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Role of proinflammatory cytokines in the pathophysiology of osteoarthritis
Abstract
Osteoarthritis (OA) is associated with cartilage destruction, subchondral bone remodeling and inflammation of the synovial membrane, although the etiology and pathogenesis underlying this debilitating disease are poorly understood. Secreted inflammatory molecules, such as proinflammatory cytokines, are among the critical mediators of the disturbed processes implicated in OA pathophysiology. Interleukin (IL)-1β and tumor necrosis factor (TNF), in particular, control the degeneration of articular cartilage matrix, which makes them prime targets for therapeutic strategies. Animal studies provide support for this approach, although only a few clinical studies have investigated the efficacy of blocking these proinflammatory cytokines in the treatment of OA. Apart from IL-1β and TNF, several other cytokines including IL-6, IL-15, IL-17, IL-18, IL-21, leukemia inhibitory factor and IL-8 (a chemokine) have also been shown to be implicated in OA and could possibly be targeted therapeutically. This Review discusses the current knowledge regarding the role of proinflammatory cytokines in the pathophysiology of OA and addresses the potential of anticytokine therapy in the treatment of this disease.
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“Because TNF-α signaling primarily via TNFR1 binds TRADD and RIPK1 to generate complexes that activate NF-κB, MAPKs, and caspases, IL-1β and TNF-α cooperate to enhance chronic inflammation in degenerative joint disease [42,43].”
From Biomarker-Guided Imaging and AI-Augmented Diagnosis of Degenerative Joint Disease (2025) · cites this paper as [42]
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CCL5/RANTES is a key chemoattractant released by degenerative intervertebral discs in organ culture.
Pattappa, G., Peroglio, M., Sakai, D., Mochida, J., Benneker, L., Alini, M., & Grad, S. (2014) · European Cells & Materials · doi:10.22203/ecm.v027a10 · Cited by 96
“The use of TNF-α may replicate in vivo tissue degeneration, as its production is one of the first steps in this process (Martel-Pelletier et al., 1999; Hoyland et al., 2008; Kapoor et al., 2011).”
BackgroundNew findings in osteoarthritis pathogenesis: therapeutic implications
Pulsatelli, L., Addimanda, O., Brusi, V., Pavloska, B., & Melicòni, R. (2012) · Therapeutic Advances in Chronic Disease · doi:10.1177/2040622312462734 · Cited by 93
“…cartilage loss, including proinflammatory cytokines [interleukin (IL)-1, tumor necrosis factor (TNF)] [Melchiorri et al. 1998; Goldring, 2000; Kapoor et al. 2011], chemokines, such as growth regulated oncogene α (GROα; CXCL1), IL-8 (CXCL8), monocyte chemotactic protein 1 (MCP1; CCL2),…”
Backgroundp38MAPK Signaling Pathway in Osteoarthritis: Pathological and Therapeutic Aspects
Li, Z., Dai, A.-N., Yang, M., Chen, S., Deng, Z., & Li, L.-J. (2022) · Journal of Inflammation Research · doi:10.2147/jir.s348491 · Cited by 95
“The role of catabolic or proinflammatory cytokines, such as IL-1 and TNF-α, has been demonstrated in the pathophysiology of OA.(40) Cytokine inhibitors have already been applied as a treatment of OA, which has received promising results.”
BackgroundExtracellular Vesicles from Mesenchymal Stem Cells as Novel Treatments for Musculoskeletal Diseases
Alcaraz, M. J., Álvaro Compan, J., & Guillén, M. I. (2019) · Cells · doi:10.3390/cells9010098 · Cited by 107
Guan, Y.-J., Li, J., Yang, X., Du, S.-H., Ding, J., Gao, Y., Zhang, Y., Yang, K., & Chen, Q. (2018) · Aging Cell · doi:10.1111/acel.12752 · Cited by 95
Xuan, H., Hu, H.-R., Geng, C., Song, J.-C., Shen, Y., Lei, D., Guan, Q., Zhao, S.-C., & You, Z.-W. (2020) · Acta Biomaterialia · doi:10.1016/j.actbio.2020.01.015 · Cited by 94
Li, G.-Q., Liu, D., Zhang, Y., Qian, Y.-Y., Zhang, H., Guo, S.-Y., Sunagawa, M., Hisamitsu, T., & Liu, Y.-Q. (2013) · PLoS ONE · doi:10.1371/journal.pone.0068905 · Cited by 94
“Celastrol Inhibits the Transcriptional Activity of MMP-9 by Suppression of LPS Stimulated NF-kB Activity The two principal pathways activated MMP-9 are the NF-kB and AP-1 pathways [28,29], which induce MMP-9 expression.”
BackgroundRetractedThe Role of Regulated Programmed Cell Death in Osteoarthritis: From Pathogenesis to Therapy
Liu, S., Pan, Y., Li, T., Zou, M., Liu, W., Li, Q., Wan, H., Peng, J., & Hao, L. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24065364 · Cited by 96
“Excess superoxide anions, hydrogen peroxide (H2O2), and NO, resulting from elevated oxidative stress due to intrinsic apoptosis, are crucial in the pathogenesis of OA [37,38].”
BackgroundMolecular Classification of Knee Osteoarthritis
Lv, Z., Yang, Y., Li, J.-W., Fei, Y.-X., Guo, H., Sun, Z.-Y., Lu, J., Xu, X.-Q., Jiang, Q., Ikegawa, S., et al. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.725568 · Cited by 93
Regulation of ADAMTS Proteases
Rose, K. W. J., Taye, N., Karoulias, S., & Hubmacher, D. (2021) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2021.701959 · Cited by 93
“Due to their prominence in arthritis, the regulation of ADAMTS4 and ADAMTS5 gene expression by pro-inflammatory cytokines has been studied to some extent (Malfait et al., 2002; Glasson et al., 2005; Bondeson et al., 2008; Kapoor et al., 2011).”
BackgroundZhao, W., Wang, H., Han, Y., Wang, H., Sun, Y., & Zhang, H. (2020) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.0c14805 · Cited by 109
Struglics, A., Okrój, M., Swärd, P., Frobell, R., Saxne, T., Lohmander, L., & Blom, A. (2016) · Arthritis Research & Therapy · doi:10.1186/s13075-016-1123-x · Cited by 93
Vincent, H., Percival, S., Conrad, B., Seay, A. N., Montero, C., & Vincent, K. (2013) · The Open Orthopaedics Journal · doi:10.2174/1874325001307010378 · Cited by 93
“Fluid samples were analyzed for pro-inflammatory cytokines (interleukins 1 , 6,8,12, tumor necrosis factor- , monocyte chemotactic protein), anti-inflammatory cytokines (interleukins 4, 10 13), oxidative stress (4-hydroxynonenal) and viscosity at two different physiological shear speeds 2.5Hz and…”
Li, X., Li, X., Yang, J., Du, Y., Chen, L., Zhao, G., Ye, T., Zhu, Y. Y., Xu, X., Deng, L., et al. (2023) · Research · doi:10.34133/research.0131 · Cited by 91
“Consequently, high concentrations of chemokines can further recruit inflammatory cells to the inflammatory zone, considerably escalating inflammatory cell infiltration and triggering a local “cytokine storm”, exacerbating the OA microenvironment [29,30].”
BackgroundHe, Y., Wang, W., Xu, X., Yang, B., Yu, X., Wu, Y., & Wang, J. (2021) · Bone · doi:10.1016/j.bone.2021.116182 · Cited by 99
A Bi‐Lineage Conducive Scaffold for Osteochondral Defect Regeneration
Wu, Y., Zhu, S.-A., Wu, C.-T., Lu, P., Hu, C., Xiong, S., Chang, J., Heng, B.-O. C., Xiao, Y., & Ouyang, H. (2014) · Advanced Functional Materials · doi:10.1002/adfm.201304304 · Cited by 92
Farhang, N., Brunger, J. M., Stover, J. D., Thakore, P. I., Lawrence, B. D., Guilak, F., Gersbach, C. A., Setton, L. A., & Bowles, R. D. (2017) · Tissue Engineering Part A · doi:10.1089/ten.tea.2016.0441 · Cited by 90
“Two primary cytokines associated with musculoskeletal disease, TNF- a and IL-1b, signal ECM degradation, propagation of proinflammatory signaling, apoptosis, and senescence.(10,15,17,18,40,41) This signaling is mediated by NF-kB, a transcription factor that induces expression of many proinflammatory and catabolic targ…”
Role of Interleukin-1 Inhibitors in Osteoarthritis
Jotanović, Z., Mihelić, R., Šestan, B., & Dembić, Z. (2012) · Drugs & Aging · doi:10.2165/11599350-000000000-00000 · Cited by 91
“As pointed out byKapoor et al.([16]) andGoupille et al.”
BackgroundAging and Osteoarthritis: An Inevitable Encounter?
Hügle, T., Geurts, J., Nüesch, C., Müller‐Gerbl, M., & Valderrábano, V. (2012) · Journal of Aging Research · doi:10.1155/2012/950192 · Cited by 89
“Although the exact mechanism is still unclear, exercise impacts multiple aspects of the immune response including T-cell phenotype, T-cell proliferation, and as for IL-10, cytokine expression [49].”
BackgroundConditioned media from human osteoarthritic synovium induces inflammation in a synoviocyte cell line
Belluzzi, E., Olivotto, E., Toso, G., Cigolotti, A., Pozzuoli, A., Biz, C., Trisolino, G., Ruggieri, P., Grigolo, B., Ramonda, R., et al. (2019) · Connective Tissue Research · doi:10.1080/03008207.2018.1470167 · Cited by 90
“In particular, besides a panel of classical inflammatory markers (IL-6, IL-8, CCL2/MCP-1, TNF-α, and IL-1β) and MMPs (MMP-3, MMP-13) (5,7,8), we also included proteins more recently correlated to OA pathology such as CCL21/6kine, CCL5/ RANTES, IL-15, and MMP-10.”
BackgroundInfluentialMeszaros, E. C., & Malemud, C. (2012) · Therapeutic Advances in Chronic Disease · doi:10.1177/2040622312454157 · Cited by 90
“At present, there is no specific drug designed to inhibit the structural damage to articular cartilage or any disease-modifying OA drug (DMOAD) therapy [Matthews and Hunter, 2011; Le Graverand-Gastineau, 2010; Goldring et al. 2011; Kapoor et al. 2011; Gege et al. 2012; Kumagai et al. 2010; Wang et al. 2011a].”
BackgroundInfluentialJUNB‐FBXO21‐ERK axis promotes cartilage degeneration in osteoarthritis by inhibiting autophagy
Lin, Z., Miao, J., Zhang, T., He, M., Wang, Z., Feng, X., & Bai, L. (2021) · Aging Cell · doi:10.1111/acel.13306 · Cited by 99
“…involving SD rats were performed in complete compliance with Health Guide of Laboratory Animals for the Care and Use from the National Institutes (National Research Council Committee for the Update of the Guide for the & Use of Laboratory, 2011) and ARRIVE guidelines (Kilkenny et al., 2010).”
MethodMitochondria: Potential Targets for Osteoarthritis
Mao, X., Fu, P., Wang, L., & Xiang, C. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2020.581402 · Cited by 93
“Accumulating evidence has demonstrated that increased oxidative stress and the overproduction of ROS, including superoxide anion, hydrogen peroxide (H2O2), and nitric oxide (NO), play pivotal roles in the pathogenesis of OA (10, 62).”
BackgroundBenigni, G., Dimitrova, P. A., Antonangeli, F., Sanseviero, E., Milanova, V., Blom, A. B., van Lent, P., Morrone, S., Santoni, A., & Bernardini, G. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1601359 · Cited by 93
Developing anti-inflammatory therapeutics for patients with osteoarthritis
Philp, A. M., Davis, E., & Jones, S. W. (2016) · Rheumatology · doi:10.1093/rheumatology/kew278 · Cited by 89
Zhang, H., Yan, W.-J., Wang, J., Xie, S.-Q., Tao, W., Lee, C.-W., Zhang, X., Zhang, G.-Y., Liu, Y.-F., Wei, D., et al. (2024) · Journal of Controlled Release · doi:10.1016/j.jconrel.2024.04.009 · Cited by 88
Fu, W., Hettinghouse, A., Chen, Y., Hu, W.-H., Ding, X., Chen, M., Ding, Y., Mundra, J., Song, W., Liu, R., et al. (2021) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2021-220000 · Cited by 88
Wang, C., Gao, Y., Zhang, Z., Chen, C., Chi, Q.-J., Xu, K., & Yang, L. (2020) · Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · doi:10.1016/j.biopha.2020.110568 · Cited by 88
A novel disease-modifying osteoarthritis drug candidate targeting Runx1
Yano, F., Hojo, H., Ohba, S., Fukai, A., Hosaka, Y., Ikeda, T., Saito, T., Hirata, M., Chikuda, H., Takato, T., et al. (2012) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2012-201745 · Cited by 88
“18 Furthermore, the subcutaneous injection of recombinant human parathyroid hormone (1–34) (teriparatide) immediately or 8 weeks after OA induction partially reduced the severity of OA by suppressing inappropriate articular cartilage hypertrophy.19 Moreover, during the review process of our paper, another small molecu…”
BackgroundInfluentialXu, L., Wu, Z., He, Y., Chen, Z., Xu, K., Yu, W., Fang, W., Ma, C., Moqbel, S. A. A., Ran, J., et al. (2020) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2019.11.011 · Cited by 87
Vascular cell adhesion molecule 1 in patients with severe osteoarthritis of the hip
Oppl, B., Datz, C., Huber-Schönauer, U., Husar-Memmer, E., Brozek, W., Zenz, P., Gollob, E., Wurnig, C., Engel, A., Klaushofer, K., et al. (2019) · Wiener Klinische Wochenschrift · doi:10.1007/s00508-019-1497-2 · Cited by 87
Ran, J.-S., Ma, C.-Y., Xu, K., Xu, L., He, Y.-Z., Moqbel, S. A. A., Hu, P., Jiang, L.-F., Chen, W.-P., Bao, J.-P., et al. (2018) · Drug Design, Development and Therapy · doi:10.2147/dddt.s162014 · Cited by 87
“Inflammatory mediators, particularly IL-1β and tumor necrosis factor α, could compromise chondrocytes viability, change their differential fate, and induce proinflammatory and procatabolic responses.(5,6) Enhanced catabolic response would exacerbate cartilage matrix degradation by the suppression of cartilage-related…”
BackgroundLiu, S., Zhang, C., Zhou, Y.-Y., Zhang, F., Duan, X., Liu, Y., Zhao, X., Liu, J., Shuai, X.-T., Wang, J., et al. (2023) · Biomaterials · doi:10.1016/j.biomaterials.2023.122030 · Cited by 86
A hyaluronic acid binding peptide-polymer system for treating osteoarthritis
Faust, H. J., Sommerfeld, S. D., Rathod, S., Rittenbach, A. J., Banerjee, S. R., Tsui, B. M. W., Pomper, M. G., Amzel, L. M., Singh, A., & Elisseeff, J. H. (2018) · Biomaterials · doi:10.1016/j.biomaterials.2018.08.045 · Cited by 96
Wei, Y., & Bai, L. (2016) · Connective Tissue Research · doi:10.1080/03008207.2016.1177036 · Cited by 86
Harpagoside suppresses IL-6 expression in primary human osteoarthritis chondrocytes
Haseeb, A., Ansari, M. Y., & Haqqi, T. (2016) · Journal of Orthopaedic Research · doi:10.1002/jor.23262 · Cited by 86
“IL-1b is considered as the most important cytokine involved in the pathogenesis of OA because of its ability to affect both catabolic and anabolic processes in the joint as well as its ability to stimulate other inflammatory cytokines and chemokines.(35) In the present study, using a PCR array of 92 chemokines we show…”
BackgroundADAMTS-7 forms a positive feedback loop with TNF-α in the pathogenesis of osteoarthritis
Lai, Y., Bai, X.-H., Zhao, Y.-P., Tian, Q., Liu, B., Lin, E., Chen, Y., Lee, B. H., Appleton, C. T., Beier, F., et al. (2013) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2013-203561 · Cited by 86
Functional biomaterials for osteoarthritis treatment: From research to application
Yang, L., Zhang, Q., Kuang, G., Wang, X., Fan, Q., & Ye, F. (2022) · Smart Medicine · doi:10.1002/smmd.20220014 · Cited by 120
Synovial fluid pro-inflammatory profile differs according to the characteristics of knee pain.
Leung, Y.-Y., Huebner, J., Haaland, B., Wong, S. B., & Kraus, V. (2017) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2017.04.001 · Cited by 85
Cui, Z., Crane, J. L., Xie, H., Jin, X., Zhen, G., Li, C., Xie, L., Wang, L., Bian, Q., Qiu, T., et al. (2015) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2015-207923 · Cited by 278
Leptin Induces IL-6 Expression through OBRl Receptor Signaling Pathway in Human Synovial Fibroblasts
Yang, W.-H., Liu, S.-C., Tsai, C.-H., Fong, Y., Wang, S.-J., Chang, Y.-S., & Tang, C.-H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0075551 · Cited by 85
“The development and progression of OA are now believed to involve inflammation [4], and elevated levels of cytokines, such as interleukin-6 (IL-6) also seems to be the main proinflammatory cytokine involved in the pathophysiology of OA [3].”
BackgroundChung, J.-I., Barua, S., Choi, B., Min, B.-H., Han, H., & Baik, E. (2012) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2012.01.005 · Cited by 85
Activation and Function of NLRP3 Inflammasome in Bone and Joint-Related Diseases
Murakami, T., Nakaminami, Y., Takahata, Y., Hata, K., & Nishimura, R. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23105365 · Cited by 89
“IL-1β has been implicated in the pathogenesis of OA by mediating synovial inflammation and cartilage degeneration [5,108].”
BackgroundManagement of knee osteoarthritis. Current status and future trends
Ondrésik, M., Maia, F. R., Morais, A. D. S., Gertrudes, A. C., Bacelar, A. H. D., Correia, C. O., Gonçalves, C., Radhouani, H., Sousa, R. A., Oliveira, J. M., et al. (2016) · Biotechnology and Bioengineering · doi:10.1002/bit.26182 · Cited by 91
“But, OA can also develop as a secondary disease due to previous injury and trauma, chronic inflammation, or caused by metabolic disorders (Guilak, 2011; Kapoor et al., 2011; Litwic et al., 2013; Loeser, 2009; Mueller and Tuan, 2011; Sandell, 2012; Vincent et al., 2012b; Zhuo et al., 2012).”
BackgroundCao, K., Wei, L., Zhang, Z.-Q., Guo, L., Zhang, C.-M., Li, Y.-P., Sun, C.-Q., Sun, X.-J., Wang, S.-W., Li, P., et al. (2014) · Arthritis Research & Therapy · doi:10.1186/s13075-014-0491-3 · Cited by 84
Profile of Matrix-Remodeling Proteinases in Osteoarthritis: Impact of Fibronectin
Pérez‐García, S., Carrión, M., Gutiérrez‐Cañas, I., Villanueva‐Romero, R., Castro, D. M., Martínez, C., González‐Álvaro, I., Blanco, F. J., Juarranz, Y., & Gomariz, R. P. (2019) · Cells · doi:10.3390/cells9010040 · Cited by 98
“During the development of OA, tissue proteolysis and injury induce ECM degradation generating Fn fragments (Fn-fs), among other catabolic mediators, that promote inflammation and degradation by the induction of cytokine [8] and proteinase expressions [5].”
BackgroundLi, C.-D., Wang, K., Zhou, X.-J., Li, T., Xu, Y., Qiang, L., Peng, M., Xu, Y.-J., Xie, L., He, C.-L., et al. (2019) · Biomedical Materials · doi:10.1088/1748-605x/aaf8ed · Cited by 83
Presence of IL-17 in synovial fluid identifies a potential inflammatory osteoarthritic phenotype
Snelling, S. J. B., Bas, S., Puskás, G., Dakin, S., Suvà, D., Finckh, A., Gabay, C., Hoffmeyer, P., Carr, A., & Lübbeke, A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0175109 · Cited by 83
The roles of the Hippo-YAP signalling pathway in Cartilage and Osteoarthritis
Sun, K., Guo, J., Guo, Z., Hou, Y., Liu, H., Hou, Y., Ye, Y., Guo, F., & Ye, Y. (2023) · Ageing Research Reviews · doi:10.1016/j.arr.2023.102015 · Cited by 93
Osteoarthritis: Novel Molecular Mechanisms Increase Our Understanding of the Disease Pathology
Grässel, S., Zaucke, F., & Madry, H. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10091938 · Cited by 96
“Pro-inflammatory cytokines are also critical mediators in the disturbed metabolism and enhanced catabolism of the different tissues in the OA joint [91].”
BackgroundYao, H., Xu, J., Wang, J., Zhang, Y., Zheng, N., Yue, J., Mi, J., Zheng, L., Dai, B., Huang, W., et al. (2020) · Bioactive Materials · doi:10.1016/j.bioactmat.2020.10.016 · Cited by 85
Green, J. A., Ansari, M. Y., Ball, H., & Haqqi, T. (2020) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2020.04.014 · Cited by 82
“The Janus Kinase and Signal Transducer and Activator of Transcription (JAK-STAT) pathway regulates the expression of a number of cytokines including IL-6, which has been shown to have important roles in the pathogenesis of several diseases including OA [26, 28].”
BackgroundmiR-140 Attenuates the Progression of Early-Stage Osteoarthritis by Retarding Chondrocyte Senescence
Si, H., Yang, T.-M., Li, L., Tian, M., Zhou, L., Li, D.-P., Huang, Q., Kang, P., Yang, J., Zhou, Z.-K., et al. (2019) · Molecular Therapy — Nucleic Acids · doi:10.1016/j.omtn.2019.10.032 · Cited by 85
Arthritis gene therapy and its tortuous path into the clinic
Evans, C. H., Ghivizzani, S. C., & Robbins, P. D. (2013) · Translational research · doi:10.1016/j.trsl.2013.01.002 · Cited by 82
“The importance of inflammation in OA, a degenerative condition, is increasingly, but not uniformly, appreciated.(14) Where present, it may be driven by wear particles,(15) soluble products released from the extracellular matrix of cartilage,(16) crystals,(17) cytokines,(14) or mechanical forces.”
Prasadam, I., Crawford, R., & Xiao, Y. (2012) · Journal of Rheumatology · doi:10.3899/jrheum.110777 · Cited by 82
Plasma and synovial fluid inflammatory cytokine profiles in primary knee osteoarthritis
Mabey, T., Honsawek, S., Tanavalee, A., Yuktanandana, P., Wilairatana, V., & Poovorawan, Y. (2016) · Biomarkers · doi:10.3109/1354750x.2016.1171907 · Cited by 81
“Proinflammatory cytokines including interleukin (IL)-1b, IL-6, and tumor necrosis factor (TNF)-a have been shown to have catabolic effects on cartilage through the down regulation of collagen synthesis or up regulation of matrix metalloproteinases (Kapoor et al., 2011).”
BackgroundLi, L., & Jiang, B. (2014) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1177/0004563214545117 · Cited by 86
“Previous studies have demonstrated that chemokines are associated with various arthritis including knee OA.(6,7) Chemokine ligand 2 (CCL2), the ligand of C-C chemokine receptor-2 (CCR2), is chemotactic for monocyte/macrophages and activated T cells.”
BackgroundInfluentialThe potential roles of JAK/STAT signaling in the progression of osteoarthritis
Zhou, Q., Ren, Q., Jiao, L., Huang, J., Yi, J., Chen, J., Lai, J., Ji, G., & Zheng, T. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.1069057 · Cited by 88
Aging, Cell Senescence, the Pathogenesis and Targeted Therapies of Osteoarthritis
Zhang, X., He, S., Liang, X., Li, W., Li, T.-F., & Li, D. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.728100 · Cited by 78
“TNF-α, IL-1β, and IL-6 are among the most important proinflammatory cytokines in synovial inflammation and cartilage destruction (Kapoor et al., 2011).”
BackgroundTao, Y., Zhou, J., Wang, Z., Tao, H.-Q., Bai, J., Ge, G.-R., Li, W.-M., Zhang, W., Hao, Y., Yang, X., et al. (2021) · Bioorganic chemistry (Print) · doi:10.1016/j.bioorg.2021.104978 · Cited by 80
Correlation of IL-17 Level in Synovia and Severity of Knee Osteoarthritis
Liu, Y.-S., Peng, H., Meng, Z., & Wei, M. (2015) · Medical Science Monitor · doi:10.12659/msm.893771 · Cited by 80
“Cytokines are an important focus in OA treatment and prevention research [2].”
BackgroundState of the Art: The Immunomodulatory Role of MSCs for Osteoarthritis
Kwon, D. G., Kim, M. K., Jeon, Y. S., Nam, Y. C., Park, J., & Ryu, D. J. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23031618 · Cited by 79
“Especially, IL-1β is one of the critical mediators of cartilage destruction in OA [48,49].”
BackgroundFeng, Z.-H., Li, X., Lin, J., Zheng, W., Hu, Z., Xuan, J.-W., Ni, W., & Pan, X. (2017) · Food & Function · doi:10.1039/c7fo00823f · Cited by 79
Wang, C.-L., Zeng, L.-H., Zhang, T., Liu, J.-K., & Wang, W.-B. (2016) · Inflammation · doi:10.1007/s10753-016-0309-3 · Cited by 79
“Previous studies showed that inflammatory cytokines were involved in the pathogenesis of OA [4, 5].”
mTOR: A Potential Therapeutic Target in Osteoarthritis?
Pal, B., Endisha, H., Zhang, Y., & Kapoor, M. (2015) · Drugs in R&D · doi:10.1007/s40268-015-0082-z · Cited by 84
“rapamycin reduced MMP13 and ADAMTS5 expression induced by IL-1b, a major pro-inflammatory cytokine implicated in OA [72].”
BackgroundSelf-citationOliveira, C. B., Maher, C., Franco, M. R., Kamper, S., Williams, C., Silva, F. G., & Pinto, R. (2020) · Pain medicine (Malden, Mass.) · doi:10.1093/pm/pnz217 · Cited by 78
Chen, F.-P., Chang, C.-M., Hwang, S.-J., Chen, Y.-C., & Chen, F.-J. (2014) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-14-91 · Cited by 78
“Several literatures have elucidated that proinflammatory cytokines and anti-inflammatory cytokines like IL-1, IFN-γ, IL-6, IL-7, IL-10 and TNF-α were elevated in the OA joints [15-17].”
BackgroundLu, R., He, Z., Zhang, W., Wang, Y.-G., Cheng, P., Lv, Z.-T., Yuan, X.-F., Guo, F., You, H.-B., Chen, A.-M., et al. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.1060721 · Cited by 77
“Various studies have confirmed that inflammatory factors can lead to the attenuation of autophagy (35, 36).”
BackgroundDuan, A., Shen, K., Li, B., Li, C., Zhou, H., Kong, R.-Y., Shao, Y., Qin, J., Yuan, T., Ji, J., et al. (2021) · Stem cell research & therapeutics · doi:10.1186/s13287-021-02507-2 · Cited by 77
“IL-1β is the most involved proinflammatory cytokines in the catabolic process of OA [55, 56].”
BackgroundTRIM24-RIP3 axis perturbation accelerates osteoarthritis pathogenesis
Jeon, J., Noh, H.-J., Lee, H., Park, H.-H., Ha, Y., Park, S. H., Lee, H., Kim, S.-J., Kang, H. C., Eyun, S., et al. (2020) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2020-217904 · Cited by 83
Son, Y., Kim, H., Choi, W.-S., Chun, C. H., & Chun, J. (2019) · Nature Communications · doi:10.1038/s41467-018-08035-7 · Cited by 83
Favero, M., Belluzzi, E., Trisolino, G., Goldring, M., Goldring, S., Cigolotti, A., Pozzuoli, A., Ruggieri, P., Ramonda, R., Grigolo, B., et al. (2018) · Journal of Cellular Physiology · doi:10.1002/jcp.27766 · Cited by 77
Gene therapy for repair and regeneration of bone and cartilage
Grol, M. W., & Lee, B. H. (2018) · Current opinion in pharmacology (Print) · doi:10.1016/j.coph.2018.03.005 · Cited by 77
Radojčić, M., Thudium, C., Henriksen, K., Tan, K., Karlsten, R., Dudley, A., Chessell, I., Karsdal, M., Bay-Jensen, A., Crema, M., et al. (2017) · Pain · doi:10.1097/j.pain.0000000000000908 · Cited by 77
“[21] Kapoor M, Martel-Pelletier J, Lajeunesse D, Pelletier JP, Fahmi H.”
BackgroundThe IL-1β/AP-1/miR-30a/ADAMTS-5 axis regulates cartilage matrix degradation in human osteoarthritis
Ji, Q., Xu, X.-J., Zhang, Q., Kang, L., Xu, Y., Zhang, K., Li, L., Liang, Y.-C., Hong, T., Ye, Q., et al. (2016) · Journal of molecular medicine · doi:10.1007/s00109-016-1418-z · Cited by 77
“Treatment strategies for specific inhibition of IL-1β production or activity, such as the application of monoclonal antibodies against IL-1β or the IL-1β receptor, IL-1 receptor antagonist proteins and soluble IL-1β receptors, have been investigated in numerous preclinical and clinical studies [6].”
Inflammation and Joint Tissue Interactions in OA: Implications for Potential Therapeutic Approaches
Rainbow, R., Ren, W., & Zeng, L. (2012) · Arthritis · doi:10.1155/2012/741582 · Cited by 77
“While the biological onset of OA is not clearly understood, evidence suggests that the progression of cartilage degradation is mediated largely by proinflammatory cytokines, most notably interleukin 1-beta (IL-1β) and tumor necrosis factor alpha (TNFα) [2, 3].”
BackgroundInfluentialAdatia, A., Rainsford, K. D., & Kean, W. F. (2012) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.2012.01458.x · Cited by 84
“[6,49,51,52,57,61] Despite the application of anti-IL1 or anti-TNFa biologicals it is disappointing that these highly specific agents targeting ‘upstream’ inflammatory mediators have not realized their therapeutic potential.”
BackgroundInfluentialSamavedi, S., Díaz-Rodríguez, P., Erndt-Marino, J., & Hahn, M. (2016) · Tissue Engineering. Part A · doi:10.1089/ten.tea.2016.0007 · Cited by 76
“Each of these enzymes and inflammatory cytokines has been shown to be increased in OA.(5,12,56,57) These results demonstrate significant initial phenotypic differences between the NCs and OACs before coculture with macrophages.”
InfluentialSánchez, M., Anitua, E., Delgado, D., Sanchez, P., do Prado, R. C. P., Goiriena, J. J., Prósper, F., Orive, G., & Padilla, S. (2016) · Expert Opinion on Biological Therapy · doi:10.1517/14712598.2016.1157162 · Cited by 89
“stresses.[3,4,41,42,48] Hence, cartilage integrity is highly”
BackgroundInfluentialKim, J. E., Lee, S.-M., Kim, S., Tatman, P., Gee, A., Kim, D.-H., Lee, K. E., Jung, Y., & Kim, S. J. (2014) · International Journal of Nanomedicine · doi:10.2147/ijn.s54114 · Cited by 76
“7 However, recent research about OA pathophysiology suggested more complicated unknown processes in relation to the progression of OA, not simply the inflammatory process.”
Bajpayee, A., la Vega, R. E. D., Scheu, M., Varady, N., Yannatos, I., Brown, L., Krishnan, Y., Fitzsimons, T., Bhattacharya, P., Frank, E. H., et al. (2017) · European Cells and Materials · doi:10.22203/ecm.v034a21 · Cited by 96
“Following a traumatic joint injury, the levels of inflammatory cytokines (e.g. IL-1, IL-6, TNFα) significantly increase in the synovial fluid (Kapoor et al., 2011; Swärd et al., 2012).”
BackgroundInfluentialCD8+ T Cell-Induced Expression of Tissue Inhibitor of Metalloproteinses-1 Exacerbated Osteoarthritis
Hsieh, J., Shiau, A., Lee, C.-H., Yang, S.-J., Lee, B.-O., Jou, I., Wu, C.-L., Chen, S.-H., & Shen, P.-C. (2013) · International Journal of Molecular Sciences · doi:10.3390/ijms141019951 · Cited by 75
“Apart from IL-1β and TNF-α, several other cytokines including IL-6, IL-15, IL-17, IL-18, IL-21, leukemia inhibitory factor and IL-8 have been shown to be implicated in OA progression [7].”
Bougault, C., Gosset, M., Houard, X., Salvat, C., Godmann, L., Pap, T., Jacques, C., & Berenbaum, F. (2012) · Arthritis & Rheumatism · doi:10.1002/art.34678 · Cited by 75
Moon, S.-J., Woo, Y.-J., Jeong, J.-H., Park, M.-K., Oh, H., Park, J. S., Kim, E. K., Cho, M., Park, S. H., Kim, H.-O., et al. (2012) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2012.08.002 · Cited by 75
Tomazoni, S. S., Leal-Junior, E. C., Pallotta, R. C., Teixeira, S., de Almeida, P., & Lopes-Martins, R. (2016) · Lasers in Medical Science · doi:10.1007/s10103-016-2091-8 · Cited by 75
“subchondral bone also plays a key role in pain and cartilage degeneration caused by OA [4–6].”
BackgroundWei, Y., Yan, L., Luo, L., Gui, T., Jang, B., Amirshaghaghi, A., You, T., Tsourkas, A., Qin, L., & Cheng, Z. (2021) · Science Advances · doi:10.1126/sciadv.abe6374 · Cited by 84
“To test the therapeutic effects of sPLA2i-NPs, femoral head cartilage explants were divided into 4 groups to receive PBS (i.e. untreated), IL-1β, IL-1β and Ctrl-NP, and IL-1β and sPLA2i-NP treatments, respectively, for 8 days.”
MethodInfluentialRole of Signal Transduction Pathways and Transcription Factors in Cartilage and Joint Diseases
Nishimura, R., Hata, K., Takahata, Y., Murakami, T., Nakamura, E., Ohkawa, M., & Ruengsinpinya, L. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21041340 · Cited by 73
“NF-kB signaling also plays a major role in IL-1-dependent osteoarthritis [27].”
BackgroundOsteoarthritis Pathophysiology
Vincent, T. L., Alliston, T. N., Kapoor, M., Loeser, R. F., Troeberg, L., & Little, C. B. (2022) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2021.11.015 · Cited by 83
Self-citationWei, Z., Li, F., & Pi, G. (2022) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2022.812596 · Cited by 80
“org 6 which in turn can raise the production of MMPs, reduce the synthesis of collagen and proteoglycan, further reinforce NF-kB activation and finally end up in the secondary inflammation of the articular tissues (Kapoor et al., 2011) (Figure 4, I).”
BackgroundNixon, A., Grol, M. W., Lang, H. M., Ruan, M. Z., Stone, A., Begum, L., Chen, Y., Dawson, B., Gannon, F., Plutizki, S., et al. (2018) · Arthritis & Rheumatology · doi:10.1002/art.40668 · Cited by 73
“IL-1 amplifies inflammation in OA by inducing other inflammatory mediators (4) and directly contributes to cartilage matrix loss by increasing cartilage catabolism through up-regulation of extracellular proteolytic enzymes while simultaneously suppressing cartilage anabolism through down-regulation of collagen and pro…”
BackgroundA Brief History of IL-1 and IL-1 Ra in Rheumatology
Dayer, J., Oliviero, F., & Punzi, L. (2017) · Frontiers in Pharmacology · doi:10.3389/fphar.2017.00293 · Cited by 93
“Several studies assessing the polymorphism in OA are ongoing, and some have been reviewed in a meta-analysis (Kerkhof et al., 2011).”
BackgroundWang, Z.-M., Chen, Y.-C., & Wang, D. (2016) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2016.06.050 · Cited by 76
Jhun, J., Cho, K.-H., Lee, D.-H., Kwon, J., Woo, J. S., Kim, J., Na, H., Park, S.-H., Kim, S., & Cho, M. (2021) · Cells · doi:10.3390/cells10051057 · Cited by 72
“Recent studies have shown that OA has an inflammatory pathogenesis involving numerous proinflammatory cytokines and matrix metalloproteinases (MMPs), leading to cartilage destruction [2,3].”
BackgroundSon, Y.-O., Park, S., Kwak, J.-S., Won, Y., Choi, W., Rhee, J., Chun, C.-H., Ryu, J.-H., Kim, D.-K., Choi, H.-S., et al. (2017) · Nature Communications · doi:10.1038/s41467-017-01868-8 · Cited by 72
Wang, S. X., Abramson, S. B., Attur, M. G., Karsdal, M. A., Preston, R. A., Lozada, C. J., Kosloski, M. P., Hong, F., Jiang, P. X., Saltarelli, M. J., et al. (2017) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2017.09.007 · Cited by 72
“All authors have made substantial contributions: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data; (2) drafting the article or revising it critically for important intellectual content; and (3) final approval of the version to be submitted.”
BackgroundMethodA Role for Soluble IL-6 Receptor in Osteoarthritis
Akeson, G., & Malemud, C. (2017) · Journal of Functional Morphology and Kinesiology · doi:10.3390/jfmk2030027 · Cited by 72
“These changes include the upregulation of proinflammatory cytokine gene expression [16]; the upregulation of matrix metalloproteinase (MMP) gene expression [9, 17, 18] combined with a skewing of the ratio of the level of tissue inhibitor of metalloproteinases (TIMPs) to MMPs towards MMPs has also been considered as re…”
BackgroundIdentification of microRNA-181a-5p and microRNA-4454 as mediators of facet cartilage degeneration.
Nakamura, A., Rampersaud, Y., Sharma, A., Lewis, S., Wu, B., Datta, P., Sundararajan, K., Endisha, H., Rossomacha, E., Rockel, J., et al. (2016) · JCI Insight · doi:10.1172/jci.insight.86820 · Cited by 72
Self-citationNutraceuticals: Potential for Chondroprotection and Molecular Targeting of Osteoarthritis
Leong, D. J., Choudhury, M., Hirsh, D., Hardin, J., COBELLI, N. J., & Sun, H. B. (2013) · International Journal of Molecular Sciences · doi:10.3390/ijms141123063 · Cited by 79
“Furthermore, IL-1β and TNF-α stimulate production of inflammatory mediators prostaglandin E2 (PGE2) and cyclooxygenase 2 (COX-2), and ROS including nitric oxide (NO) and the superoxide anion [104,118].”
BackgroundSuppressors of cytokine signalling (SOCS) are reduced in osteoarthritis
de Andrés, M. C., Imagawa, K., Hashimoto, K., Gonzalez, A., Goldring, M. B., Roach, H. I., & Oreffo, R. O. C. (2011) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2011.02.101 · Cited by 70
“Moreover, synovial membrane and subchondral bone also participate in the progression of the disease actively [1].”
BackgroundMihajlovic, M., Rikkers, M., Mihajlovic, M., Viola, M., Schuiringa, G., Ilochonwu, B. C., Masereeuw, R., Vonk, L., Malda, J., Ito, K., et al. (2022) · Biomacromolecules · doi:10.1021/acs.biomac.1c01583 · Cited by 71
Metadata
- Authors
- Kapoor, M., Martel-Pelletier, J., Lajeunesse, D., Pelletier, J.-P., & Fahmi, H.
- Affiliations
- Hôpital Notre-Dame (CA)
- Venue
- Nature Reviews Rheumatology
- Published
- 2010-11-30
- Volume
- 7
- Issue
- 1
- Pages
- 33-42
- ISSN
- 1759-4790 (ISSN-L)
- 1759-4804
- OpenAlex
- W2038773696
- Cited by
- 2,778
- References
- 120
- Citations by year
- 2026: 207 · 2025: 232 · 2024: 252 · 2023: 271 · 2022: 249 · 2021: 252 · 2020: 234 · 2019: 199 · 2018: 175 · 2017: 141 · 2016: 145 · 2015: 128 · 2014: 106 · 2013: 83 · 2012: 73
- FWCI
- 7.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Proteoglycans and glycosaminoglycans research
- Keywords
- osteoarthritis, inflammatory cytokines, IL-1β, TNF-α, interleukin-6, cartilage degeneration, subchondral bone remodeling, synovitis, anti-cytokine therapy, IL-17, IL-18, IL-21, leukemia inhibitory factor, interleukin-8
- MeSH terms
- Cartilage, Articular, Humans, Osteoarthritis, Tumor Necrosis Factor-alpha, Interleukin-6, Disease Progression, Interleukin-1beta
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