Skip to main content
Top
Published in: International Orthopaedics 9/2014

01-09-2014 | Original Paper

Angiogenic cytokine expression profiles in plasma and synovial fluid of primary knee osteoarthritis

Authors: Thomas Mabey, Sittisak Honsawek, Natthaphon Saetan, Yong Poovorawan, Aree Tanavalee, Pongsak Yuktanandana

Published in: International Orthopaedics | Issue 9/2014

Login to get access

Abstract

Purpose

The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity.

Methods

Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines (angiopoietin-2, follistatin, granulocyte-colony stimulating factor (G-CSF), hepatocyte growth factor (HGF), interleukin (IL)-8, leptin, platelet-derived growth factor-BB (PDGF-BB), platelet endothelial cell adhesion molecule (PECAM)-1, and vascular endothelial growth factor (VEGF)) in plasma and synovial fluid were measured using a multiplex immunoassay.

Results

PECAM-1, HGF, VEGF, angiopoietin-2, follistatin, G-CSF, and IL-8 concentrations in plasma were significantly higher in OA patients than those in controls. Plasma angiopoietin-2 was significantly greater in advanced OA than in early OA. Synovial fluid VEGF was positively correlated with the severity (r = 0.367, P = 0.04). Plasma follistatin was significantly lower in advanced knee OA than in early OA and was negatively correlated with the severity (r = −0.374, P < 0.05).

Conclusions

Angiogenic cytokine concentrations in plasma can distinguish between controls and OA patients. Local and circulating levels of angiogenic cytokines could give an insight into the pathophysiology of OA. Follistatin, angiopoietin-2, and VEGF may have potential as biochemical markers for the assessment of OA severity.
Literature
1.
go back to reference Pelletier JP, Martel-Pelletier J, Abramson SB (2001) Osteoarthritis, an inflammatory disease: potential implication for the selection of new therapeutic targets. Arthritis Rheum 44:1237–1247PubMedCrossRef Pelletier JP, Martel-Pelletier J, Abramson SB (2001) Osteoarthritis, an inflammatory disease: potential implication for the selection of new therapeutic targets. Arthritis Rheum 44:1237–1247PubMedCrossRef
2.
go back to reference Walsh DA, McWilliams DF, Turley MJ, Dixon MR, Franses RE, Mapp PI, Wilson D (2010) Angiogenesis and nerve growth factor at the osteochondral junction in rheumatoid arthritis and osteoarthritis. Rheumatology (Oxford) 49:1852–1861CrossRef Walsh DA, McWilliams DF, Turley MJ, Dixon MR, Franses RE, Mapp PI, Wilson D (2010) Angiogenesis and nerve growth factor at the osteochondral junction in rheumatoid arthritis and osteoarthritis. Rheumatology (Oxford) 49:1852–1861CrossRef
3.
go back to reference Mapp PI, Walsh DA (2012) Mechanisms and targets of angiogenesis and nerve growth in osteoarthritis. Nat Rev Rheumatol 8:390–398PubMedCrossRef Mapp PI, Walsh DA (2012) Mechanisms and targets of angiogenesis and nerve growth in osteoarthritis. Nat Rev Rheumatol 8:390–398PubMedCrossRef
4.
go back to reference Cackowski FC, Anderson JL, Patrene KD, Choksi RJ, Shapiro SD, Windle JJ, Blair HC, Roodman GD (2010) Osteoclasts are important for bone angiogenesis. Blood 115:140–149PubMedCentralPubMedCrossRef Cackowski FC, Anderson JL, Patrene KD, Choksi RJ, Shapiro SD, Windle JJ, Blair HC, Roodman GD (2010) Osteoclasts are important for bone angiogenesis. Blood 115:140–149PubMedCentralPubMedCrossRef
6.
go back to reference Haywood L, McWilliams DF, Pearson CI, Gill SE, Ganesan A, Wilson D, Walsh DA (2003) Inflammation and angiogenesis in osteoarthritis. Arthritis Rheum 48:2173–2177PubMedCrossRef Haywood L, McWilliams DF, Pearson CI, Gill SE, Ganesan A, Wilson D, Walsh DA (2003) Inflammation and angiogenesis in osteoarthritis. Arthritis Rheum 48:2173–2177PubMedCrossRef
7.
go back to reference Suri S, Gill SE, Massena de Camin S, Wilson D, McWilliams DF, Walsh DA (2007) Neurovascular invasion at the osteochondral junction and in osteophytes in osteoarthritis. Ann Rheum Dis 66:1423–1428PubMedCentralPubMedCrossRef Suri S, Gill SE, Massena de Camin S, Wilson D, McWilliams DF, Walsh DA (2007) Neurovascular invasion at the osteochondral junction and in osteophytes in osteoarthritis. Ann Rheum Dis 66:1423–1428PubMedCentralPubMedCrossRef
8.
go back to reference Rubenhagen R, Schuttrumpf JP, Sturmer KM, Frosch KH (2012) Interleukin-7 levels in synovial fluid increase with age and mmp-1 levels decrease with progression of osteoarthritis. Acta Orthop 83:59–64PubMedCentralPubMedCrossRef Rubenhagen R, Schuttrumpf JP, Sturmer KM, Frosch KH (2012) Interleukin-7 levels in synovial fluid increase with age and mmp-1 levels decrease with progression of osteoarthritis. Acta Orthop 83:59–64PubMedCentralPubMedCrossRef
9.
go back to reference Orita S, Koshi T, Mitsuka T, Miyagi M, Inoue G, Arai G, Ishikawa T, Hanaoka E, Yamashita K, Yamashita M, Eguchi Y, Toyone T, Takahashi K, Ohtori S (2011) Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee. BMC Musculoskelet Disord 12:144PubMedCentralPubMedCrossRef Orita S, Koshi T, Mitsuka T, Miyagi M, Inoue G, Arai G, Ishikawa T, Hanaoka E, Yamashita K, Yamashita M, Eguchi Y, Toyone T, Takahashi K, Ohtori S (2011) Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee. BMC Musculoskelet Disord 12:144PubMedCentralPubMedCrossRef
10.
go back to reference Hoff P, Buttgereit F, Burmester GR, Jakstadt M, Gaber T, Andreas K, Matziolis G, Perka C, Röhner E (2013) Osteoarthritis synovial fluid activates pro-inflammatory cytokines in primary human chondrocytes. Int Orthop 37:145–151PubMedCentralPubMedCrossRef Hoff P, Buttgereit F, Burmester GR, Jakstadt M, Gaber T, Andreas K, Matziolis G, Perka C, Röhner E (2013) Osteoarthritis synovial fluid activates pro-inflammatory cytokines in primary human chondrocytes. Int Orthop 37:145–151PubMedCentralPubMedCrossRef
11.
go back to reference Melinte R, Jung I, Georgescu L, Gurzu S (2012) Vegf and cd31 expression in arthritic synovium and cartilage of human knee joints. Rom J Morphol Embryol 53:911–915PubMed Melinte R, Jung I, Georgescu L, Gurzu S (2012) Vegf and cd31 expression in arthritic synovium and cartilage of human knee joints. Rom J Morphol Embryol 53:911–915PubMed
12.
go back to reference Enomoto H, Inoki I, Komiya K, Shiomi T, Ikeda E, Obata K, Matsumoto H, Toyama Y, Okada Y (2003) Vascular endothelial growth factor isoforms and their receptors are expressed in human osteoarthritic cartilage. Am J Pathol 162:171–181PubMedCentralPubMedCrossRef Enomoto H, Inoki I, Komiya K, Shiomi T, Ikeda E, Obata K, Matsumoto H, Toyama Y, Okada Y (2003) Vascular endothelial growth factor isoforms and their receptors are expressed in human osteoarthritic cartilage. Am J Pathol 162:171–181PubMedCentralPubMedCrossRef
13.
go back to reference Honorati MC, Cattini L, Facchini A (2004) Il-17, il-1beta and tnf-alpha stimulate vegf production by dedifferentiated chondrocytes. Osteoarthr Cartil 12:683–691PubMedCrossRef Honorati MC, Cattini L, Facchini A (2004) Il-17, il-1beta and tnf-alpha stimulate vegf production by dedifferentiated chondrocytes. Osteoarthr Cartil 12:683–691PubMedCrossRef
14.
go back to reference Das RH, van Osch GJ, Kreukniet M, Oostra J, Weinans H, Jahr H (2010) Effects of individual control of ph and hypoxia in chondrocyte culture. J Orthop Res 28:537–545PubMed Das RH, van Osch GJ, Kreukniet M, Oostra J, Weinans H, Jahr H (2010) Effects of individual control of ph and hypoxia in chondrocyte culture. J Orthop Res 28:537–545PubMed
15.
go back to reference Saetan N, Honsawek S, Tanavalee A, Yuktanandana P, Meknavin S, Ngarmukos S, Tanpowpong T, Parkpian V (2014) Relationship of plasma and synovial fluid vascular endothelial growth factor with radiographic severity in primary knee osteoarthritis. Int Orthop 38:1099–1104PubMedCrossRef Saetan N, Honsawek S, Tanavalee A, Yuktanandana P, Meknavin S, Ngarmukos S, Tanpowpong T, Parkpian V (2014) Relationship of plasma and synovial fluid vascular endothelial growth factor with radiographic severity in primary knee osteoarthritis. Int Orthop 38:1099–1104PubMedCrossRef
16.
go back to reference Ramirez J, Ruiz-Esquide V, Pomes I, Celis R, Cuervo A, Hernandez MV, Pomés J, Pablos JL, Sanmartí R, Cañete JD (2014) Patients with rheumatoid arthritis in clinical remission and ultrasound-defined active synovitis exhibit higher disease activity and increased serum levels of angiogenic biomarkers. Arthritis Res Ther 16:R5PubMedCentralPubMedCrossRef Ramirez J, Ruiz-Esquide V, Pomes I, Celis R, Cuervo A, Hernandez MV, Pomés J, Pablos JL, Sanmartí R, Cañete JD (2014) Patients with rheumatoid arthritis in clinical remission and ultrasound-defined active synovitis exhibit higher disease activity and increased serum levels of angiogenic biomarkers. Arthritis Res Ther 16:R5PubMedCentralPubMedCrossRef
17.
go back to reference Gao W, Sweeney C, Walsh C, Rooney P, McCormick J, Veale DJ, Fearon U (2013) Notch signalling pathways mediate synovial angiogenesis in response to vascular endothelial growth factor and angiopoietin 2. Ann Rheum Dis 72:1080–1088PubMedCentralPubMedCrossRef Gao W, Sweeney C, Walsh C, Rooney P, McCormick J, Veale DJ, Fearon U (2013) Notch signalling pathways mediate synovial angiogenesis in response to vascular endothelial growth factor and angiopoietin 2. Ann Rheum Dis 72:1080–1088PubMedCentralPubMedCrossRef
18.
go back to reference Yuan HT, Khankin EV, Karumanchi SA, Parikh SM (2009) Angiopoietin 2 is a partial agonist/antagonist of tie2 signaling in the endothelium. Mol Cell Biol 29:2011–2022PubMedCentralPubMedCrossRef Yuan HT, Khankin EV, Karumanchi SA, Parikh SM (2009) Angiopoietin 2 is a partial agonist/antagonist of tie2 signaling in the endothelium. Mol Cell Biol 29:2011–2022PubMedCentralPubMedCrossRef
19.
go back to reference Singh H, Milner CS, Aguilar Hernandez MM, Patel N, Brindle NP (2009) Vascular endothelial growth factor activates the tie family of receptor tyrosine kinases. Cell Signal 21:1346–1350PubMedCrossRef Singh H, Milner CS, Aguilar Hernandez MM, Patel N, Brindle NP (2009) Vascular endothelial growth factor activates the tie family of receptor tyrosine kinases. Cell Signal 21:1346–1350PubMedCrossRef
20.
go back to reference Uchida T, Nakashima M, Hirota Y, Miyazaki Y, Tsukazaki T, Shindo H (2000) Immunohistochemical localisation of protein tyrosine kinase receptors tie-1 and tie-2 in synovial tissue of rheumatoid arthritis: correlation with angiogenesis and synovial proliferation. Ann Rheum Dis 59:607–614PubMedCentralPubMedCrossRef Uchida T, Nakashima M, Hirota Y, Miyazaki Y, Tsukazaki T, Shindo H (2000) Immunohistochemical localisation of protein tyrosine kinase receptors tie-1 and tie-2 in synovial tissue of rheumatoid arthritis: correlation with angiogenesis and synovial proliferation. Ann Rheum Dis 59:607–614PubMedCentralPubMedCrossRef
21.
go back to reference Zhang L, Yang N, Park JW, Katsaros D, Fracchioli S, Cao G, O’Brien-Jenkins A, Randall TC, Rubin SC, Coukos G (2003) Tumor-derived vascular endothelial growth factor up-regulates angiopoietin-2 in host endothelium and destabilizes host vasculature, supporting angiogenesis in ovarian cancer. Cancer Res 63:3403–3412PubMed Zhang L, Yang N, Park JW, Katsaros D, Fracchioli S, Cao G, O’Brien-Jenkins A, Randall TC, Rubin SC, Coukos G (2003) Tumor-derived vascular endothelial growth factor up-regulates angiopoietin-2 in host endothelium and destabilizes host vasculature, supporting angiogenesis in ovarian cancer. Cancer Res 63:3403–3412PubMed
22.
go back to reference Oh H, Takagi H, Suzuma K, Otani A, Matsumura M, Honda Y (1999) Hypoxia and vascular endothelial growth factor selectively up-regulate angiopoietin-2 in bovine microvascular endothelial cells. J Biol Chem 274:15732–15739PubMedCrossRef Oh H, Takagi H, Suzuma K, Otani A, Matsumura M, Honda Y (1999) Hypoxia and vascular endothelial growth factor selectively up-regulate angiopoietin-2 in bovine microvascular endothelial cells. J Biol Chem 274:15732–15739PubMedCrossRef
23.
go back to reference Iemura S, Yamamoto TS, Takagi C, Uchiyama H, Natsume T, Shimasaki S, Sugino H, Ueno N (1998) Direct binding of follistatin to a complex of bone-morphogenetic protein and its receptor inhibits ventral and epidermal cell fates in early xenopus embryo. Proc Natl Acad Sci USA 95:9337–9342PubMedCentralPubMedCrossRef Iemura S, Yamamoto TS, Takagi C, Uchiyama H, Natsume T, Shimasaki S, Sugino H, Ueno N (1998) Direct binding of follistatin to a complex of bone-morphogenetic protein and its receptor inhibits ventral and epidermal cell fates in early xenopus embryo. Proc Natl Acad Sci USA 95:9337–9342PubMedCentralPubMedCrossRef
24.
go back to reference Bragdon B, Moseychuk O, Saldanha S, King D, Julian J, Nohe A (2011) Bone morphogenetic proteins: a critical review. Cell Signal 23:609–620PubMedCrossRef Bragdon B, Moseychuk O, Saldanha S, King D, Julian J, Nohe A (2011) Bone morphogenetic proteins: a critical review. Cell Signal 23:609–620PubMedCrossRef
26.
go back to reference Tardif G, Hum D, Pelletier JP, Boileau C, Ranger P, Martel-Pelletier J (2004) Differential gene expression and regulation of the bone morphogenetic protein antagonists follistatin and gremlin in normal and osteoarthritic human chondrocytes and synovial fibroblasts. Arthritis Rheum 50:2521–2530PubMedCrossRef Tardif G, Hum D, Pelletier JP, Boileau C, Ranger P, Martel-Pelletier J (2004) Differential gene expression and regulation of the bone morphogenetic protein antagonists follistatin and gremlin in normal and osteoarthritic human chondrocytes and synovial fibroblasts. Arthritis Rheum 50:2521–2530PubMedCrossRef
27.
go back to reference El-Gendi SS, Moniem AE, Tawfik NM, Ashmawy MM, Mohammed OA, Mostafa AK, Zakhari MM, Herdan OM (2010) Value of serum and synovial fluid activin a and inhibin a in some rheumatic diseases. Int J Rheum Dis 13:273–279PubMedCrossRef El-Gendi SS, Moniem AE, Tawfik NM, Ashmawy MM, Mohammed OA, Mostafa AK, Zakhari MM, Herdan OM (2010) Value of serum and synovial fluid activin a and inhibin a in some rheumatic diseases. Int J Rheum Dis 13:273–279PubMedCrossRef
28.
go back to reference Alexander S, Watt F, Sawaji Y, Hermansson M, Saklatvala J (2007) Activin a is an anticatabolic autocrine cytokine in articular cartilage whose production is controlled by fibroblast growth factor 2 and nf-kappab. Arthritis Rheum 56:3715–3725PubMedCrossRef Alexander S, Watt F, Sawaji Y, Hermansson M, Saklatvala J (2007) Activin a is an anticatabolic autocrine cytokine in articular cartilage whose production is controlled by fibroblast growth factor 2 and nf-kappab. Arthritis Rheum 56:3715–3725PubMedCrossRef
29.
go back to reference Lubbeke A, Finckh A, Puskas GJ, Suva D, Ladermann A, Bas S, Fritschy D, Gabay C, Hoffmeyer P (2013) Do synovial leptin levels correlate with pain in end stage arthritis? Int Orthop 37:2071–2079PubMedCrossRef Lubbeke A, Finckh A, Puskas GJ, Suva D, Ladermann A, Bas S, Fritschy D, Gabay C, Hoffmeyer P (2013) Do synovial leptin levels correlate with pain in end stage arthritis? Int Orthop 37:2071–2079PubMedCrossRef
30.
go back to reference Staikos C, Ververidis A, Drosos G, Manolopoulos VG, Verettas DA, Tavridou A (2013) The association of adipokine levels in plasma and synovial fluid with the severity of knee osteoarthritis. Rheumatology (Oxford) 52:1077–1083CrossRef Staikos C, Ververidis A, Drosos G, Manolopoulos VG, Verettas DA, Tavridou A (2013) The association of adipokine levels in plasma and synovial fluid with the severity of knee osteoarthritis. Rheumatology (Oxford) 52:1077–1083CrossRef
31.
go back to reference Karvonen-Gutierrez CA, Harlow SD, Mancuso P, Jacobson J, Mendes de Leon CF, Nan B (2013) Association of leptin levels with radiographic knee osteoarthritis among a cohort of midlife women. Arthritis Care Res (Hoboken) 65:936–944CrossRef Karvonen-Gutierrez CA, Harlow SD, Mancuso P, Jacobson J, Mendes de Leon CF, Nan B (2013) Association of leptin levels with radiographic knee osteoarthritis among a cohort of midlife women. Arthritis Care Res (Hoboken) 65:936–944CrossRef
32.
go back to reference Vuolteenaho K, Koskinen A, Kukkonen M, Nieminen R, Paivarinta U, Moilanen T, Moilanen E (2009) Leptin enhances synthesis of proinflammatory mediators in human osteoarthritic cartilage–mediator role of no in leptin-induced pge2, il-6, and il-8 production. Mediat Inflamm 2009:345838CrossRef Vuolteenaho K, Koskinen A, Kukkonen M, Nieminen R, Paivarinta U, Moilanen T, Moilanen E (2009) Leptin enhances synthesis of proinflammatory mediators in human osteoarthritic cartilage–mediator role of no in leptin-induced pge2, il-6, and il-8 production. Mediat Inflamm 2009:345838CrossRef
33.
go back to reference van der Heide HJ, van der Kraan PM, Rijnberg WJ, Buma P, Schreurs BW (2010) Elevated levels of numerous cytokines in drainage fluid after primary total hip arthroplasty. Int Orthop 34:1099–1102PubMedCentralPubMedCrossRef van der Heide HJ, van der Kraan PM, Rijnberg WJ, Buma P, Schreurs BW (2010) Elevated levels of numerous cytokines in drainage fluid after primary total hip arthroplasty. Int Orthop 34:1099–1102PubMedCentralPubMedCrossRef
34.
go back to reference Abe H, Sakai T, Ando W, Takao M, Nishii T, Nakamura N, Hamasaki T, Yoshikawa H, Sugano N (2014) Synovial joint fluid cytokine levels in hip disease. Rheumatology 53:165–172PubMedCrossRef Abe H, Sakai T, Ando W, Takao M, Nishii T, Nakamura N, Hamasaki T, Yoshikawa H, Sugano N (2014) Synovial joint fluid cytokine levels in hip disease. Rheumatology 53:165–172PubMedCrossRef
35.
go back to reference Kaneko S, Satoh T, Chiba J, Ju C, Inoue K, Kagawa J (2000) Interleukin-6 and interleukin-8 levels in serum and synovial fluid of patients with osteoarthritis. Cytokines Cell Mol Ther 6:71–79PubMedCrossRef Kaneko S, Satoh T, Chiba J, Ju C, Inoue K, Kagawa J (2000) Interleukin-6 and interleukin-8 levels in serum and synovial fluid of patients with osteoarthritis. Cytokines Cell Mol Ther 6:71–79PubMedCrossRef
36.
go back to reference Bon JM, Zhang Y, Duncan SR, Pilewski JM, Zaldonis D, Zeevi A, McCurry KR, Greenspan SL, Sciurba FC (2010) Plasma inflammatory mediators associated with bone metabolism in copd. COPD 7:186–191PubMedCentralPubMedCrossRef Bon JM, Zhang Y, Duncan SR, Pilewski JM, Zaldonis D, Zeevi A, McCurry KR, Greenspan SL, Sciurba FC (2010) Plasma inflammatory mediators associated with bone metabolism in copd. COPD 7:186–191PubMedCentralPubMedCrossRef
37.
go back to reference Huebner JL, Kraus VB (2006) Assessment of the utility of biomarkers of osteoarthritis in the guinea. Osteoarthr Cartil 14:923–930PubMedCrossRef Huebner JL, Kraus VB (2006) Assessment of the utility of biomarkers of osteoarthritis in the guinea. Osteoarthr Cartil 14:923–930PubMedCrossRef
38.
go back to reference Huebner JL, Seifer DR, Kraus VB (2007) A longitudinal analysis of serum cytokines in the Hartley guinea pig model of osteoarthritis. Osteoarthr Cartil 15:354–356PubMedCentralPubMedCrossRef Huebner JL, Seifer DR, Kraus VB (2007) A longitudinal analysis of serum cytokines in the Hartley guinea pig model of osteoarthritis. Osteoarthr Cartil 15:354–356PubMedCentralPubMedCrossRef
39.
go back to reference Korkusuz P, Dagdeviren A, Eksioglu F, Ors U (2005) Immunohistological analysis of normal and osteoarthritic human synovial tissue. Bull Hosp Jt Dis 63:63–69PubMed Korkusuz P, Dagdeviren A, Eksioglu F, Ors U (2005) Immunohistological analysis of normal and osteoarthritic human synovial tissue. Bull Hosp Jt Dis 63:63–69PubMed
Metadata
Title
Angiogenic cytokine expression profiles in plasma and synovial fluid of primary knee osteoarthritis
Authors
Thomas Mabey
Sittisak Honsawek
Natthaphon Saetan
Yong Poovorawan
Aree Tanavalee
Pongsak Yuktanandana
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 9/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2406-y

Other articles of this Issue 9/2014

International Orthopaedics 9/2014 Go to the issue