Wednesday, June 10, 2009
Osteoarthritis is commonly diagnosed
in the late and irreversible stages, when treatment can only be expected to
decrease pain and slow progression of disease. Because osteoarthritis is a
widespread problem in dogs, horses and humans, doctors and veterinarians need a
precise way to diagnose the disease early and accurately. Now, University of
Missouri researchers are investigating potential biomarkers in dogs for early
diagnosis of osteoarthritis, which could help identify patients at increased
risk of developing osteoarthritis.
"By developing methods for earlier
diagnosis of osteoarthritis, prevention or even curative treatment strategies to
manage the disease become more realistic," said James Cook, professor of
veterinary medicine and surgery, and the William & Kathryn Allen
Distinguished Professor in Orthopedic Surgery. "Biomarkers could detect the
disease before pain and swelling occurs, and owners could take preventative
measures, such as modifying activities or diet, helping their pets lose weight
and strengthen their joints, to reduce the likelihood of their dogs developing
osteoarthritis."
In the study, researchers examined potential biomarkers
in synovial fluid. Synovial fluid, which is fluid that lubricates the joints, is
known to have sensitive and rapid responses to joint injury. Taking samples from
dogs, researchers found that synovial fluid quantity and quality were altered in
injured stifle joints (the joint in the hind limbs of dogs that is the
equivalent joint to the human knee).
"At the MU Comparative Orthopaedic
Laboratory, we are particularly interested in identification and validation of
biomarkers that can detect early stages of osteoarthritis to provide accurate
diagnostic and prognostic information prior to the onset of clinical disease for
people and for pets," Cook said. "Our team, led by Drs. Kuroki, Stoker and
Garner, is making tremendous progress in developing simple tests on blood, urine
and synovial fluid that show great promise for helping us diagnose impending
osteoarthritis before it is too late to help the patient in the most effective
manner."
Osteoarthritis causes degradation of articular cartilage,
leading to pain, inflammation and loss of motion in the joint. Veterinarians
predict that 20 percent of middle-aged dogs and 90 percent of older dogs have
osteoarthritis in one or more joints and the percentages are even higher for the
human population.
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University of Missouri-Columbia