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Biomarkers of systemic inflammation in farmers with musculoskeletal disorders; a plasma proteomic study.

ABSTRACT: Farmers have an increased risk for musculoskeletal disorders (MSD) such as osteoarthritis of the hip, low back pain, and neck and upper limb complaints. The underlying mechanisms are not fully understood. Work-related exposures and inflammatory responses might be involved. Our objective was to identify plasma proteins that differentiated farmers with MSD from rural referents.Plasma samples from 13 farmers with MSD and rural referents were included in the investigation. Gel based proteomics was used for protein analysis and proteins that differed significantly between the groups were identified by mass spectrometry.In total, 15 proteins differed significantly between the groups. The levels of leucine-rich alpha-2-glycoprotein, haptoglobin, complement factor B, serotransferrin, one isoform of kininogen, one isoform of alpha-1-antitrypsin, and two isoforms of hemopexin were higher in farmers with MSD than in referents. On the other hand, the levels of alpha-2-HS-glycoprotein, alpha-1B-glycoprotein, vitamin D- binding protein, apolipoprotein A1, antithrombin, one isoform of kininogen, and one isoform of alpha-1-antitrypsin were lower in farmers than in referents. Many of the identified proteins are known to be involved in inflammation.Farmers with MSD had altered plasma levels of protein biomarkers compared to the referents, indicating that farmers with MSD may be subject to a more systemic inflammation. It is possible that the identified differences of proteins may give clues to the biochemical changes occurring during the development and progression of MSD in farmers, and that one or several of these protein biomarkers might eventually be used to identify and prevent work-related MSD.

SUBMITTER: Ghafouri B

PROVIDER: S-EPMC4862124 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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Biomarkers of systemic inflammation in farmers with musculoskeletal disorders; a plasma proteomic study.

Ghafouri Bijar B Carlsson Anders A Holmberg Sara S Thelin Anders A Tagesson Christer C

BMC musculoskeletal disorders 20160510

<h4>Background</h4>Farmers have an increased risk for musculoskeletal disorders (MSD) such as osteoarthritis of the hip, low back pain, and neck and upper limb complaints. The underlying mechanisms are not fully understood. Work-related exposures and inflammatory responses might be involved. Our objective was to identify plasma proteins that differentiated farmers with MSD from rural referents.<h4>Methods</h4>Plasma samples from 13 farmers with MSD and rural referents were included in the invest ...[more]

PMID: 27160764

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Project description:BACKGROUND:Musculoskeletal disorders can result from prolonged repetitive and/or forceful movements. Performance of an upper extremity high repetition high force task increases serum pro-inflammatory cytokines and upper extremity sensorimotor declines in a rat model of work-related musculoskeletal disorders. Since one of the most efficacious treatments for musculoskeletal pain is exercise, this study investigated the effectiveness of treadmill running in preventing these responses. METHODS:Twenty-nine young adult female Sprague-Dawley rats were used. Nineteen were trained for 5?weeks to pull a lever bar at high force (15?min/day). Thirteen went on to perform a high repetition high force reaching and lever-pulling task for 10?weeks (10-wk HRHF; 2?h/day, 3?days/wk). From this group, five were randomly selected to undergo forced treadmill running exercise (TM) during the last 6?weeks of task performance (10-wk HRHF+TM, 1?h/day, 5?days/wk). Results were compared to 10 control rats and 6 rats that underwent 6?weeks of treadmill running following training only (TR-then-TM). Voluntary task and reflexive sensorimotor behavioral outcomes were assessed. Serum was assayed for inflammatory cytokines and corticosterone, reach limb median nerves for CD68+ macrophages and extraneural thickening, and reach limb flexor digitorum muscles and tendons for pathological changes. RESULTS:10-wk HRHF rats had higher serum levels of IL-1?, IL-1? and TNF?, than control rats. In the 10-wk HRHF+TM group, IL-1? and TNF? were lower, whereas IL-10 and corticosterone were higher, compared to 10-wk HRHF only rats. Unexpectedly, several voluntary task performance outcomes (grasp force, reach success, and participation) worsened in rats that underwent treadmill running, compared to untreated 10-wk HRHF rats. Examination of forelimb tissues revealed lower cellularity within the flexor digitorum epitendon but higher numbers of CD68+ macrophages within and extraneural fibrosis around median nerves in 10-wk HRHF+TM than 10-wk HRHF rats. CONCLUSIONS:Treadmill running was associated with lower systemic inflammation and moderate tendinosis, yet higher median nerve inflammation/fibrosis and worse task performance and sensorimotor behaviors. Continued loading of the injured tissues in addition to stress-related factors associated with forced running/exercise likely contributed to our findings.

Dataset Information

Biomarkers of systemic inflammation in farmers with musculoskeletal disorders; a plasma proteomic study.

Publications

Biomarkers of systemic inflammation in farmers with musculoskeletal disorders; a plasma proteomic study.

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