Abstract

The dynamic milieu of synovial fluid is of particular interest for biomarker discovery of joint related diseases as it is composed not only of ultra-filtrated proteins originating in serum, but also proteins exclusively expressed and secreted by cells localized within the synovial membrane, fluid or cartilage. Lubricin (proteoglycan 4, prg4) is an abundant mucinous and secretory glycoprotein (~227 to 345 kDa) in synovial fluid (SF) and one of the factors considered responsible for boundary lubrication of diarthrodial joints (Swann et al., 1981; Swann et al., 1985; Jay, 1992). Lubricin is encoded by gene PRG4 and synthesized in synovial fibroblasts (synoviocytes) and superficial zone chondrocytes. Different transcripts of PRG4 have been referred to as superficial zone protein (SZP), megakaryocyte stimulating factor (MSF) precursor, camptodactyly arthropathy coxa vara pericarditis (CACP) protein, and hemangiopoietin (HAPO), which has recently been reviewed by Bao et al (Bao et al., 2011). As a primarily lubricating glycoprotein, lubricin has been found in SF, superficial layer of articular cartilage, tendons, and menisci (Schumacher et al., 1994; Schumacher et al., 1999; Rees et al., 2002; Rhee et al., 2005b; Schumacher et al., 2005; Sun et al., 2006). This tissuespecific distribution makes lubricin a potential biomarker during the exacerbation of chronic articular inflammation. Human synovial lubricin (1404 amino acids) has a large and central mucin-like domain characterized with 59 imperfect repeating units of EPAPTTPK which is subject to extensive Olinked glycosylation. The abundance of negatively charged sugars in this domain contributes to the protein’s boundary lubrication of the cartilage surface due to strong repulsive hydration forces (Jay, 1992). The mucin domain is flanked by a C-terminal hemopexin (PEX)-like domain and two somatomedin B (SMB)-like domains at its N-terminus (Flannery et al., 1999; Schumacher et al., 1999; Ikegawa et al., 2000). The two N-terminal SMB-like domains have 60% similarity to that of vitronectin, while C-terminal PEX-like domain also shows similarity to domains in vitronectin (40-50%) as well as to the matrix metalloproteinase (MMPs) family. Purified serum hemopexin has been showed to interact with hyaluronan, suggesting that the PEX-like domain in lubricin may also medicate the binding of lubricin to hyaluronan at or near cartilage surface (Hrkal et al., 1996). In addition to boundary lubrication, lubricin protects cartilage surfaces from protein deposition and cell adhesion (Rhee et al., 2005b).

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