Discovery of an autoantibody signature for the early diagnosis of knee osteoarthritis: Data from the Osteoarthritis Initiative
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Annals of the rheumatic diseases
Type of content
DeCSestudios de casos y controles | curva ROC | autoanticuerpos | incidencia | estudios de seguimiento | pruebas de valores predictivos | mediana edad | progresión de la enfermedad | articulación de la rodilla | radiografía | diagnóstico precoz | humanos | osteoartritis | enzimoinmunoanálisis por adsorción
MeSHPredictive Value of Tests | Radiography | Middle Aged | Humans | Autoantibodies | Knee Joint | ROC Curve | Enzyme-Linked Immunosorbent Assay | Follow-Up Studies | Early Diagnosis | Case-Control Studies | Disease Progression | Osteoarthritis | Incidence
OBJECTIVE: To find autoantibodies (AAbs) in serum that could be useful to predict incidence of radiographic knee osteoarthritis (KOA). DESIGN: A Nucleic-acid Programmable Protein Arrays (NAPPA) platform was used to screen AAbs against 2125 human proteins in sera at baseline from participants free of radiographic KOA belonging to the incidence and non-exposed subcohorts of the Osteoarthritis Initiative (OAI) who developed or not, radiographic KOA during a follow-up period of 96 months. NAPPA-ELISA were performed to analyse reactivity against methionine adenosyltransferase two beta (MAT2beta) and verify the results in 327 participants from the same subcohorts. The association of MAT2beta-AAb levels with KOA incidence was assessed by combining several robust biostatistics analysis (logistic regression, Receiver Operating Characteristic and Kaplan-Meier curves). The proposed prognostic model was replicated in samples from the progression subcohort of the OAI. RESULTS: In the screening phase, six AAbs were found significantly different at baseline in samples from incident compared with non-incident participants. In the verification phase, high levels of MAT2beta-AAb were significantly associated with the future incidence of KOA and with an earlier development of the disease. The incorporation of this AAb in a clinical model for the prognosis of incident radiographic KOA significantly improved the identification/classification of patients who will develop the disorder. The usefulness of the model to predict radiographic KOA was confirmed on a different OAI subcohort. CONCLUSIONS: The measurement of AAbs against MAT2beta in serum might be highly useful to improve the prediction of OA development, and also to estimate the time to incidence.