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. 2022 Nov 30;13:1054539. doi: 10.3389/fimmu.2022.1054539

Table 1.

Included Diagnostic Biomarkers Studies.

References Publication Year Study Design PsA (n) Classification Criteria Biomarkers Methodology Outcome
Bone and cartilage turnover biomarkers
Mânsson (8) 2001 Cross-sectional 18 Moll & Wright COMP; BSP; Aggrecan Comparison of COMP, BSP and Aggrecan level by ELISA method in the synovial fluid from 18 PsA and 43 RA. Increased levels of COMP in PsA synovial fluid compared to RA population.
Farouk (9) 2010 Cross-sectional 30 CASPAR COMP Comparison of COMP level using ELISA with US on 30 PsA and 30 PsO Moderate diagnosis accuracy of COMP to distinguish PsA of PsO with an AUC of 0.56.
Chandran (10) 2010 Cross-sectional 26 CASPAR hsCRP; IL-12; p40Il12; IL-17; RANK-L; OPG; TNFSF14; MMP3; C2C; C1-2C; CPII; COMP Comparison between 26 PsA, 26 PsO and 26 HC of several biomarker levels using ELISA methods. Using of biomarkers panel consisting of hsCRP, OPG, TNFSF14 and CPII:C2C ratio, PsA can be distinguished from PsO with high accuracy (AUC: 0.90).
Cretu (11) 2014 Cross-sectional 10 CASPAR Protein expression of synovial fluid Liquid phase chromatography with mass-spectrometry of 10 PsA and 10 OA. CRP, MMP-3, S100A9, EPO, M2BP, DEFA1, H4, H2AFX, ORM1, CD5L, PFN1 and C4BP were overexpressed in PsA synovial tissues.
Dolcino (12) 2015 Cross-sectional 60 CASPAR Osteopontine; osteoactivin; fibronectin1; MMP3; CathepsinZ; IL-17 Serum analysis of 60 PsA, 60 HC, 60 RA and 60 SpA after evaluation of genic expression in PBMC from 10 PsA and 10 HC. Osteoactivin was significantly higher in PsA sera than in RA, SpA and HC sera, with 100% accuracy between PsA and HC.
Jadon (13) 2017 Cross-sectional 200 CASPAR OPG; MMP3; Dkk-1; MCSF ELISA determination of Dkk-1, MMP3; M-CSF and OPG levels in 200 PsA, 200 PsO, 157 SpA and 50 HC. Biomarkers panel of Dkk-1; MCS, MMP3 and OPG was able to distinguish PsA and HC (AUC: 0.84).
Cretu (14) 2017 Cross-sectional 100 CASPAR M2BP; CD5L; MPO; ITGB; CRP; MMP3 Level measurement by ELISA of 100 PsA, 100 PsO and 100 HC. ITGB5, CRP and M2BP levels were increased in PsA patients (Panel of these 3 biomarkers: AUC of 0.85)
Chandran (15) 2019 Cross-sectional 73 CASPAR COMP; hyaluronan; resistin; adiponectin; adipsin; HGF; insulin; leptin; CRP; IL-8; IL-6; IL-1β; TNFα; MCP1; NGF Serum analysis of 77 PsA, 201 OA and 76 HC by ELISA in a first discovery phase and then comparison of 4 biomarkers in a second validation phase of 73 PsA and 75 OA. COMP, Resistin, MCP-1 and NGF used as a panel were able to distinguish PsA and OA populations with high accuracy (AUC: 0.99).
Diani (16) 2019 Cross-sectional 50 CASPAR MMPs; TIMPs; OPG; RANK-L; CTX; Dkk-1; SOST; CTX-I; CTX-II; PINP; Chi3L1 Serum analysis of osteoimmunologic biomarkers in 50 PsA, 50 PsO and 20 HC. MMP2, MMP12, MMP13, TIMP2 and TIMP4 was able to distinguish PsA undergoing treatment from PsO. CHI3L1 and MMP10 was able to distinguish PsA not undergoing systemic treatment from PsO.
Waszczykowski (17) 2020 Cross-sectional 24 CASPAR IL-18; IL-20; MMP-1; MMP-3; COMP; YKL-40; Aggrecan ELISA analysis from 24 active PsA sera and 26 HC. COMP, IL-18, MMP-3 and MMP-1 was able to distinguish PsA from HC.
Waszczykowski (18) 2021 Cross-sectional 22 CASPAR IL-6; IL-18; IL-20; MMP-1; MMP-3; COMP; YKL-40; Aggrecan ELISA analysis from 22 PsA sera, 22 OA and 23 HC. Age-associated serum COMP and Aggrecan levels discriminate PsA from OA (AUC: 0.91)
Genetic biomarkers
Elkayam (19) 2004 Cross-sectional 50 Moll & Wright HLA HLA class I and II typing on 50 PsA from Israeli Jewish population. PsA was associated with HLA-A3; HLA-B13; HLA-B38; HLA-DRB0101; HLA-DRB0301; and HLA-DRB0401 on Israeli Jewish population. HLA-B27 was not associated with PsA in this cohort.
Alenius (20) 2004 Cross-sectional 120 Physician diagnosis CTLA4; TNF; loci 8q24; 16q21 gene polymorphisms Genotyping of TNF locus 1q21 (PSORS4) and 3q21 (PSORS5), 8q24 loci, 16q21 loci and CTLA4 locus on 120 PsA patients and 90 HC. No association reported in this paper.
Ravindran (21) 2004 Cross-sectional 140 Moll & Wright IL-1a; IL-1b; R-IL-1 gene polymorphisms Genotyping of IL-1a-889; Il-1b +3953 and IL-1R+970 on 140 PsA. Major risk allele C of IL-1a-889 loci was associated with PsA.
Batliwalla (22) 2005 Cross-sectional 19 Moll & Wright Microarray’s analysis Gene expression profiling on peripheral blood cells in 19 PsA patients and 19 age- and sex-matched HC. Decreased of Nucleoporine 62KDa and MAP3K3 expression was associated with PsA compared to control.
Stoeckman (23) 2006 Cross-sectional 16 Moll & Wright Microarray’s analysis Whole blood gene expression profiling on 16 PsA and 15 sex- and age-matched HC. Zinc-finger protein 395, dead box polypeptide 28, pecanex-like 3, and PI3KC2B gene expressions were upregulated in PsA compared to HC.
Butt (24) 2007 Cross-sectional 258 Physician diagnosis VEGF; FGF1; FGF2; EGF gene polymorphisms Genotyping with MALDI-TOF spectrophotometry on 258 PsA and 154 HC. rs3025039*T in VEGF+936 loci was protector of PsA.
Bowes (25) 2011 Cross-sectional 1057 CASPAR IL-13 gene polymorphism (Alleles rs20541 and rs1800925) Genotyping of rs20541 and rs1800925 on 1057 PsA, 778 PsO and 5575 HC. Double alleles rs1800925*C/C and rs20541*G/G were significantly associated with PsA.
Eder (26) 2011 Cross-sectional 555 Moll & Wright IL-13 gene polymorphism (Alleles rs20541; rs843; rs1800925) Genotyping of rs20541, rs843 and rs1800925 single nucleotide polymorphisms on 555 PsA, 342 PsO and 217 HC. rs20541 and rs843 polymorphism increased the risk of PsA in PsO patients.
Eder (27) 2012 Cross-sectional 178 and their family CASPAR HLA-B and HLA-C Family-based association study by HLA-genotyping on 178 PsA, 30 PsO and 561 first degree relatives. HLA-B27, B-38, B-39 and HLA-C12 were associated to PsA compared to PsO.
Winchester (28) 2012 Cross-sectional 359 CASPAR HLA-B and HLA-C Comparison of the HLA-B and HLA-C alleles and haplotypes by HLA-genotyping on 359 PsA, 214 PsO and 1119 HC, divided in two cohort: discovery then validation. HLA-B27 was associated to PsA.
Chandran (29) 2013 Cross-sectional 678 CASPAR HLA alleles HLA-genotyping on 678 PsA and 688 HC. In comparison of HC, HLA-C*12/B*38 association, HLA-C*06/B*57 association and HLA-B*27 were associated to PsA.
Chandran (30) 2014 Cross-sectional 678 CASPAR KIR2D and KIR3D gene polymorphism KIR2D and KIR3D genotyping on 678 PsA and 688 HC. The allele KIR2DS was significantly associated with PsA.
Zhang (31) 2017 Cross-sectional 465 CASPAR 36 loci, including IL-12B; RUNX3; LCE gene polymorphisms DNA Genotyping on 465 PsA and 421 HC using MALDI-TOF spectrophotometry. Polymorphisms in IL-12B, RUNX3 and LCE genes were associated with an increased risk of PsA.
Ciancio (32) 2017 Cross-sectional 39 CASPAR miR-21-5p Micro-array expression analysis of 723 miRNA on 39 PsA, 26 RA and 16 HC then PCR analysis of miR-21-5p. miR-21-5p was overexpressed in RA and PsA population.
Cascella (33) 2017 Cross-sectional 500 CASPAR KIF3A and IL-4 gene polymorphism RT-PCR of rs2227282 located in the IL-4 gene and rs2285700, rs10062446 and rs2897442, located in the KIF3A gene from 500 PsA, 426 PsO and 600 HC blood samples. Except rs2285700 on KIF3A gene, the presence of SNPs increased susceptibility to PsA but not PsO.
Abji (34) 2018 Cross-sectional 14 CASPAR Genetic expression of Th17 pathway RT-PCR of 84 genes from synovial fluid samples from 14 PsA, and 9 OA. MMP3, CCL1, IL-17C, IL-3, CXCL5, IL-6 and CX3CL1 genes were expressed more in samples from PsA compared to OA.
Chen (35) 2019 Cross-sectional 111 CASPAR HLA class I and HLA DRB1 HLA-Genotyping on 111 PsA and 207 HC from a Chinese Han population. HLA-A*01/A*01 and HLA-C*06/C*02 were risk alleles for PsA.
Smith (36) 2020 Cross-sectional 140 CASPAR HLA-c*06:02; B*44:02; B*27:05; B08:01; TNFRSF9; LCE3C/B; IL-23R; TNFAIP3; CSF2-P4HA2 genes 11 genes reported to be associated with PsA or PsO were genotyped in 140 PsA, 403 PsO and 181 PsO patients with joint pain. Low accuracy of this genetic association to PsA diagnosis.
Caputo (37) 2020 Cross-sectional 424 CASPAR SNPs of COL6A5 (rs12488457 A/C); COL8A1 (rs13081855 G/T); COL10A1 (rs3812111 A/T); miR146A (rs2910164 C/G) Genotyping of blood sample from 424 PsA, 394 PsO and 600 HC from Italian population. rs13081855*T, rs12488457*C and rs2910164*T were associated with PsA.
Lin SH (38) 2020 Cross-sectional 40 CASPAR miR-941 and miR-1466-p Expression of miR941 and miR1466-5p measured in 40 PsA, 40 PsO and 40 HC blood samples. Higher miR-941 expression in PsA samples than PsO or HC.
Pasquali (39) 2020 Cross-sectional 28 CASPAR Extra-vesicular micro-RNA miRCURY™ exosome isolation kit was used to compare 14 PsA and 15 PsO blood samples in the discovery phase and then 24 PsA and 25 PsO in the validation phase. Plasma extravesicular « let-7b-5p » and « miR-30e-5p » were significantly lower in PsA compared to PsO in validation phase.
Wade (40) 2020 Cross-sectional 31 CASPAR Micro RNA signature miRNA panel was assessed using miRNA Fireplex assay in sera of 31 PsA and 20 HC. miR-221-3p, miR-130a-3p, miR-146a-3p, miR-26a-5p, miR-151a-5p and miR-21-5p were promising candidate biomarkers to distinguish PsA from HC.
Iwaszko (41) 2021 Cross-sectional 126 CASPAR IL-33 gene polymorphisms (rs16924159; rs10975519; rs7044343) PCR analysis of 126 PsA sera, 143 SpA, 466 RA and 229 HC. These SNPs within the IL-33 gene were not useful for PsA diagnosis.
Cheleschi (42) 2022 Case-control 50 CASPAR Selected mi-RNA, pro-inflammatory cytokines and adipokines RT-PCR and ELISA analysis in blood samples from 50 PsA, 50 RA and 50 HC. Increased expression of miR-140 and serum leptin in PsA compared to RA.
Autoantibodies
Calzavara-Pinton (43) 1999 Cross-sectional 76 Moll & Wright Anti-CCP autoantibodies Indirect immunofluorescence test on 76 PsA sera, 38 PsO, 159 RA, 119 non- inflammatory rheumatic diseases and 204 HC. Anti-CCP autoantibodies were specific of RA but were present in a small number of PsA cases.
Chou (44) 2010 Cross-sectional 13 CASPAR IgG anti-agalctosyl autoantibodies ELISA analysis on 13 PsA, 30 SpA, 22 RA and 25 HC. IgG anti-agalactosyl autoantibodies were present in higher quantities in patients with RA, SpA and PsA serum compared to HC.
Dalmády (45) 2013 Cross-sectional 46 CASPAR Anti-MCV autoantibodies Serum analysis by ELISA on 46 PsA, 42 PsO and 40 HC. Anti-MCV autoantibodies were more represented in PsA patients than in those with PsO and HC.
Dolcino (46) 2014 Cross-sectional 100 CASPAR Anti-PsA peptide (TNRRGRGSPGAL) autoantibodies Serum analysis of 100 PsA, 200 RA, 30 PsO, 30 LES, 30 Sjogren syndrome, 30 SpA, 30 scleroderma and 50 HC. Anti-NRAP autoantibodies were highly associated with PsA compared to PsO, RA CCP+ or CCP-, HC and the others rheumatic diseases included.
Hu (47) 2018 Cross-sectional 12 Physician diagnosis AC anti-SIRT1 autoantibodies ELISA analysis on 12 PsA, 94 RA, 185 SpA and 87 HC. Anti-SIRT1 autoantibodies were expressed higher in patients with SpA and PsA compared to patients with RA and HC but it seems to be more specific of patients with SpA.
Frasca (48) 2018 Cross-sectional 32 CASPAR Anti-LL37 carbamylated (carb) autoantibodies and Anti-LL37 citrullinated (cit) autoantibodies Serum analysis using ELISA from 32 PsA, 24 PsO and 12 HC. Anti-LL37 cit were associated to psoriatic disease, while anti-LL37carb were more specific to PsA.
Yuan (49) 2019 Cross-sectional 22 Physician diagnosis Anti-ADAMSTS5 and anti-LL37 autoantibodies ELISA analysis of 22 PsA and 32 PsO blood samples. IgG anti-LL37 and anti-ADAMTS5 autoantibodies distinguished PsA from PsO.
Vinci (50) 2020 Cross-sectional 69 CASPAR IgA Anti-oxPTMCII autoantibodies ELISA analysis on 69 PsA, 60 RA, 242 SpA, 35 PsO, 48 UA, 19 FM, and 178 HC. IgG anti-oxPTMCII were associated with RA while IgA anti-oxPTMCII were associated with SpA, PsA and SpA associated with inflammatory bowel disease.
Other biomarkers
Veale (51) 1993 Cross-sectional 15 Benett criteria ELAM-1; ICAM-1; VCAM-1 Immunohistochemistry analysis of synovial tissue from 15 PsA and 15 RA. Increased ELAM-1 expression in RA synovial samples compared to PsA.
Szodoray (52) 2007 Cross-sectional 43 Moll & Wright Panel of 23 different biomarkers: VEGF, EGF; IL-10; IL-13; IFNα; MIP1α (CCL3); MIP1β (CCL4); Eotaxin (CCL11); IL12p-40 ELISA analysis on 43 PsA and 25 HC. Overexpression of IFNα and IL-10 in PsA. Under expression of G-CSF, CCL4, CCL11, IL-13, EGF, VEGF and FGF in PsA.
Firuzi (53) 2008 Cross-sectional 16 Moll & Wright Carbonyl (CO) and Sulfhydryl (SH) groups Serum and Synovial analysis using spectrophotometry on 16 PsA, 18 RA and 15 OA. Decreased SH-group in RA and PsA synovial samples compared to OA.
Hansson (54) 2014 Prospective 65 CASPAR Calprotectin S100A8/S100A9 Serum analysis of 65 PsA and 31 HC. ROC analysis of calprotectin S100A8/A9 revealed an AUC of 0.87 to distinguish PsA from HC.
Bosè (55) 2014 Cross-sectional 30 CASPAR IL-2 Cytokine expression assessed on plasma circulating T-cells of 30 PsA, 21 PsO and 24 HC. IL-2 expression was significantly associated with PsA.
Maejima (56) 2014 Cross-sectional 12 CASPAR Moesin; K17; ANXA1; STIP-1. Level assessment in 12 PsA, 31 PsO and 13 HC sera using dot blot analysis. Significant increase in K17 and STIP-1 in PsA compared to PsO and HC.
Kim (57) 2015 Cross-sectional 25 CASPAR Ratio PNN/Ly et PLQ/Ly Compared between 25 PsA, 111 PsO, and 94 HC. An increase in the PNN/Ly ratio and PLQ/Ly ratio was predictive of PsA.
Armas-González (58) 2015 Cross-sectional 15 CASPAR B-cell protein expression profiling Flow cytometry analysis on 15 PsA and 13 RA. B-cells in RA synovial samples expressed more MHC class II molecules than those in PsA.
Amin (59) 2016 Prospective 20 Moll & Wright RANK-L Level measurement by ELISA of RANK-L from 20 PsA, 40 PsO and 20 HC. Low accuracy of RANK-L to discriminate PsA from PsO (AUC: 0.66).
Gudmann (60) 2016 Cross-sectional 101 CASPAR ProC2 and C-col10 ELISA analysis on 110 SpA, 101 PsA and 118 HC. Increased serum ProC2 concentration in PsA and SpA.
Muntyanu (61) 2016 Cross-sectional 40 CASPAR CXCL10 Serum analysis of 40 PsA, 14 OA, 11 RA and 8 gouts. CXCL10 titers were higher in PsA synovial fluid than in gout and OA. No difference from RA.
Abji (62) 2016 Prospective 620 CASPAR CXCL10 Monitoring the variation of CXCL10 titres in sera from 620 PsO. Mean level of CXCL10 was higher in sera from PsA converter compared to non-converter.
Reindl (63) 2016 Cross-sectional 33 CASPAR 15 serum biomarkers issued in a discovery phase ELISA analysis of serum from 33 PsA, 100 PsO and 25 HC. Complement 3, Polymeric Immunoglobulin Receptor, Plasma Kallikrein and Zn-a2-glycoprotein were significantly higher in PsA sera compared to PsO and HC.
Alonso (64) 2016 Cross-sectional 200 Physician diagnosis Urinary biomarker panel Urine metabolome of 200 PsA, 200 RA, 200 PsO, 200 SLE, 200 Crohn’s disease, and 200 HC analysed using nuclear magnetic resonance. Urine metabolome expression was different in PsA compared to RA.
Grossi (65) 2017 Cross-sectional 18 CASPAR Calprotectin S100A8/S100A9 Assessment of serum calprotectin mean concentration from 18 PsA, 49 RA, 21 SpA and 73 HC. High accuracy to Calprotectin S100A8/A9 to distinguish PsA from HC. No difference between PsA and SpA.
Ausavarungnirun (66) 2017 Cross-sectional 55 CASPAR ESR and hsCRP Inflammatory markers determination in serum from 55 PsA and 55 PsO. Increased VS and hsCRP levels in PsA compared to PsO.
Maejima (67) 2017 Cross-sectional 11 CASPAR VCP Serum analysis using Reverse-phase protein array from 11 PsA, 23 PsO and 11HC. VCP was significantly increased in PsA compared to PsO and HC.
Farrag (68) 2017 Cross-sectional 21 CASPAR Il-34 ELISA analysis from 21 PsA, 24 PsO and 20 HC blood samples. IL-34 concentration was able to distinguish PsA from PsO and HC (AUC: 0.90).
Sinkeviciute (69) (67) 2020 Prospective 111 CASPAR PROM ELISA analysis of 11 PsA and 55 HC. PROM was associated with PsA but ROC analysis described low accuracy (AUC: 0.64).
Abji (70) 2020 Prospective 29 CASPAR CXCL10 Monitoring of serum CXCL10 levels in 644 PsO patients to compare PsA converters (n=29) and matched non-converters (n=52). Decrease in serum CXCL10 titers in PsA converters before and after conversion to PsA.
Esawy (71) 2020 Cross-sectional 76 Moll & Wright Plasma Gelsolin Serum analysis by ELISA of 76 PsA, 40 PsO and 40 age and sex-matched HC. Gelsolin was able to discriminate PsA from PsO (AUC: 0.91) and HC (AUC: 0.98).
Souto-carneiro (72) 2020 Cross-sectional 73 Physician diagnosis Serum metabolome and lipidome (7 lipids groups and 24 different metabolites) Proton nuclear magnetic resonance analysis of 73 PsA sera and 49 seronegative RA. Construction of a predictive model consisting of the lipid ratio and the expression of metabolites made it possible to distinguish RA from PsA (AUC: 0.85).
Cuervo (73) 2021 Cross-sectional 35 CASPAR Mast-cells CD117 and fibroblasts (hsp47) in synovial fluid Immunohistochemical analysis of cell types from synovial samples of 35 PsA, 39 RA and 31 UA (19 evolving to RA and 12 evolving to PsA). Higher mast cell and fibroblastic density were associated with PsA progression.
Leijten (74) 2021 Cross-sectional 20 CASPAR 951 unique proteins Serum proteomic analyses from 20 PsA samples, 20 PsO, 19 SpA and 20 HC. No difference in proteomic expression between PsO and PsA but 68 expressed proteins differ compared to HC.
Kishikawa (75) 2021 Cross-sectional 42 CASPAR Plasma metabolome Plasma-metabolite profiles investigated in 42 blood samples from PsA, 50 PsO and 38 HC using dual approach by CE-TOFMS and LC-TOFMS. In PsA compared to PsO: Increased levels of all saturated fatty acid and tyramine level. Decreased levels of mucic acid.
Fuentelsaz-Romero (76) 2021 Retrospective 9 CASPAR Macrophage polarization Analysis of GM-CSF expression and macrophage polarization in synovial tissue from 8 UA evolving to RA, 9 UA evolving to PsA, 16 persistent UA, 12 established RA and 10 persistent PsA. CD163+ CD209+ macrophages were more abundant in synovial tissues from PsA and HC compared to RA and persistent UA.
Zhu J (77). 2021 Cross-sectional 4 CASPAR Proteome profile of peripheral blood mononuclear cells Blood samples analysis firstly using mass-spectrometry then using western-blot from 4 PsA, 4 PsO and 4 HC. Higher SIRT2 expression in PBMC from PsA than PsO and HC.
Looby (78) 2021 Retrospective 30 CASPAR Metabolomics Monitoring of metabolite expression by mass spectrometry in 30 PsA, 20 PsO (10 converted to PsA and 10 non-converted to PsA), and 10 HC. 1,11-undecanedicarboxylic acid expression differed between PsA patients and HC.
Leijten (79) 2021 Cross-sectional 21 CASPAR CD8+ CCR10+ T-cells Flow cytometry of PBMC from 21 patients with PsA, 21 with PsO, 16 with SpA and 20 HC. CD8+CCR10+ T-cells were more represented in PsA sera compared to HC.
Ek (80) 2021 Cross-sectional 1025 NA 21 inflammatory biomarkers 21 biomarkers were assessed in 18 different inflammatory disease populations from the UK biobank. No biomarker measured was associated with PsA diagnosis.
Wang N (81) 2022 Cross-sectional 27 ACR criteria Fecal metabolites Evaluation of metabolic profile of fecal samples from 27 PsA patients, 29 with RA and 36 HC were analysed using liquid chromatography and completed by mass spectrometry. 5 fecal metabolites (α/β-turmerone, glycerol 1-hexadecanoate, dihydrosphingosine, pantothenic acid and glutamine) are potential PsA biomarkers.
Marzaioli (82) 2022 Cross-sectional 37 NA Dendritic cells CD209/CD14+ and its cytokine expression Flow cytometry in blood sample from 37 PsA, 62 RA, 6 OA and 11 HC and transcriptional analyses by qRT-PCR. Higher concentration of CD209/CD14+ dendritic cells from patients with PsA and RA compared to HC. No difference of CD209+ transcriptional expression between PsA and RA.
Mc Ardle (83) 2022 Cross-sectional 95 CASPAR Serum proteome Comparison of protein expression from 95 PsA sera and 72 RA. A panel of select proteins was able to distinguish PsA from RA (AUC: 0.79).

PsA, psoriatic arthritis; PsO, psoriasis; HC, Healthy control; SLE, Systemic lupus erythematosus; UA, Undifferentiated Arthritis; FM, fibromyalgia; ELISA, Enzyme-linked immune absorbent assay; RT-PCR, reverse transcription and polymerase chain reaction; MAP3K3, MAP kinase 3; PI3KC2B, phosphoinositide-3-kinase, class 2, beta polypeptide; COMP, Cartilage Oligomeric MetalloProteinase; MMP3, Matrix MetalloProteinase-3; RA, Rheumatoid arthritis; BSP, Bone Sialo-protein; AUC, Area under the curve; IL, Interleukin; OPG, Osteoprotegerin; TNFSF, Tumor Necrosis Factor Super Family; C2C, Col2-3/4 long mono; CPII, Pro-collagen 2 peptide; C1-2C, Col2-3/4 short; Pro-C2 (or PIIBNP), N-terminal propeptide of the pro-collagen IIB slice variant; Dkk1, Dikkopf-1; MCSF, Macrophage colony stimulating factor; M2BP, Mac-2 binding protein; CD5L, CD5 Like protein; MPO, Myeloperoxydase; CRP, C-reactive protein; TNF, Tumor necrosis factor; NGF, Nerve Grow Factor; Chi2L3, Chitinase like 3 protein; PROM, Matrix metalloproteinase-cleaved Prolargin; HLA, Human leukocyte antigen; CTLA-4, cytotoxic T-lymphocyte-associated protein 4; VEGF, Vascular endothelial growth factor; FGF, Fibroblast growth factor; EGF, Endothelial growth factor; ELAM1, Endothelial leukocyte adhesion molecule 1; ICAM-1, Intercellular adhesion molecule 1; VCAM-1, vascular cell adhesion molecule 1; K17, Keratin 17; ANXA1, Annexin A1; STIP-1, Stress-induced phosphoprotein-1; PNN, polynuclear; CXCL-10, CXC-motif Chemokine Ligand-10; ESR, Erythrocyte sedimentation rate; hsCRP, High sensitive C- reactive protein; VCP, Valosin-containing protein; oxPTMCII, Oxidized collagen type II; CE-TOFMS, Capillary electrophoresis time-of-flight mass spectrometry; LC-TOFMS, Liquid chromatography time-of-flight mass spectrometry.