Complement 3 and 4 impact in osteoarthritis
1Department of Rheumatology & Immunology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Insights
Serum complement 4 (C4) levels indicate osteoarthritis (OA) disease activity, correlating with joint involvement and C-reactive protein (CRP). Complement 3 (C3) levels showed no significant association in OA patients.
Area of Science:
- Rheumatology
- Immunology
- Biochemistry
Background:
- Osteoarthritis (OA) is a prevalent degenerative joint disease.
- Complement system proteins, C3 and C4, play roles in inflammation.
- Understanding their association with OA clinical features is crucial.
Purpose of the Study:
- To investigate the relationship between serum C3 and C4 levels and clinical characteristics in OA patients.
- To determine if C3 and C4 can serve as biomarkers for OA disease activity.
Main Methods:
- Retrospective analysis of 361 OA patients.
- Clinical data and serum levels of C3, C4, ESR, and CRP were collected.
- Statistical analyses included non-parametric tests, Spearman correlation, and multivariate regression.
Main Results:
- Lower C3, C4, ESR, and CRP levels were observed in the osteoarthritis group compared to controls.
- Serum C3 levels positively correlated with ESR and CRP.
- Serum C4 levels correlated with ESR, CRP, and the number of affected joints.
Conclusions:
- Serum C4 levels are significant indicators of OA disease activity, reflecting joint involvement and CRP levels.
- Serum C3 levels did not show a significant association with OA disease activity.
- C4 may hold potential as a predictive biomarker for OA activity.
Abstract:
Aim: To investigate the association between serum complement 3 and 4 (C3 and C4) levels and clinical characteristics in osteoarthritis (OA) patients.Methods: This retrospective study included 361 OA patients divided into groups based on complement levels. Clinical data and laboratory test results, including C3, C4, ESR and CRP levels, were analyzed using non-parametric tests, Spearman correlation and multivariate regression.Results: The AC-OA group had lower PA, C3, C4, ESR, CRP and IgA levels compared with controls. C3 levels were positively correlated with ESR (r = 0.260, p < 0.001) and CRP (r = 0.243, p < 0.001). C4 levels also correlated with ESR (r = 0.175, p = 0.001) and CRP (r = 0.263, p < 0.001) and were significantly associated with the number of affected joints.Conclusion: Serum C4 levels are effective indicators of disease activity in OA, particularly in terms of joint involvement and CRP levels, while C3 levels showed no significant association. These findings suggest a potential role for C4 in predicting OA activity.
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