Rheumatology, Vol 38, 618-626, Copyright © 1999 by British Society for Rheumatology
JS Johansen, M Stoltenberg, M Hansen, A Florescu, K Horslev-Petersen, I Lorenzen and PA Price
OBJECTIVE: YKL-40, also called human cartilage glycoprotein-39, is secreted
by chondrocytes, synovial cells, macrophages and neutrophils. Studies have
shown that YKL-40 is an autoantigen in rheumatoid arthritis (RA). We
evaluated whether serum YKL-40 was related to disease activity in patients
with RA. METHODS: Serum YKL-40 was determined by radioimmunoassay in 156
patients with RA during a 1 yr longitudinal study. RESULTS: Serum YKL-40
was increased in 54% of the patients with clinically active disease.
Patients with clinically active disease initially who became inactive after
12 months had a significant decrease in serum YKL-40 (-30%, P < 0.002)
and patients who changed from inactive to active disease had an increase in
serum YKL- 40. Patients who remained active had unchanged serum YKL-40
during the study. Serum YKL-40 decreased rapidly (-24% after 7 days, P <
0.01) during prednisolone therapy, and more slowly in patients treated with
methotrexate only (-15% after 60 days, P < 0.01). Patients with early RA
(disease duration < 3 yr, n = 50) and a persistently elevated serum
YKL-40 were at risk of radiological disease progression as determined by
Larsen score. CONCLUSION: Serum YKL-40 varies according to disease activity
in RA, but provides in some respect information different from conventional
markers. Our previous studies are consistent with a local release of YKL-40
in the arthritic joint followed by a secondary increase in serum YKL-40.
YKL-40 may prove to be a new tool for the study of disease activity and
pathophysiology of RA.
ORIGINAL PAPERS
Serum YKL-40 concentrations in patients with rheumatoid arthritis: relation to disease activity
Department of Rheumatology, Hvidovre Hospital, Denmark.
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
J. S. Johansen, P. E. Hoyer, L. A. Larsen, P. A. Price, and K. Mollgard YKL-40 Protein Expression in the Early Developing Human Musculoskeletal System J. Histochem. Cytochem., December 1, 2007; 55(12): 1213 - 1228. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Deutsch Evaluation of the Effect of Neptune Krill Oil on Chronic Inflammation and Arthritic Symptoms J. Am. Coll. Nutr., February 1, 2007; 26(1): 39 - 48. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. F. Bigg, R. Wait, A. D. Rowan, and T. E. Cawston The Mammalian Chitinase-like Lectin, YKL-40, Binds Specifically to Type I Collagen and Modulates the Rate of Type I Collagen Fibril Formation J. Biol. Chem., July 28, 2006; 281(30): 21082 - 21095. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. S. Johansen, B. V. Jensen, A. Roslind, D. Nielsen, and P. A. Price Serum YKL-40, A New Prognostic Biomarker in Cancer Patients? Cancer Epidemiol. Biomarkers Prev., February 1, 2006; 15(2): 194 - 202. [Abstract] [Full Text] [PDF] |
||||
![]() |
O. J. Bergmann, J. S. Johansen, T. W. Klausen, A. K. Mylin, J. S. Kristensen, E. Kjeldsen, and H. E. Johnsen High Serum Concentration of YKL-40 Is Associated with Short Survival in Patients with Acute Myeloid Leukemia Clin. Cancer Res., December 15, 2005; 11(24): 8644 - 8652. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. G. A. Steenbakkers, D. Baeten, E. Rovers, E. M. Veys, A. W. M. Rijnders, J. Meijerink, F. De Keyser, and A. M. H. Boots Localization of MHC Class II/Human Cartilage Glycoprotein-39 Complexes in Synovia of Rheumatoid Arthritis Patients Using Complex-Specific Monoclonal Antibodies J. Immunol., June 1, 2003; 170(11): 5719 - 5727. [Abstract] [Full Text] [PDF] |
||||
![]() |
J.-M. Rakic, V. Lambert, M. Deprez, J.-M. Foidart, A. Noel, and C. Munaut Estrogens Reduce the Expression of YKL-40 in the Retina: Implications for Eye and Joint Diseases Invest. Ophthalmol. Vis. Sci., April 1, 2003; 44(4): 1740 - 1746. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Sjogren, J. M. Meis-Kindblom, C. Orndal, P. Bergh, K. Ptaszynski, P. Aman, L.-G. Kindblom, and G. Stenman Studies on the Molecular Pathogenesis of Extraskeletal Myxoid Chondrosarcoma--Cytogenetic, Molecular Genetic, and cDNA Microarray Analyses Am. J. Pathol., March 1, 2003; 162(3): 781 - 792. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. C. Tsark, W. Wang, Y.-C. Teng, D. Arkfeld, G. R. Dodge, and S. Kovats Differential MHC Class II-Mediated Presentation of Rheumatoid Arthritis Autoantigens by Human Dendritic Cells and Macrophages J. Immunol., December 1, 2002; 169(11): 6625 - 6633. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. K. Tanwar, M. R. Gilbert, and E. C. Holland Gene Expression Microarray Analysis Reveals YKL-40 to Be a Potential Serum Marker for Malignant Character in Human Glioma Cancer Res., August 1, 2002; 62(15): 4364 - 4368. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Ostergaard, J. S. Johansen, T. Benfield, P. A. Price, and J. D. Lundgren YKL-40 Is Elevated in Cerebrospinal Fluid from Patients with Purulent Meningitis Clin. Vaccine Immunol., May 1, 2002; 9(3): 598 - 604. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. C. Register, C. S. Carlson, and M. R. Adams Serum YKL-40 Is Associated with Osteoarthritis and Atherosclerosis in Nonhuman Primates Clin. Chem., December 1, 2001; 47(12): 2159 - 2161. [Full Text] [PDF] |
||||
![]() |
E. Gineyts, P. Garnero, and P. D. Delmas Urinary excretion of glucosyl-galactosyl pyridinoline: a specific biochemical marker of synovium degradation Rheumatology, March 1, 2001; 40(3): 315 - 323. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. S. Patil, F. C. Hall, S. Drover, D. R. Spurrell, E. Bos, A. P. Cope, G. Sonderstrup, and E. D. Mellins Autoantigenic HCgp39 Epitopes Are Presented by the HLA-DM-Dependent Presentation Pathway in Human B Cells J. Immunol., January 1, 2001; 166(1): 33 - 41. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Conrozier, M-C Carlier, P Mathieu, F Colson, A L Debard, S Richard, H Favret, J Bienvenu, and E Vignon Serum levels of YKL-40 and C reactive protein in patients with hip osteoarthritis and healthy subjects: a cross sectional study Ann Rheum Dis, October 1, 2000; 59(10): 828 - 831. [Abstract] [Full Text] |
||||
![]() |
K Vos, P Steenbakkers, A M M Miltenburg, E Bos, M W van den Heuvel, R A van Hogezand, R R P de Vries, F C Breedveld, and A M H Boots Raised human cartilage glycoprotein-39 plasma levels in patients with rheumatoid arthritis and other inflammatory conditions Ann Rheum Dis, July 1, 2000; 59(7): 544 - 548. [Abstract] [Full Text] |
||||












