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Updated: Sep 29, 2025

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Synovial Fluid Analysis to Identify Osteoarthritis
Published on: October 20, 2022
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Monomeric C-reactive protein level is associated with osteoarthritis
Yulin Liang1, Ke Xu2, Wenguang Liu2
1Key Laboratory of Cell Activities and Stress Adaptations, Ministry of Education, School of Life Sciences, Lanzhou University, Lanzhou, Gansu 730000, P.R. China.
Experimental and Therapeutic Medicine
|March 23, 2022
Summary
Monomeric C-reactive protein (mCRP) is linked to osteoarthritis (OA) severity. This study suggests mCRP may serve as a valuable biomarker for monitoring OA disease activity and treatment effectiveness.
Area of Science:
- Biochemistry
- Immunology
- Rheumatology
Background:
- Osteoarthritis (OA) is a degenerative joint disease with inflammation.
- C-reactive protein (CRP) is a known inflammation marker, with monomeric CRP (mCRP) being the active form at inflammatory sites.
- The role of mCRP in OA pathogenesis and its potential as a biomarker are not well understood.
Purpose of the Study:
- To investigate the association between plasma levels of CRP, mCRP, and anti-mCRP autoantibodies and osteoarthritis.
- To determine if mCRP can serve as a biomarker for OA disease activity and progression.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to quantify plasma concentrations of CRP, mCRP, and anti-mCRP autoantibodies.
- Levels were compared between healthy individuals and patients diagnosed with OA.
- Correlation with Kellgren-Lawrence (KL) grading was assessed.
Main Results:
- Plasma mCRP levels were significantly elevated in OA patients compared to healthy controls.
- A strong association was found between plasma mCRP and OA, whereas anti-mCRP autoantibodies showed minimal correlation.
- Higher plasma mCRP levels were observed in patients with KL grade 4 OA compared to KL grade 3.
Conclusions:
- Plasma mCRP is strongly associated with osteoarthritis and may reflect disease severity.
- mCRP shows potential as a biomarker for monitoring OA disease activity and evaluating therapeutic efficacy.
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