Search

Background: Diagnosing knee osteoarthritis (KOA) often relies on limited routine methods. This study investigates the efficacy of T2 mapping and Apparent Diffusion Coefficient (ADC) values in MRI for enhanced assessment of cartilage damage in KOA, focusing on their correlation with pain severity. Materials and Methods: A total of 52 KOA patients (74 knee joints) and 50 healthy individuals (100 knee joints) were assessed from May 2022 to June 2023. Both groups underwent MRI with Diffusion Weighted Imaging (DWI) sequence and T2 mapping to analyze ADC and T2 mapping values across femoral condyle, tibial plateau, and patellar joint surfaces, and their correlation with pain levels. Results: The KOA group showed significantly higher ADC and T2 mapping values in all examined areas compared to the control group (P<0.05). These values were also higher in advanced stages of cartilage degeneration and correlated positively with increased pain scores (P<0.05). Conclusion: MRI utilizing DWI and T2 mapping provides a quantitative reflection of knee joint cartilage degeneration in KOA. These methods show a positive correlation with pain severity, suggesting their potential for more accurate KOA diagnostics and assessment. [ABSTRACT FROM AUTHOR]

Abstract: Acid-sensing ion channels (ASICs), which are widely distributed in the mammalian brain, the spinal cord and the peripheral sensory organs, are ligand-gated cation channels activated by extracellular protons. Abundant experimental evidence shows that ASICs play important roles in physiological/pathological conditions, such as sensory transduction, learning/memory, retinal function, seizure and ischemia. In the auditory system, however, there are only a few studies available describing ASICs in hair cells, the spiral ganglion and the vestibular ganglion. In particular, functional ASICs have not been assessed in the central auditory region, although there is evidence to show their transcription in the inferior colliculus (IC). In the present study, we characterized ASIC-like currents in cultured IC neurons of rats with whole-cell patch-clamp techniques. A rapidly decaying inward current was induced by exogenous application of acidic solution in cultured IC neurons with a response threshold around pH 6.9 and a half activation pH value at 5.92. The current was sensitive to amiloride half-maximal inhibition concentration (IC50)=20.4±0.4 μM), an ASIC blocker, and its reversal potential was close to the theoretical Na+ equilibrium potential, indicating that the recorded current was mediated by ASICs. Further experiments revealed the presence of homomeric ASIC1a channels in IC neurons: (1) the ASIC-like current was partially carried by Ca2+ as demonstrated with an ion-substitution protocol and Ca2+ imaging; (2) the current was inhibited by the tarantula venom Psalmotoxin (PcTX1), a specific blocker for homomeric ASIC1a channels; (3) the current could be inhibited by extracellular Ca2+ (IC50=2.31 mM) and Pb2+ (10 μM), confirming the presence of ASIC1a subunit. The presence of functional ASIC2a containing channels was revealed by the Zn2+ (300 μM)-induced enhancement of ASIC-like currents and the absence of functional ASIC3 channels was indicated by the insensitivity of ASIC-like currents to salicylate (1 mM), an ASIC3 subunit blocker. Finally, we show that activation of ASICs by a pH drop could induce membrane depolarization and evoke neuronal firing in IC neurons. Our study clearly demonstrates that functional homomeric ASIC1a channels and ASIC2a-containing channels, but not ASIC3 channels, are present in the IC. We suggest that ASICs should be taken into consideration for their possible functional roles in information processing and pathological processes in the central auditory system. [Copyright &y& Elsevier]