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Quantitative analysis of pyridinium crosslinks of collagen in the synovial fluid of patients with rheumatoid arthritis using high-performance liquid chromatography
Authors:A. Müller  G. Hein  S. Franke  D. Herrmann  S. Henzgen  A. Roth  G. Stein
Affiliation:(1) Department of Internal Medicine IV, Friedrich Schiller University Jena, Erlanger Allee 101, D-07740 Jena, Germany;(2) Institute of Clinical Immunology, Friedrich Schiller University Jena, Humboldtstrasse 3, D-07740 Jena, Germany;(3) Institute of Pathology, Friedrich Schiller University Jena, Ziegelmtihlenweg, D-07740 Jena, Germany;(4) Clinic of Orthopedics, Friedrich Schiller University Jena, Klosterlausitzer Strasse 1, D-07607 Eisenberg, Germany
Abstract:The pyridinium crosslinks are important and definite biomarkers of mature hard tissue collagen degradation. A gradient ion-paired reversed-phase high-performance liquid chromatographic method was used for the simultaneous determination of both crosslinks in synovial fluid (SF) samples of 25 patients with rheumatoid arthritis (RA). The mean±SD levels of pyridinoline (Pyd) and deoxypyridinoline (Dpyd) in SF were 107.7±182.3 nmol/1 and 4.8±8.3 nmol/1, respectively. The Pyd/Dpyd ratio, which indicates the amount of Pyd released from cartilage rather than bone, amounted to 30.8±29.5. This value is significantly higher than in urine or serum of the same patients. These data suggest increased destruction of joint cartilage in patients with RA and the release of collagen II fragments in SF. In addition, the levels of the crosslinks in SF reflect considerable interindividual variation, indicating substantial individual differences in the amount of collagenous material that is degraded.
Keywords:Rheumatoid arthritis  Synovial fluid  Pyridinium compounds, diagnostic use  High-performance liquid chromatography  cartilage degradation
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