Clinical Chemistry
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Clinical Chemistry 44: 509-516, 1998;
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Right arrow Proteomics and Protein Markers
(Clinical Chemistry. 1998;44:509-516.)
© 1998 American Association for Clinical Chemistry, Inc.


Enzymes and Protein Markers

Chondrex: new marker of joint disease

Sheryl Harvey1, Michael Weisman2, James O'Dell3, Tonya Scott1, Mindy Krusemeier Jill Visor1,4,a, and Cathy Swindlehurst1

1 Novadex, Inc., San Diego, CA 92121.

2 University of California–San Diego Medical Center, Division of Rheumatology, San Diego, CA 92103.

3 University of Nebraska Medical Center, Department of Internal Medicine, Omaha, NE 68198.

4 Metra Biosystems, Inc., 265 N. Whisman Rd., Mountain View, CA 94043.
a Author for correspondence. Fax 650-903-9500; e-mail jvisor{at}metrabio.com.

Chondrex, a major secretory protein of human chondrocytes and synovial fibroblasts, is increased in serum of patients with joint and cartilage disease. We have developed a sandwich-type ELISA for quantifying chondrex in serum. The interassay CVs were 2.8–3.7% and the average within-run and total CVs were 3.6% and 5.4%, respectively. The limit of detectability by linear dilution was 20 µg/L, recovery upon dilution was 102% ± 5%, and analytical recovery (of added analyte) was 98% ± 11%. The reference interval (central 90% interval) for chondrex in healthy adults was 25–95 µg/L. Chondrex values for patients with active rheumatoid arthritis or osteoarthritis were significantly greater than in healthy adults, inactive rheumatoid arthritis patients, and diabetes patients (P <0.05). In patients treated with disease-modifying antirheumatic drug therapy, decreasing chondrex values reflected the clinical improvement observed in responders, whereas the values were maintained or increased in nonresponders. In conclusion, chondrex may be a useful marker in the clinical investigation of arthritis.




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