico-chemical induction. Inflamm Res 52:404–407PubMedCrossRef Meijer H, Reinecke J, Becker C, Tholen G, Wehling P (2003) The production of anti-inflammatory cytokines in whole blood by physico-chemical induction. Inflamm Res 52:404–407PubMedCrossRef
20.
go back to reference Mihelic R, Pecina M, Jelic M, Zoricic S, Kusec V, Simic P, Bobinac D, Lah B, Legovic D, Vukicevic S (2004) Bone morphogenetic protein-7 (osteogenic protein-1) promotes tendon graft integration in anterior cruciate ligament reconstruction in sheep. Am J Sports Med 32:1619–1625PubMedCrossRef Mihelic R, Pecina M, Jelic M, Zoricic S, Kusec V, Simic P, Bobinac D, Lah B, Legovic D, Vukicevic S (2004) Bone morphogenetic protein-7 (osteogenic protein-1) promotes tendon graft integration in anterior cruciate ligament reconstruction in sheep. Am J Sports Med 32:1619–1625PubMedCrossRef
21.
go back to reference Poutsiaka DD, Clark BD, Vannier E, Dinarello CA (1991) Production of interleukin-1 receptor antagonist and interleukin-1 beta by peripheral blood mononuclear cells is differentially regulated. Blood 78:1275–1281PubMed Poutsiaka DD, Clark BD, Vannier E, Dinarello CA (1991) Production of interleukin-1 receptor antagonist and interleukin-1 beta by peripheral blood mononuclear cells is differentially regulated. Blood 78:1275–1281PubMed
22.
go back to reference Volk HD, Keysser G, Burmester GR (1998) Cytokines and cytokine receptors. In: Thomas L (ed) Clinical laboratory diagnostics. Use and assessment of clinical laboratory results. TH-Books Verlagsgesellschaft, Frankfurt/Main, pp 764–773 Volk HD, Keysser G, Burmester GR (1998) Cytokines and cytokine receptors. In: Thomas L (ed) Clinical laboratory diagnostics. Use and assessment of clinical laboratory results. TH-Books Verlagsgesellschaft, Frankfurt/Main, pp 764–773
23.
go back to reference Williams RJ 3rd, Hyman J, Petrigliano F, Rozental T, Wickiewicz TL (2004) Anterior cruciate ligament reconstruction with a four-strand hamstring tendon autograft. J Bone Joint Surg Am 86-A:225–232PubMed Williams RJ 3rd, Hyman J, Petrigliano F, Rozental T, Wickiewicz TL (2004) Anterior cruciate ligament reconstruction with a four-strand hamstring tendon autograft. J Bone Joint Surg Am 86-A:225–232PubMed
24.
go back to reference Wilson TC, Kantaras A, Atay A, Johnson DL (2004) Tunnel enlargement after anterior cruciate ligament surgery. Am J Sports Med 32:543–549PubMedCrossRef Wilson TC, Kantaras A, Atay A, Johnson DL (2004) Tunnel enlargement after anterior cruciate ligament surgery. Am J Sports Med 32:543–549PubMedCrossRef
25.
go back to reference Zysk SP, Fraunberger P, Veihelmann A, Dorger M, Kalteis T, Maier M, Pellengahr C, Refior HJ (2004) Tunnel enlargement and changes in synovial fluid cytokine profile following anterior cruciate ligament reconstruction with patellar tendon and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 12:98–103PubMedCrossRef Zysk SP, Fraunberger P, Veihelmann A, Dorger M, Kalteis T, Maier M, Pellengahr C, Refior HJ (2004) Tunnel enlargement and changes in synovial fluid cytokine profile following anterior cruciate ligament reconstruction with patellar tendon and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 12:98–103PubMedCrossRef
Metadata
Title
Correlation between synovial fluid and serum IL-1β levels after ACL surgery–preliminary report
Authors
Nikica Darabos
Zeljka Hundric-Haspl
Miroslav Haspl
Alemka Markotic
Anela Darabos
Carsten Moser
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 2/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0649-1

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