“…The authors conclude that sCOMP is elevated in patients with knee OA and is sensitive to OA disease progression and future research studies with a higher level of evidence should be conducted to investigate the use of this biomarker as an indicator for OA development and progression Madry et al, 2012 71 The aim of this systematic review was to highlight the molecular basis and histopathological features of early OA Special emphasis is placed on early changes in subchondral bone and other structures of the joint, such as the menisci, the synovial membrane, the joint capsule, ligaments, muscles and the infrapatellar fat pad Claessen et al, 2012 72 In this paper the authors conducted a systematic review of reported associations between circulating insulin-like growth factor-1 (IGF-1) and/or IGF-1 gene polymorphisms and radiographic OA No association was found between serum IGF-1 and the occurrence of radiographic OA (moderate level of evidence), and a positive relationship between IGF-1 gene polymorphisms and radiographic OA (moderate level of evidence); however the confounding effect of BMI was insufficiently addressed The authors propose that future well-designed prospective studies should further elaborate the role of the complex GH/IGF-1 system in primary OA Gharbi et al, 2011 73 The aim of this elegant review was to gather most of the available information relating to proteomic techniques and their applications to OA research Mobasheri 2011 74 This perspective article discusses the relevance and potential of proteomics for studying age-related musculoskeletal diseases such as OA and reviews the contributions of key investigators in the field 25 also focused on adipokines by investigating adiponectin levels in plasma and synovial fluids of female patients with knee OA. Adiponectin is an important adipokine involved in the control of fat metabolism and insulin sensitivity, with anti-diabetic, anti-atherogenic and anti-inflammatory activities.…”