Comparative Study of Normal and Osteoarthritic Canine Synovial Fluid using 500 MHz 1H Magnetic Resonance Spectroscopy

Abstract

Summary: High resolution IH nuclear magnetic resonance spectroscopy has been used to investigate and compare the metabolic profiles of normal and ostcoarthritic synovial fluids in a canine model OP osteoarthritis. The spectra of osteoarthritic synovial fluid showed (a) increased concentrations of lactate. pyruvate, lipoproteinassociated fatty acids, and glycerol as well as the ketones hydroxybutyrate and hydroxyisobutyrate, (b) reduced levels of glucose, and (c) elevated levels of N-acetylglycoprotcins, acetate, and acetainide compared with healthy normal canine synovial fluid. An increase was also observed in the concentrations of the amino acids alanine and isoleucine. These results suggest that (a) the intraarticular environment in canine osteoarthritis is more hypoxic and acidotic than in a normal joint, (b) lipolysis may play an increasingly important role as a source of energy in osteoarthritis, and (c) the N-acetylglycoprotein polymer component of synovial fluid (mostly hyaluronan) seems to be increasingly fragmented and degraded into acetate by way of an acetamidc intermediate with progressive osteoarthritis. The observed changes in the biochemical profile of canine osteuarthritic synovial fluid may be useful in understanding alterations in joint metabolism consequent to arthritic diseases and helpful in identifying potential markers of osteoarthritis.

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