The present invention relates generally to a molecular marker of the
integrity of the extracellular matrix in an animal including a human
subject. More particularly, the present invention provides a molecular
marker of cartilage integrity. The identification of the molecular marker
in circulatory or tissue fluid is indicative of disrepair of the
extracellular matrix and in particular cartilage such as caused or
facilitated by trauma or a degenerative disease or other condition, for
example, arthritis or autoimmunity. The molecular marker is preferably in
the form of a glycoprotein but the instant invention extends to genetic
sequences encoding the polypeptide portion of the glycoprotein.
Expression analysis of such genetic sequences provides predictive utility
in detecting normal or abnormal extracellular matrix development. The
identification of the molecular marker of the present invention enables
the development of a range of diagnostic and therapeutic agents for
degeneration of extracellular matrix or the poor development of the
matrix at the fetal and postnatal stages including testing for mutations
in the gene sequence in human disease such as but not limited to
cartilage disease or arthritis. In a most preferred embodiment, the
molecular marker is referred to herein as "WARP" for von Willebrand
Factor A-Related Protein. The corresponding genetic form of WARP is
referred to herein as "WARP".