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Research on diagnosis of temporomandibular disorders using synovial fluid analysis

Research Project

Project/Area Number 07838027
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section時限
Research Field 咀嚼
Research InstitutionSaga Medical School

Principal Investigator

KATSUKI Takeshi  Saga Medical School, Professor, 医学部, 教授 (70038868)

Co-Investigator(Kenkyū-buntansha) KUBOTA Eiro  Kanagawa Dental College, Professor, 歯学部, 教授 (50170030)
NOGUCHI Nobuhiro  Saga Medical School, Resident, 医学部, 助手 (40284658)
TOYOTA Junichiro  Saga Medical School, Resident, 医学部, 助手 (80281202)
GOTO Masaaki  Saga Medical School, Associate Professor, 医学部, 助教授 (10145211)
今村 英夫  佐賀医科大学, 医学部, 助手 (00274613)
北古賀 修  佐賀医科大学, 医学部, 助手 (70264166)
Project Period (FY) 1995 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 1996: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1995: ¥1,500,000 (Direct Cost: ¥1,500,000)
Keywordstemporomandibular joint / synovial fluid / cytokine / proteinase / 骨変化 / IL-Iβ / 滑膜炎
Research Abstract

Purpose : This study investigated the early signs of synovitis and cartilage degradation by means of synovial fluid analysis in temporomandibular joints (TMJs) with internal derangement (closed lock) or osteoarthritis (OA).
Patients and Methods : Synovial fluid was obtained from 25 TMJs in 22 patients diagnosed with closed lock and from 15 asymptomatic TMJs of 12 normal controls. IL-1beta concentrations were measured using enzyme-linked immunosorbent assay (ELISA), and proteinase activity was detected by means of gelatin enzymography.
Results : Nine of the 25 TMJs with closed lock (CL group) exhibited osteolytic changes on the surface of the condyle. TMJs in the normal control group did not show any bony changes. Mean IL-1beta concentration in the synovial fluid (SF) protein in the CL group was 330.1 <plus-minus> 347.7 pg per 100 mug protein, which was significantly higher than in the normal control control (76.7 <plus-minus> 95.3 pg/100 mug SF-protein). Synovial fluid from the TMJs with osteolytic changes contained higher levels of IL-1beta (531.8 <plus-minus> 379.6 pg/100 mug SF-protein) than those without bony changes (216.7 <plus-minus> 280.1 pg/100 mug SF-protein). Matrix metalloproteinase (MMP) activity with a molecular weight of 50 kd (stromelysin or MMP3) was detected in a highly augmented form in two synovial fluid samples of seven closed lock p
Conclusion : The results suggest that IL-1beta levels in synovial fluid of the TMJ have a positive correlation with OA change. The MMP3 activity detected was greatly increased in patients with cartilage degradation. These findings suggest that both changes may be important markers of early bone deterioration in TMJs that are undetectable by radiograph imaging.

Report

(3 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • Research Products

    (3 results)

All Other

All Publications (3 results)

  • [Publications] Kubota E,Imamura H,Kubota T,Shibata T,and Murakami,K: "Interleukin 1 β and stromelysin(MMP3)activity of synovial fluid as possible markers of osteoarthritis in the temporomandibular joint." J Oral Maxillofac Surg. 55. 20-27 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Kubota E,Imamura H,Kubota T,Shibata T,and Murakami K: "Interleukin 1 beta and stromelysin (MMP3) activity of synovial fluid as possible markers of osteoarthritis in the temporomandibular joint." J Oral Maxillfac.Surg. 55. 20-27 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Kubota E,Imamura H,Kubota T,Shibata T,and Murakami K: "Interleukin 1 β and stromelysin(MMP3)activity of synovial fluid as possible markers of osteoarthritis in the temporomandibular joint." J Oral Maxillofac Surg. 55. 20-28 (1997)

    • Related Report
      1996 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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