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Updated: Apr 15, 2026

Synovial Fluid Analysis to Identify Osteoarthritis
Published on: October 20, 2022
Serum and synovial fluid nesfatin-1 concentration is associated with radiographic severity of knee osteoarthritis
Yusong Zhang1, Xiaolong Shui2, Xin Lian1
1Department of Orthopedic, Xinhui People's Hospital of Southern Medical University, Jiangmen, Guangdong, China (mainland).
Background:
Nesfatin-1, a member of the adipokine family, has been detected in synovial fluid (SF) from OA patients. This study aimed to determine whether there is a marked correlation of nesfatin-1 levels in serum and SF of knee OA patients with the disease severity of OA.
Material And Methods:
This cross-sectional research enrolled 202 knee OA subjects. The Kellgren-Lawrence grading system was utilized to evaluate the severity of knee OA.
Results:
Elevated nesfatin-1 concentrations in serum were found in knee OA patients compared with the controls. Nesfatin-1 concentrations were markedly elevated with increased KL grades. Serum and SF nesfatin-1 concentrations were both significantly associated with the disease severity evaluated by KL grading criteria.
Conclusions:
Our investigation indicates a marked association of serum and SF nesfatin-1 concentrations with OA disease severity.
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