Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis

In recent years, numerous potential prognostic biomarkers for rheumatoid arthritis (RA) have been investigated. Despite these advancements, clinical practice primarily relies on autoantibody tests—for rheumatoid factor (RF) and anti-citrullinated protein antibody (anti-CCP)—alongside inflammatory ma...

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Main Authors: Veronika Smolinska, Daniela Klimova, Lubos Danisovic, Stefan Harsanyi
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/12/1945
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author Veronika Smolinska
Daniela Klimova
Lubos Danisovic
Stefan Harsanyi
author_facet Veronika Smolinska
Daniela Klimova
Lubos Danisovic
Stefan Harsanyi
author_sort Veronika Smolinska
collection DOAJ
description In recent years, numerous potential prognostic biomarkers for rheumatoid arthritis (RA) have been investigated. Despite these advancements, clinical practice primarily relies on autoantibody tests—for rheumatoid factor (RF) and anti-citrullinated protein antibody (anti-CCP)—alongside inflammatory markers, such as the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Expanding the repertoire of diagnostic and therapeutic biomarkers is critical for improving clinical outcomes in RA. Emerging evidence highlights the significance of synovial fluid biomarkers, including aggrecan, matrix metalloproteinases, glucosyl-galactosyl-pyridinoline, hyaluronic acid, S100 proteins, calprotectin, and various cytokines, as well as immunological markers. Additionally, specific components of extracellular vesicles, such as non-coding RNAs, heat shock proteins, and lipids, are gaining attention. This review focuses on molecular markers found in synovial fluid and extracellular vesicles, excluding clinical and imaging biomarkers, and explores their potential applications in the diagnosis and management of RA.
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spelling doaj-art-9765bb47b2994d99abf7d7773178f7b72024-12-27T14:38:36ZengMDPI AGMedicina1010-660X1648-91442024-11-016012194510.3390/medicina60121945Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid ArthritisVeronika Smolinska0Daniela Klimova1Lubos Danisovic2Stefan Harsanyi3Institute of Medical Biology, Genetics and Clinical Genetics, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 811 08 Bratislava, SlovakiaInstitute of Medical Biology, Genetics and Clinical Genetics, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 811 08 Bratislava, SlovakiaInstitute of Medical Biology, Genetics and Clinical Genetics, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 811 08 Bratislava, SlovakiaInstitute of Medical Biology, Genetics and Clinical Genetics, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 811 08 Bratislava, SlovakiaIn recent years, numerous potential prognostic biomarkers for rheumatoid arthritis (RA) have been investigated. Despite these advancements, clinical practice primarily relies on autoantibody tests—for rheumatoid factor (RF) and anti-citrullinated protein antibody (anti-CCP)—alongside inflammatory markers, such as the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Expanding the repertoire of diagnostic and therapeutic biomarkers is critical for improving clinical outcomes in RA. Emerging evidence highlights the significance of synovial fluid biomarkers, including aggrecan, matrix metalloproteinases, glucosyl-galactosyl-pyridinoline, hyaluronic acid, S100 proteins, calprotectin, and various cytokines, as well as immunological markers. Additionally, specific components of extracellular vesicles, such as non-coding RNAs, heat shock proteins, and lipids, are gaining attention. This review focuses on molecular markers found in synovial fluid and extracellular vesicles, excluding clinical and imaging biomarkers, and explores their potential applications in the diagnosis and management of RA.https://www.mdpi.com/1648-9144/60/12/1945rheumatoid arthritissynovial fluidextracellular vesiclesexosomesbiomarkers
spellingShingle Veronika Smolinska
Daniela Klimova
Lubos Danisovic
Stefan Harsanyi
Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis
Medicina
rheumatoid arthritis
synovial fluid
extracellular vesicles
exosomes
biomarkers
title Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis
title_full Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis
title_fullStr Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis
title_full_unstemmed Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis
title_short Synovial Fluid Markers and Extracellular Vesicles in Rheumatoid Arthritis
title_sort synovial fluid markers and extracellular vesicles in rheumatoid arthritis
topic rheumatoid arthritis
synovial fluid
extracellular vesicles
exosomes
biomarkers
url https://www.mdpi.com/1648-9144/60/12/1945
work_keys_str_mv AT veronikasmolinska synovialfluidmarkersandextracellularvesiclesinrheumatoidarthritis
AT danielaklimova synovialfluidmarkersandextracellularvesiclesinrheumatoidarthritis
AT lubosdanisovic synovialfluidmarkersandextracellularvesiclesinrheumatoidarthritis
AT stefanharsanyi synovialfluidmarkersandextracellularvesiclesinrheumatoidarthritis