Evidence map›Paper›PMID 41943100›Full record

ArticleArthritis research & therapy2026

RBP4-a risk factor in lipid metabolism-serves as an early diagnostic and prognostic marker of knee osteoarthritis progression.

Zheng Zhu, Zhengming Zhu, Ya Li, Lingchao Kong, Wenwei Dong, Rende Ning

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Article in Arthritis research & therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Zheng Zhu *Department of Orthopedic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Zhengming Zhu *Department of Orthopedics, The Third Affiliated Hospital of Anhui Medical University (The First People's Hospital of Hefei), Hefei, Anhui, China.
Ya LiDepartment of Orthopedics, The Third Affiliated Hospital of Anhui Medical University (The First People's Hospital of Hefei), Hefei, Anhui, China.
Lingchao KongDepartment of Orthopedics, The Third Affiliated Hospital of Anhui Medical University (The First People's Hospital of Hefei), Hefei, Anhui, China. konglingchaocn@163.com.
Wenwei DongDepartment of Orthopedic Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China. dongwwlq@163.com.
Rende NingDepartment of Orthopedics, The Third Affiliated Hospital of Anhui Medical University (The First People's Hospital of Hefei), Hefei, Anhui, China. nrd1972@outlook.com.

Funding

Key Project of Health Commission Applied Medical Research of Hefei Hwk2024zd011the Health Research Project of Health Commission of Anhui Province No. AHWJ2024Aa30021The Hefei Municipal Natural Science Foundation HZR2444The Ningbo Municipal Health Commission 2024S178
6 · The paper itself

Abstract

backgroundKnee Osteoarthritis (KOA) represents a prevalent chronic degenerative disorder. Currently, the diagnosis and monitoring of KOA are typically founded on clinical symptoms and imaging examinations when joint damage has already manifested. Consequently, reliable biochemical markers are highly demanded for the early diagnosis of osteoarthritis. PURPOSE: This study aimed to investigate whether serum retinol-binding protein 4 (RBP4) levels in patients with primary KOA can serve as a potential biomarker for early joint damage and to analyze their predictive value for the onset and progression of KOA.

methodsA case-control study was carried out at the First People’s Hospital of Hefei during the period from December 2024 to February 2025. A total of 160 participants were encompassed in the study (comprising 40 patients diagnosed with early-stage and 40 with late-stage KOA, and 80 age-matched healthy controls). Serum levels of RBP4, C-reactive protein (CRP), Cartilage oligomeric matrix protein (COMP), and matrix metalloproteinase-3 (MMP-3) were quantified using sandwich enzyme-linked immunosorbent assay (ELISA). Erythrocyte sedimentation rate (ESR) was determined via the Infrared ESR Analyzer. Finally, an early diagnostic model for KOA was developed and evaluated for its predictive performance.

resultsRBP4 levels were significantly elevated in patients with KOA, with late-stage disease exhibiting markedly higher concentrations compared to early-stage counterparts. Serum RBP4 exhibited a positive correlation with symptom duration, age, Body Mass Index (BMI), visual analogue pain scores (VAS), Kellgren and Lawrence (KL) grade, MRI grade, CRP, COMP, and MMP-3, but negatively correlated with hospital for special surgery knee score (HSS). The area under the Receiver Operating Characteristic (ROC) curve (AUC) for the diagnosis of RBP4 is 0.878, and the AUC for differentiating controls and early-stage KOA is 0.832.

conclusionSerum RBP4 is a lipid metabolism–related biomarker that correlates with KOA severity and exhibits strong early-stage diagnostic performance.

Indexed as

Lipid MetabolismOsteoarthritis, KneeRetinol-Binding Proteins, PlasmaAgedBiomarkersCase-Control StudiesDisease ProgressionEarly DiagnosisFemaleHumansMaleMiddle AgedPrognosisRisk FactorsBiomarkersRBP4 protein, humanRetinol-Binding Proteins, PlasmaBiomarkerKnee osteoarthritisLipid metabolismRetinol-binding protein 4

Identifiers

PMID41943100
PMCPMC13188786

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