LIPOPOLYSACCHARIDE-BINDING PROTEIN AS A MARKER OF INFLAMMATION IN SYNOVIAL-FLUID OF PATIENTS WITH ARTHRITIS - CORRELATION WITH INTERLEUKIN-6 AND C-REACTIVE PROTEIN
D. Heumann et al., LIPOPOLYSACCHARIDE-BINDING PROTEIN AS A MARKER OF INFLAMMATION IN SYNOVIAL-FLUID OF PATIENTS WITH ARTHRITIS - CORRELATION WITH INTERLEUKIN-6 AND C-REACTIVE PROTEIN, Journal of rheumatology, 22(7), 1995, pp. 1224-1229
Objective. To determine levels of lipopolysaccharide binding protein (
LBP) in serum and in synovial fluid (SF) of patients presenting with v
arious articular disorders [degenerative arthritis, rheumatoid arthrit
is (RA), reactive arthritis (ReA)] and to correlate these levels with
C-reactive protein (CRP) and interleukin 6 (IL-6), 2 markers of the ac
ute phase response. Methods. LBP was measured by a radioimmunoassay ma
de up of lipopolysaccharide (LPS) to capture LBP and radiolabelled ant
i-LBP antibodies to detect LBP. LBP was also measured for its ability
to present fluorescein isothiocyanate LPS (FITC-LPS) to human monocyte
s, CRP was measured by nephelometry and IL-6 bioassay. Results. Levels
of LBP in serum and in SF were significantly higher in patients with
RA and ReA than in the control group of degenerative arthropathies. In
the latter group, LBP values were similar to those found in controls.
Serum LBP values correlated positively with SF LBP values. LBP values
also correlated with CRP and IL-6 levels measured in SF. Functionally
, LBP was found to be active and able to present LPS to monocytes, res
ulting in tumor necrosis factor-alpha (TNF-alpha) release upon LPS cha
llenge. Conclusion. These in vitro data support the observation that L
BP could play a major role in local joint disorders. Our results also
strengthen the view that LBP may be a new marker of synovial inflammat
ion.