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Research ArticleArticle

Detection of Unsaturated Disaccharides, Pyridinoline, and Hydroxyproline in Urine of Patients with Kashin-Beck Disease: Comparison with Controls in an Endemic Area

WEI DONG, YAXU ZHANG, HUI LIU, BEN GAO, DE’AN LI and JIANBO YANG
The Journal of Rheumatology April 2009, 36 (4) 816-821; DOI: https://doi.org/10.3899/jrheum.080642
WEI DONG
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  • For correspondence: dongwei98@tom.com
YAXU ZHANG
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HUI LIU
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BEN GAO
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DE’AN LI
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JIANBO YANG
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    Figure 1.
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    Figure 1.

    A. An adult patient with Grade 1 KBD; the knuckles are plainly thickened. B. Brachydactylia abnormality of a patient with Grade 2 KBD.

  • Figure 2.
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    Figure 2.

    Chromatograms of unsaturated disaccharides on HPLC. A. Standard unsaturated disaccharides. B. Unsaturated disaccharides purified from human urine. Horizontal axis represents retention time (min), each peak is integrated by peak area. Retention times of ΔDi-0S, ΔDi-4S, and ΔDi-6S are 6.740 min, 16.757 min, and 18.690 min, respectively.

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    Table 1.

    Age and sex composition of the participants.

    GroupNAge IntervalMean Age, yrsNMen
    Age, yrs
    MeanNWomen
    Age, yrs
    Mean
    Control2542–6953.201444–6954.971142–6251.18
    Grade 13341–7550.971642–7553.561741–5648.53
    Grade 22240–7452.821740–7452.41543–7454.20
    Total8040–7552.184740–7553.513341–7450.27
    • The age and sex matches of the subgroups are close, except there are fewer female patients of Grade 2 group.

    • View popup
    Table 2.

    The means and F values of 3 unsaturated disaccharides, PYD/CR, and HYP/CR in the 3 study groups.

    MarkerGroupNMean (SD)F
    ΔDi-0S†, μg/mlControl221.123 (0.204)85.700**
    Grade 1291.177 (0.286)
    Grade 2212.045 (0.285)
    ΔDi-4S†, μg/mlControl220.838 (0.206)19.609**
    Grade 1290.847 (0.331)
    Grade 2211.320 (0.316)
    ΔDi-6S†, μg/mlControl220.930 (0.102)13.855**
    Grade 1291.014 (0.347)
    Grade 2211.381 (0.366)
    PYD/CR††Control240.117 (0.092)3.431*
    Grade 1330.100 (0.106)
    Grade 2200.310 (0.566)
    HYP/CRControl250.010 (0.006)0.072
    Grade 1330.009 (0.011)
    Grade 2220.009 (0.008)
    • ↵† In disaccharide detection, we excluded 8 samples that might be unqualified.

    • ↵†† In PYD ELISA determination, 3 samples were excluded because they were out of the kit detection range.

    • ↵* p < 0.05,

    • ↵** p < 0.01.

    • View popup
    Table 3.

    Correlation coefficients of the markers.

    PYD/CRHYP/CRΔDi-0SΔDi-4SΔDi-6S
    PYD/CR1.0000.470**0.1130.1220.069
    HYP/CR0.470**1.000–0.0610.004–0.024
    ΔDi-0S0.113–0.0611.0000.572**0.576**
    ΔDi-4S0.1220.0040.572**1.0000.341**
    ΔDi-6S0.069–0.0240.576**0.341**1.000
    • * Significant at the 0.01 level (2-tailed).

    • View popup
    Table 4.

    Correlation coefficients among markers and KBD grading, age, and sex.

    MarkerKBD GradingAgeSex
    ΔDi-0S0.735**0.0120.144
    ΔDi-4S0.513**–0.0240.063
    ΔDi-6S0.497**–0.0740.140
    PYD/CR0.227*–0.0350.051
    HYP/CR–0.041–0.173–0.245*
    • ↵* Significant at the 0.05 level (2-tailed).

    • ↵** Significant at the 0.01 level (2-tailed).

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Vol. 36, Issue 4
1 Apr 2009
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Detection of Unsaturated Disaccharides, Pyridinoline, and Hydroxyproline in Urine of Patients with Kashin-Beck Disease: Comparison with Controls in an Endemic Area
WEI DONG, YAXU ZHANG, HUI LIU, BEN GAO, DE’AN LI, JIANBO YANG
The Journal of Rheumatology Apr 2009, 36 (4) 816-821; DOI: 10.3899/jrheum.080642

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Detection of Unsaturated Disaccharides, Pyridinoline, and Hydroxyproline in Urine of Patients with Kashin-Beck Disease: Comparison with Controls in an Endemic Area
WEI DONG, YAXU ZHANG, HUI LIU, BEN GAO, DE’AN LI, JIANBO YANG
The Journal of Rheumatology Apr 2009, 36 (4) 816-821; DOI: 10.3899/jrheum.080642
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