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Published in: International Orthopaedics 5/2014

01-05-2014 | Original Paper

Relationship of plasma and synovial fluid vascular endothelial growth factor with radiographic severity in primary knee osteoarthritis

Authors: Natthaphon Saetan, Sittisak Honsawek, Aree Tanavalee, Pongsak Yuktanandana, Surapoj Meknavin, Srihatach Ngarmukos, Thanathep Tanpowpong, Vinai Parkpian

Published in: International Orthopaedics | Issue 5/2014

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Abstract

Purpose

Recent evidence suggests that angiogenesis and inflammation contribute to the development and progression of osteoarthritis (OA). The purpose of this study was to investigate vascular endothelial growth factor (VEGF) levels in plasma and synovial fluid of patients with knee OA and to determine the relationship of VEGF levels with disease severity in knee OA.

Methods

A total of 100 subjects were enrolled in this study (80 knee OA patients and 20 healthy controls). Plasma and synovial fluid VEGF levels were analysed using enzyme-linked immunosorbent assay. VEGF expressions in synovial membrane and articular cartilage samples were assessed using immunohistochemistry.

Results

VEGF level in synovial fluid of knee OA patients was tenfold higher than that in paired plasma (P < 0.001). Both plasma and synovial fluid VEGF exhibited a positive correlation with radiographic severity (r = 0.454 and r = 0.727, P < 0.001, respectively). VEGF expression was highly detectable in synovial lining cells and articular chondrocytes of knee OA patients.

Conclusions

VEGF levels in both plasma and synovial fluid were positively correlated with the severity of knee OA. Therefore, VEGF may be useful for monitoring OA severity and could play a substantial role in the development and progression of knee OA.
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Metadata
Title
Relationship of plasma and synovial fluid vascular endothelial growth factor with radiographic severity in primary knee osteoarthritis
Authors
Natthaphon Saetan
Sittisak Honsawek
Aree Tanavalee
Pongsak Yuktanandana
Surapoj Meknavin
Srihatach Ngarmukos
Thanathep Tanpowpong
Vinai Parkpian
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 5/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2192-y

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