RI COBRE: ASSESSMENT OF CHONDROPROTECTION IN ACL INJURIES

RI COBRE:ACL 损伤中软骨保护的评估

基本信息

  • 批准号:
    7959906
  • 负责人:
  • 金额:
    $ 15.31万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2009
  • 资助国家:
    美国
  • 起止时间:
    2009-08-01 至 2010-07-31
  • 项目状态:
    已结题

项目摘要

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Loss of Lubrication and Enhanced Cartilage Wear in the Acute ACL Injury Injury is a well established risk factor in the pathogenesis of osteoarthritis (OA). Several large longitudinal population studies support this observation based upon patient history and retrospective data collection instruments. However, efforts to identify patients at risk of progression have been limited. We posit that patients with acute knee injuries and resultant inflammation are at risk for early wear and damage to articular cartilage due to loss of lubricating ability. These patients present to emergency departments and manifest an acute traumatic synovitis (TS) secondary to acute structural defects such as acute anterior cruciate ligament (ACL) injuries following trauma. These patients are young and feature, 1) collagen type II fragment release consistent with early cartilage destruction, 2) digestion of lubricin (PRG4) and lack lubricating ability, and 3) do not have any history of degenerative joint disease. We argue that inflammation results in the destruction of lubricin, accompanied by the fibrillation of cartilage and chronic symptoms which underpin the population based observation of early OA attributable to joint injury. Interventions intended to address some of the earliest causative factors of OA could be emergency department (ED) or primary care based. There may also be a critical time window immediately after a joint injury when limiting the extent of this process could be a primary therapeutic endpoint. The aims are the following: Aim 1: To Investigate the Early Effects of an ACL Injury on Lubricating Mechanisms Mediated by Lubricin in a Mammalian Joint. Hypothesis: An ACL injury induced in rat knee joints results in changes to lubricin metabolism leading to an elevation of the coefficient of friction (¿) of the joint. This results in permanent damage to articulating surfaces or failure of the joint to return to a low m of 0.001. Aim 2: Blocking the Effects of TNF-a Through the Administration of a TNF-a Inhibitor Partially Restores the Lubricating Ability of Diarthrodial Joints Following ACL Injury. Hypothesis: TNF-a play a significant role in mediating changes in lubricin metabolism following ACL injury. Blocking the effects of TNF-a preserves joint lubrication and limits joint wear. Aim 3: Synovial Fluid Aspirates from Patients with Acute ACL Injuries will be Analyzed for IL-1 and TNF-a. Hypothesis: An inverse relationship exists between lubricin concentration and catabolic cytokines in clinical aspirates which can be characterized as a mild inflammatory state.
这个子项目是众多研究子项目之一

项目成果

期刊论文数量(0)
专著数量(0)
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会议论文数量(0)
专利数量(0)

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GREGORY D. JAY其他文献

GREGORY D. JAY的其他文献

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{{ truncateString('GREGORY D. JAY', 18)}}的其他基金

RI COBRE: ASSESSMENT OF CHONDROPROTECTION IN ACL INJURIES
RI COBRE:ACL 损伤中软骨保护的评估
  • 批准号:
    8168038
  • 财政年份:
    2010
  • 资助金额:
    $ 15.31万
  • 项目类别:
Tribosupplementation of Injured Joints
受伤关节的摩擦补充
  • 批准号:
    7670043
  • 财政年份:
    2009
  • 资助金额:
    $ 15.31万
  • 项目类别:
Tribosupplementation of Injured Joints
受伤关节的摩擦补充
  • 批准号:
    8455361
  • 财政年份:
    2009
  • 资助金额:
    $ 15.31万
  • 项目类别:
RI COBRE: ASSESSMENT OF CHONDROPROTECTION IN ACL INJURIES
RI COBRE:ACL 损伤中软骨保护的评估
  • 批准号:
    7721009
  • 财政年份:
    2008
  • 资助金额:
    $ 15.31万
  • 项目类别:
Restitution of Lubrication in ACL Deficient Joints Preventing Wear
ACL 缺陷关节的润滑恢复防止磨损
  • 批准号:
    7615686
  • 财政年份:
    2008
  • 资助金额:
    $ 15.31万
  • 项目类别:
Restitution of Lubrication in ACL Deficient Joints Preventing Wear
ACL 缺陷关节的润滑恢复防止磨损
  • 批准号:
    7434907
  • 财政年份:
    2008
  • 资助金额:
    $ 15.31万
  • 项目类别:
RI COBRE: ASSESSMENT OF CHONDROPROTECTION IN ACL INJURIES
RI COBRE:ACL 损伤中软骨保护的评估
  • 批准号:
    7610824
  • 财政年份:
    2007
  • 资助金额:
    $ 15.31万
  • 项目类别:
Pulsus Paradoxus Monitor
奇脉监测仪
  • 批准号:
    6788511
  • 财政年份:
    2004
  • 资助金额:
    $ 15.31万
  • 项目类别:
Pulsus Paradoxus Monitor
奇脉监测仪
  • 批准号:
    6949921
  • 财政年份:
    2004
  • 资助金额:
    $ 15.31万
  • 项目类别:
Lubricin function in articulating joints
润滑素在关节中的作用
  • 批准号:
    7915518
  • 财政年份:
    2003
  • 资助金额:
    $ 15.31万
  • 项目类别:

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