Metabolomic analysis of synovial fluid from Thoroughbred racehorses diagnosed with palmar osteochondral disease using magnetic resonance imaging

Graham, RJTY, Anderson, JR ORCID: 0000-0003-0489-7997, Phelan, MM, Cillan-Garcia, E, Bladon, BM and Taylor, SE (2020) Metabolomic analysis of synovial fluid from Thoroughbred racehorses diagnosed with palmar osteochondral disease using magnetic resonance imaging. EQUINE VETERINARY JOURNAL, 52 (3). pp. 384-390.

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Official URL: http://dx.doi.org/10.1111/evj.13199

Abstract

<h4>Background</h4>Palmar osteochondral disease (POD) is a common cause of lameness in competition horses. Magnetic resonance imaging (MRI) is the most sensitive diagnostic modality currently available, however it may not be financially or logistically practical for routine screening of POD. There is increasing interest in the use of metabolomics for diagnosis prior to progression to irreversible damage.<h4>Objectives</h4>To determine metabolite levels in synovial fluid (SF) of horses with a clinical diagnosis of POD based on diagnostic analgesia and MRI, with the hypothesis that metabolomic profiles differ between diseased and healthy joints.<h4>Study design</h4>Prospective clinical study.<h4>Methods</h4>Synovial fluid was collected from metacarpo/tarsophalangeal joints (MC/TPJ) of 29 horses (n = 51 joints), including 14 controls (n = 26) and 15 cases (n = 25), the latter with lameness localised to the MC/TPJ and MR changes consistent with POD (n = 23). Spectra were produced using <sup>1</sup> H-nuclear magnetic resonance (NMR) spectroscopy and analysed.<h4>Results</h4>Twenty-five metabolites were recognised associated with various biosynthetic and degradation pathways. The metabolite abundances within the controls demonstrated increased variability compared with the clinical group. The low level of variance between the spectra of the two groups was explained by five principal components. Cross-validation of the cohort demonstrated modest separation of predictive power (R<sup>2</sup> = 0.67; Q<sup>2</sup> = 0.34). Although statistical significance was not achieved, the most influential metabolites were glucose and lactate.<h4>Main limitations</h4>The modest sample size and variation in signalment, background and presenting condition of the controls may have impacted the discriminative power of the constructed models. The lack of matched controls, differences in time of fluid collection and freezing times may have also reduced accuracy when representing metabolite profiles.<h4>Conclusions</h4>This study identified and quantified metabolites present in MC/TPJ SF of clinical cases with POD.

Item Type:	Article
Uncontrolled Keywords:	horse, metacarpophalangeal joint, palmar osteochondral disease, magnetic resonance imaging, synovial fluid, metabolomics
Depositing User:	Symplectic Admin
Date Deposited:	16 Dec 2019 14:26
Last Modified:	19 Jan 2023 00:12
DOI:	10.1111/evj.13199
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3066643