Development of a Cartilage Oligomeric Matrix Protein Neo-Epitope Assay for the Detection of Intra-Thecal Tendon Disease.
Abstract: The diagnosis of tendon injury relies on clinical signs and diagnostic imaging but imaging is subjective and does not always correlate with clinical signs. A molecular marker would potentially offer a sensitive and specific diagnostic tool that could also provide objective assessment of healing for the comparison of different treatments. Cartilage Oligomeric Matrix Protein (COMP) has been used as a molecular marker for osteoarthritis in humans and horses but assays for the protein in tendon sheath synovial fluids have shown overlap between horses affected by tendinopathy and controls. We hypothesized that quantifying a COMP neoepitope would be more discriminatory of injury. COMP fragments were purified from synovial fluids of horses with intra-thecal tendon injuries and media from equine tendon explants, and mass spectrometry of a consistent and abundant fragment revealed a ~100 kDa COMP fragment with a new N-terminus at the 78th amino-acid (NH-TPRVSVRP) located just outside the junctional region of the protein. A competitive inhibition ELISA based on a polyclonal antibody raised to this sequence yielded more than a 10-fold rise in the mean neoepitope levels for tendinopathy cases compared to controls (5.3 ± 1.3 µg/mL ( = 7) versus 58.8 ± 64.3 µg/mL ( = 13); = 0.002). However, there was some cross-reactivity of the neoepitope polyclonal antiserum with intact COMP, which could be blocked by a peptide spanning the neoepitope. The modified assay demonstrated a lower concentration but a significant > 500-fold average rise with tendon injury (2.5 ± 2.2 ng/mL ( = 6) versus 1029.8 ± 2188.8 ng/ml ( = 14); = 0.013). This neo-epitope assay therefore offers a potentially useful marker for clinical use.
Publication Date: 2020-03-20 PubMed ID: 32245107PubMed Central: PMC7139564DOI: 10.3390/ijms21062155Google Scholar: Lookup
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- Journal Article
Summary
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The research focuses on developing a method that uses Cartilage Oligomeric Matrix Protein (COMP) as a molecular marker to detect tendon injury in horses. The study suggests that this new technique could be far more specific and sensitive in diagnosing such injuries, comparing favourably to current imaging-based methods.
Objective of the Study
- The objective of the study was to develop a sensitive and specific diagnostic tool for the detection of tendon injury in horses that could possibly replace subjective imaging methods.
- The researchers chose to test COMP as a potential molecular marker, as previous studies have shown it to be effective in diagnosing osteoarthritis in humans and horses.
Research Methods
- The researchers hypothesized that quantifying a COMP neoepitope (a new antigen that is generated after a protein undergoes a certain process) would be more indicative of tendon injury.
- COMP fragments were extracted from the synovial fluid (lubricating fluid between joints) of horses that had tendon injuries (intra-thecal), and from tendon explants in an equine laboratory.
- A competitive inhibition ELISA (a type of analysis used for measuring the concentration of antibodies in samples) was used to discover the concentration of the new COMP neoepitope.
Results and Findings
- Through mass spectrometry (a powerful technique used for identifying and quantifying substances within a sample), they found a COMP fragment with a new end at the 78th amino acid.
- An ELISA based on an antibody raised to this sequence resulted in a more than ten-fold rise in the levels of the neoepitope in the cases of tendinopathy (a tendon disorder) when compared to the control group.
- There occurred some cross-reactivity between the neoepitope and the intact COMP, this was counteracted with a peptide overlapping the neoepitope.
- After refinement in the assay, it still showed a significant average rise in concentration (of over 500-fold) during a tendon injury.
Conclusions and Outlook
- Overall, the study demonstrated that this modified neo-epitope assay could act as a powerful indicator of tendon injury, presenting a potential new diagnostic tool.
- This research could have considerable impact on clinical methods for treating and managing tendon diseases in horses.
Cite This Article
APA
Smith R, Önnerfjord P, Holmgren K, di Grado S, Dudhia J.
(2020).
Development of a Cartilage Oligomeric Matrix Protein Neo-Epitope Assay for the Detection of Intra-Thecal Tendon Disease.
Int J Mol Sci, 21(6), 2155.
https://doi.org/10.3390/ijms21062155 Publication
Researcher Affiliations
- Dept of Clinical Sciences and Services, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Herts AL9 7TA, UK.
- Department of Clinical Sciences, Rheumatology and Molecular Skeletal Biology, University of Lund, 22184 Lund, Sweden.
- Department of Clinical Sciences, Rheumatology and Molecular Skeletal Biology, University of Lund, 22184 Lund, Sweden.
- Dept of Clinical Sciences and Services, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Herts AL9 7TA, UK.
- Anicura Regiondjursjukhuset Bagarmossen, Ljusnevägen 17, 128 48 Bagarmossen, Sweden.
- Dept of Clinical Sciences and Services, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Herts AL9 7TA, UK.
MeSH Terms
- Amino Acid Sequence
- Animals
- Antibodies / immunology
- Biological Assay / methods
- Cartilage Oligomeric Matrix Protein / chemistry
- Cartilage Oligomeric Matrix Protein / immunology
- Cartilage Oligomeric Matrix Protein / metabolism
- Cross Reactions / immunology
- Epitopes / metabolism
- Horses
- Spinal Cord / pathology
- Synovial Fluid / metabolism
- Tendon Injuries / diagnosis
- Tendon Injuries / metabolism
- Tendons / pathology
Grant Funding
- VET/PRJ/674 and VET/PRJ/703 / Horserace Betting Levy Board
Conflict of Interest Statement
There are no conflicts of interest.
References
This article includes 42 references
- Avella CS, Ely ER, Verheyen KL, Price JS, Wood JL, Smith RK. Ultrasonographic assessment of the superficial digital flexor tendons of National Hunt racehorses in training over two racing seasons.. Equine Vet J 2009 May;41(5):449-54.
- Suchak AA, Bostick G, Reid D, Blitz S, Jomha N. The incidence of Achilles tendon ruptures in Edmonton, Canada.. Foot Ankle Int 2005 Nov;26(11):932-6.
- Kujala UM, Sarna S, Kaprio J. Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes.. Clin J Sport Med 2005 May;15(3):133-5.
- Järvinen TA, Kannus P, Maffulli N, Khan KM. Achilles tendon disorders: etiology and epidemiology.. Foot Ankle Clin 2005 Jun;10(2):255-66.
- Patterson-Kane JC, Rich T. Achilles tendon injuries in elite athletes: lessons in pathophysiology from their equine counterparts.. ILAR J 2014;55(1):86-99.
- Lui PP, Maffulli N, Rolf C, Smith RK. What are the validated animal models for tendinopathy?. Scand J Med Sci Sports 2011 Feb;21(1):3-17.
- Happonen KE, Heinegård D, Saxne T, Blom AM. Interactions of the complement system with molecules of extracellular matrix: relevance for joint diseases.. Immunobiology 2012 Nov;217(11):1088-96.
- Garvican ER, Salavati M, Smith RKW, Dudhia J. Exposure of a tendon extracellular matrix to synovial fluid triggers endogenous and engrafted cell death: A mechanism for failed healing of intrathecal tendon injuries.. Connect Tissue Res 2017 Sep;58(5):438-446.
- Smith MR, Wright IM, Smith RK. Endoscopic assessment and treatment of lesions of the deep digital flexor tendon in the navicular bursae of 20 lame horses.. Equine Vet J 2007 Jan;39(1):18-24.
- Smith MR, Wright IM. Noninfected tenosynovitis of the digital flexor tendon sheath: a retrospective analysis of 76 cases.. Equine Vet J 2006 Mar;38(2):134-41.
- Smith MRW, Wright IM, Smith RKW, Bladon B, Schramme MC. Treatment options for DDFT lesions: Evidence based results. Proceedings of the 2009 ECVS Annual Conference Nantes, France. 2–4 July 2009.
- Young-Min S, Cawston T, Marshall N, Coady D, Christgau S, Saxne T, Robins S, Griffiths I. Biomarkers predict radiographic progression in early rheumatoid arthritis and perform well compared with traditional markers.. Arthritis Rheum 2007 Oct;56(10):3236-47.
- Lindqvist E, Eberhardt K, Bendtzen K, Heinegård D, Saxne T. Prognostic laboratory markers of joint damage in rheumatoid arthritis.. Ann Rheum Dis 2005 Feb;64(2):196-201.
- Månsson B, Geborek P, Saxne T. Cartilage and bone macromolecules in knee joint synovial fluid in rheumatoid arthritis: relation to development of knee or hip joint destruction.. Ann Rheum Dis 1997 Feb;56(2):91-6.
- Månsson B, Carey D, Alini M, Ionescu M, Rosenberg LC, Poole AR, Heinegård D, Saxne T. Cartilage and bone metabolism in rheumatoid arthritis. Differences between rapid and slow progression of disease identified by serum markers of cartilage metabolism.. J Clin Invest 1995 Mar;95(3):1071-7.
- Saxne T, Heinegård D. Cartilage oligomeric matrix protein: a novel marker of cartilage turnover detectable in synovial fluid and blood.. Br J Rheumatol 1992 Sep;31(9):583-91.
- Åhrman E, Lorenzo P, Holmgren K, Grodzinsky AJ, Dahlberg LE, Saxne T, Heinegård D, Önnerfjord P. Novel cartilage oligomeric matrix protein (COMP) neoepitopes identified in synovial fluids from patients with joint diseases using affinity chromatography and mass spectrometry.. J Biol Chem 2014 Jul 25;289(30):20908-16.
- Lorenzo P, Aspberg A, Saxne T, Önnerfjord P. Quantification of cartilage oligomeric matrix protein (COMP) and a COMP neoepitope in synovial fluid of patients with different joint disorders by novel automated assays.. Osteoarthritis Cartilage 2017 Sep;25(9):1436-1442.
- Arai K, Misumi K, Carter SD, Shinbara S, Fujiki M, Sakamoto H. Analysis of cartilage oligomeric matrix protein (COMP) degradation and synthesis in equine joint disease.. Equine Vet J 2005 Jan;37(1):31-6.
- Arai K, Tagami M, Hatazoe T, Nishimatsu E, Shimizu Y, Fujiki M, Misumi K. Analysis of cartilage oligomeric matrix protein (COMP) in synovial fluid, serum and urine from 51 racehorses with carpal bone fracture.. J Vet Med Sci 2008 Sep;70(9):915-21.
- Misumi K, Tagami M, Kamimura T, Miyakoshi D, Helal IE, Arai K, Fujiki M. Urine cartilage oligomeric matrix protein (COMP) measurement is useful in discriminating the osteoarthritic Thoroughbreds.. Osteoarthritis Cartilage 2006 Nov;14(11):1174-80.
- Taylor SE, Weaver MP, Pitsillides AA, Wheeler BT, Wheeler-Jones CP, Shaw DJ, Smith RK. Cartilage oligomeric matrix protein and hyaluronan levels in synovial fluid from horses with osteoarthritis of the tarsometatarsal joint compared to a control population.. Equine Vet J 2006 Nov;38(6):502-7.
- Misumi K, Vilim V, Hatazoe T, Murata T, Fujiki M, Oka T, Sakamoto H, Carter SD. Serum level of cartilage oligomeric matrix protein (COMP) in equine osteoarthritis.. Equine Vet J 2002 Sep;34(6):602-8.
- Misumi K, Vilim V, Clegg PD, Thompson CC, Carter SD. Measurement of cartilage oligomeric matrix protein (COMP) in normal and diseased equine synovial fluids.. Osteoarthritis Cartilage 2001 Feb;9(2):119-27.
- Yamanokuchi K, Tagami M, Nishimatsu E, Shimizu Y, Hirose Y, Komatsu K, Misumi K. Sandwich ELISA system for cartilage oligomeric matrix protein in equine synovial fluid and serum.. Equine Vet J 2009 Jan;41(1):41-6.
- Skiöldebrand E, Lorenzo P, Zunino L, Rucklidge GJ, Sandgren B, Carlsten J, Ekman S. Concentration of collagen, aggrecan and cartilage oligomeric matrix protein (COMP) in synovial fluid from equine middle carpal joints.. Equine Vet J 2001 Jul;33(4):394-402.
- Skiöldebrand E, Heinegård D, Eloranta ML, Nilsson G, Dudhia J, Sandgren B, Ekman S. Enhanced concentration of COMP (cartilage oligomeric matrix protein) in osteochondral fractures from racing Thoroughbreds.. J Orthop Res 2005 Jan;23(1):156-63.
- Skiöldebrand E, Ekman S, Mattsson Hultén L, Svala E, Björkman K, Lindahl A, Lundqvist A, Önnerfjord P, Sihlbom C, Rüetschi U. Cartilage oligomeric matrix protein neoepitope in the synovial fluid of horses with acute lameness: A new biomarker for the early stages of osteoarthritis.. Equine Vet J 2017 Sep;49(5):662-667.
- Smith RK, Zunino L, Webbon PM, Heinegård D. The distribution of cartilage oligomeric matrix protein (COMP) in tendon and its variation with tendon site, age and load.. Matrix Biol 1997 Nov;16(5):255-71.
- Smith RK, Birch HL, Goodman S, Heinegård D, Goodship AE. The influence of ageing and exercise on tendon growth and degeneration--hypotheses for the initiation and prevention of strain-induced tendinopathies.. Comp Biochem Physiol A Mol Integr Physiol 2002 Dec;133(4):1039-50.
- Smith RK, Birch H, Patterson-Kane J, Firth EC, Williams L, Cherdchutham W, van Weeren WR, Goodship AE. Should equine athletes commence training during skeletal development?: changes in tendon matrix associated with development, ageing, function and exercise.. Equine Vet J Suppl 1999 Jul;(30):201-9.
- Smith RK, Heinegård D. Cartilage oligomeric matrix protein (COMP) levels in digital sheath synovial fluid and serum with tendon injury.. Equine Vet J 2000 Jan;32(1):52-8.
- Smith MR, Wright IM, Minshall GJ, Dudhia J, Verheyen K, Heinegård D, Smith RK. Increased cartilage oligomeric matrix protein concentrations in equine digital flexor tendon sheath synovial fluid predicts intrathecal tendon damage.. Vet Surg 2011 Jan;40(1):54-8.
- Johnson A, Smith R, Saxne T, Hickery M, Heinegård D. Fibronectin fragments cause release and degradation of collagen-binding molecules from equine explant cultures.. Osteoarthritis Cartilage 2004 Feb;12(2):149-59.
- Dakin SG, Smith RK, Heinegård D, Önnerfjord P, Khabut A, Dudhia J. Proteomic analysis of tendon extracellular matrix reveals disease stage-specific fragmentation and differential cleavage of COMP (cartilage oligomeric matrix protein).. J Biol Chem 2014 Feb 21;289(8):4919-27.
- Peffers MJ, Thornton DJ, Clegg PD. Characterization of neopeptides in equine articular cartilage degradation.. J Orthop Res 2016 Jan;34(1):106-20.
- Thur J, Rosenberg K, Nitsche DP, Pihlajamaa T, Ala-Kokko L, Heinegård D, Paulsson M, Maurer P. Mutations in cartilage oligomeric matrix protein causing pseudoachondroplasia and multiple epiphyseal dysplasia affect binding of calcium and collagen I, II, and IX.. J Biol Chem 2001 Mar 2;276(9):6083-92.
- Danfelter M, Onnerfjord P, Heinegård D. Fragmentation of proteins in cartilage treated with interleukin-1: specific cleavage of type IX collagen by matrix metalloproteinase 13 releases the NC4 domain.. J Biol Chem 2007 Dec 21;282(51):36933-41.
- Gough MR, Munroe GA, Mayhew G. Urea as a measure of dilution of equine synovial fluid.. Equine Vet J 2002 Jan;34(1):76-9.
- Brink P, Smith RK, Tverdal A, Dolvik NI. Changes in synovial fluid biomarker concentrations following arthroscopic surgery in horses with osteochondritis dissecans of the distal intermediate ridge of the tibia.. Am J Vet Res 2015 Jul;76(7):599-607.
- Wright IM, McMahon PJ. Tenosynovitis associated with longitudinal tears of the digital flexor tendons in horses: a report of 20 cases.. Equine Vet J 1999 Jan;31(1):12-8.
- Jackson BE, Smith RK, Price JS. A molecular marker of type I collagen metabolism reflects changes in connective tissue remodelling associated with injury to the equine superficial digital flexor tendon.. Equine Vet J 2003 Mar;35(2):211-3.
Citations
This article has been cited 1 times.- Docheva D. Editorial for Special Issue: Achilles Curse and Remedy: Tendon Diseases from Pathophysiology to Novel Therapeutic Approaches.. Int J Mol Sci 2020 Oct 9;21(20).
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