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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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Monoclonal antibodies for the treatment of osteoarthritis
Zheng, S., Hunter, D., Xu, J.-H., & Ding, C. (2016) · Expert Opinion on Biological Therapy · doi:10.1080/14712598.2016.1229774 · Cited by 32
“IL-1α and IL-1β are expressed in the cartilage, synovium, and synovial fluid of patients with OA, and were regarded as the chief orchestrators of cytokines [45].”
BackgroundLourido, L., Calamia, V., Fernández-Puente, P., Mateos, J., Oreiro, N., Blanco, F., & Ruiz-Romero, C. (2016) · PROTEOMICS - Clinical Applications · doi:10.1002/prca.201400186 · Cited by 32
“Furthermore, we also found an increased synthesis of catabolic molecules such as other interleukins (IL-6 and -8), and matrix metalloproteinases (MMP1, -2, and -3), which are critical mediators of OA pathophysiology (recently reviewed in [36] and [37]).”
BackgroundSiqueira, M. B. P., Frangiamore, S., Klika, A., Gajewski, N. D., Barsoum, W., & Higuera, C. (2016) · The journal of knee surgery · doi:10.1055/s-0036-1583269 · Cited by 32
Chaperonin 60 regulation of SOX9 ubiquitination mitigates the development of knee osteoarthritis
Ko, J., Sun, Y., Li, W.-C., & Wang, F. (2016) · Journal of Molecular Medicine · doi:10.1007/s00109-016-1422-3 · Cited by 33
Fichadiya, A., Bertram, K., Ren, G., Yates, R., & Krawetz, R. (2016) · Journal of Inflammation · doi:10.1186/s12950-016-0120-9 · Cited by 32
“While a sample size of eight is not large enough to make any definitive conclusions, this could be part of the reason that OA patients demonstrate a wide response to anti-cytokine treatments [29, 30] Overall, inflammatory secretome data from OA and normal patients reveal a pathology-dependent response, where normal pa…”
BackgroundRojas-Ortega, M., Cruz, R., Vega-López, M., Cabrera-González, M., Hernández-Hernández, J., Lavalle-Montalvo, C., & Kourí, J. (2015) · Pathology, Research and Practice · doi:10.1016/j.prp.2015.01.008 · Cited by 32
Hempel, U., Matthaeus, C., Preißler, C., Möller, S., Hintze, V., & Dieter, P. (2014) · Journal of Cellular Biochemistry · doi:10.1002/jcb.24814 · Cited by 35
“…with pro-inflammatory mediators, systemic and long-term chronic inflammation causes impaired or decelerated bone healing or even more bone/joint destructions as known from osteo- or rheumatoid arthritis [Blackwell et al., 2010; Bastian et al., 2011; Kapoor et al., 2011; Thomas and Puleo, 2011].”
BackgroundSamarasinghe, R. M., Kanwar, R., Kumar, K., & Kanwar, J. (2014) · Nanomedicine · doi:10.2217/nnm.13.219 · Cited by 32
Smith, M. M., Russell, A., Schiavinato, A., & Little, C. (2013) · Journal of Inflammation · doi:10.1186/1476-9255-10-26 · Cited by 32
“Although often considered a “noninflammatory” joint disease, it is increasingly being recognized that cytokines, particularly IL-1β, and tumor necrosis factor-α (TNFα) may play an important role in both the progressive degradation of the cartilage and the disease symptoms (reviewed in [31,32]).”
BackgroundNanomaterials for the local and targeted delivery of osteoarthritis drugs
Periyasamy, P., Leijten, J., Dijkstra, P., Karperien, M., & Post, J. (2012) · Journal of Nanomaterials · doi:10.1155/2012/673968 · Cited by 32
“These targets include inflammatory cytokines [10], signal transduction pathways [16], gene expression [105], and proteolytic enzymes [106].”
BackgroundYang, C., Liao, X., Wang, Y., Zhong, W., Xian, F., Gao, M., Zeng, M., Chen, J.-H., Chen, X.-T., Li, M., et al. (2025) · Small · doi:10.1002/smll.202502677 · Cited by 31
Chen, K.-X., Zhao, Y., Zhao, W.-W., Mao, X., Li, D., Wang, Y., Shang, S.-M., & Zhang, H.-Y. (2024) · Small · doi:10.1002/smll.202307281 · Cited by 31
An, F., Zhang, J., Gao, P., Xiao, Z., Chang, W., Song, J., Wang, Y., Ma, H., Zhang, R., Chen, Z., et al. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1297024 · Cited by 34
Sun, J., Zhang, Y., Wang, C., & Ruan, Q. (2023) · Life Science · doi:10.1016/j.lfs.2023.122117 · Cited by 31
Shen, P., Serve, S., Wu, P., Liu, X., Dai, Y., Durán-Hernández, N., Nguyen, D. T. M., Fuchs, M. A., Maleitzke, T., Reisener, M., et al. (2023) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2207993120 · Cited by 35
“Inflammatory cytokines such as interleukin 1 β (IL-1 β ), IL-6, and tumor necrosis factor α (TNF α ) are considered putative disease inducers and are frequently used as stimulators in OA models (2–4).”
BackgroundSun, K., Guo, Z., Zhang, J., Hou, L., Liang, S., Lü, F., Wang, G., Xu, J., Zhang, X., Guo, F., et al. (2023) · Cell Death Discovery · doi:10.1038/s41420-023-01406-0 · Cited by 33
“RESULTS TNF-α could induce OA-like phenotypes in chondrocytes TNF-α is a key inflammatory mediator implicated in cartilage degeneration [6].”
BackgroundTang, J., Song, X., Zhao, M., Chen, H., Wang, Y., Zhao, B., Yu, S., Ma, T., & Gao, L. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2022.1005842 · Cited by 31
“In addition, IL-1 and IL-6 enhance the expression of MMP in chondrocytes and inhibit the synthesis of collagen and proteoglycan (Kapoor et al., 2011).”
BackgroundFeng, M., Kong, D., Guo, H., Xing, C., Lv, J., Bian, H.-X., Lv, N.-N., Zhang, C., Chen, D.-G., Liu, M.-M., et al. (2022) · Biochemical Pharmacology · doi:10.1016/j.bcp.2022.114975 · Cited by 31
Jia, Y.-J., Li, T.-Y., Han, P., Chen, Y., Pan, L.-J., & Jia, C.-S. (2022) · Journal of Integrative Medicine · doi:10.1016/j.joim.2022.01.004 · Cited by 31
Chen, D., Xu, H., Sun, L., Li, Y., Wang, T., & Li, Y. (2021) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2021.12.001 · Cited by 34
Mesenchymal Stem Cells: Current Concepts in the Management of Inflammation in Osteoarthritis
Nurul, A., Azlan, M., Zain, M. R. A. M., Sebastian, A., Fan, Y.-Z., & Fauzi, M. (2021) · Biomedicines · doi:10.3390/biomedicines9070785 · Cited by 31
“Cytokines that have been linked to the pathogenesis of OA include TNF-α, IL-1, IL2, IL-6, IL-15, IL-17 and IL-21 and several chemokines [16].”
BackgroundInfluentialGut-microbiota modulation: The impact of the gut-microbiota on osteoarthritis
Arora, V. K., Singh, G., O‐Sullivan, I., Ma, K., Anbazhagan, A. N., Votta-Velis, E. G., Bruce, B., Richard, R., van Wijnen, A. J., & Im, H. (2021) · Gene · doi:10.1016/j.gene.2021.145619 · Cited by 36
Garbin, L. C., & Morris, M. (2021) · Frontiers in Veterinary Science · doi:10.3389/fvets.2021.602978 · Cited by 31
“These cytokines promote synovial inflammation and lead chondrocytes to release metalloproteinases (MMP 1, 3, and 13), aggrecanases 4 and 5 (ADAMTS-4 and 5), reactive oxygen specie (ROS) and cytokines such as cyclooxygenase 2 (COX-2) (12).”
BackgroundLiu, Z.-Y., Easson, G. W. D., Zhao, J.-J., Makki, N., Ahituv, N., Hilton, M. J., Tang, S. Y., & Gray, R. (2019) · PLoS Genetics · doi:10.1371/journal.pgen.1008096 · Cited by 31
“The expression level of Adgrg6 was gradually increased alone with other chondrogenesis markers including Col2a1, Acan, and Sox9.”
BackgroundInfluentialSui, C., Zhang, L., & Hu, Y. (2019) · Molecular Medicine Reports · doi:10.3892/mmr.2019.10493 · Cited by 31
“Accumulating evidence demonstrated that pro‐inflammatory cytokines, such as TNF‐α and il-1β, serve key roles in the pathogenesis of oa (32,33).”
BackgroundZhang, R., Wang, C.-M., Jiang, H.-J., Tian, X., Li, W.-J., Liang, W., Yang, J., Zhong, C.-F., Chen, Y.-H., & Li, T. (2018) · Inflammation · doi:10.1007/s10753-018-0906-4 · Cited by 31
Li, S.-M., Yang, X.-H., Feng, Z., Wang, P., Zhu, W.-C., & Cui, S.-L. (2018) · Cellular Physiology and Biochemistry · doi:10.1159/000493841 · Cited by 31
Cheng, Y.-H., Chavez, E., Tsai, K.-L., Yang, K.-C., Kuo, W.-T., Yang, Y.-P., Chiou, S.-H., & Lin, F. (2017) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2017.05.069 · Cited by 31
Zhang, M.-C., Egan, B., & Wang, J.-X. (2015) · International Journal of Biochemistry and Cell Biology · doi:10.1016/j.biocel.2015.04.019 · Cited by 31
“Although many cytokines have been implicated in OA, IL-1β, IL-6 and tumor necrosis factor-α (TNF-α) are the three main proinflammatory cytokines contributing to the degradation of articular cartilage (Goldring, 2000, Kapoor et al., 2011).”
Backgroundvan Lent, P. V., & van den Berg, W. (2013) · Arthritis Research & Therapy · doi:10.1186/ar4190 · Cited by 31
“Synovial macrophages produce elevated levels of pro-infl ammatory factors like cytokines (IL-1), complement factors and damage-associated molecular pattern molecules (DAMPs;S100A8/A9) [3].”
BackgroundAutophagy: a new therapeutic target in cartilage injury and osteoarthritis.
Lotz, M., & Caramés, B. (2012) · Journal of the American Academy of Orthopaedic Surgeons · doi:10.5435/jaaos-20-04-261 · Cited by 31
“The two models are associated with the rapid development of cartilage lesions; it remains to be determined whether rapamycin is also effective in models of spontaneous or aging-associated OA.”
BackgroundInfluentialAcute Management of Anterior Cruciate Ligament Injuries Using Novel Canine Models
Bozynski, C., Stannard, J., Smith, P., Hanypsiak, B., Kuroki, K., Stoker, A., Cook, C., & Cook, J. (2015) · The Journal of Knee Surgery · doi:10.1055/s-0035-1570115 · Cited by 30
Deng, C., Yu, L., Zhao, X., Chen, Y., Mei, J., Wei, J., Chen, X. S., Lei, G., & Zeng, C. (2025) · Science Advances · doi:10.1126/sciadv.adv4238 · Cited by 32
“OA is a chronic, multifactorial disease characterized by an inflammatory microenvironment (inflamed soil) and abnormal chondrocyte biology (degeneration-related seeds) ( 8 ).”
Singh, R. K., Mandakhbayar, N., Kurian, A. G., Jain, S. K., Bhattacharya, S., Gupta, A., Lee, J., & Kim, H. (2025) · ACS Nano · doi:10.1021/acsnano.5c10445 · Cited by 32
The disruptive role of LRG1 on the vasculature and perivascular microenvironment
Dritsoula, A., Camilli, C., Moss, S. E., & Greenwood, J. (2024) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2024.1386177 · Cited by 35
Zhou, S., Wu, L.-M., Si, H.-B., Li, M.-Y., Liu, Y., & Shen, B. (2023) · Archives of gerontology and geriatrics (Print) · doi:10.1016/j.archger.2023.105284 · Cited by 30
Emerging molecular biomarkers in osteoarthritis pathology
Sandhu, A., Rockel, J., Lively, S., & Kapoor, M. (2023) · Therapeutic Advances in Musculoskeletal Disease · doi:10.1177/1759720x231177116 · Cited by 30
Self-citationQin, L., Jing, G., Cui, N., Xu, Z., He, Y., Qin, Y., Lu, T., Sun, J., Du, A., & Wang, S. (2022) · Advanced Composites and Hybrid Materials · doi:10.1007/s42114-022-00576-2 · Cited by 31
“Inflammation is involved in the development and progression of osteoarthritis (OA) [36].”
BackgroundSim, H. J., Cho, C., Kim, H. E., Hong, J., Song, E. K., Kwon, K. Y., Jang, D., Kim, S., Lee, H.-S., Lee, C., et al. (2022) · Science Advances · doi:10.1126/sciadv.abl4222 · Cited by 30
“Interleukin-1 (IL-1), tumor necrosis factor– (TNF-), IL-6, IL-15, IL-17, and IL-18 are major proinflammatory cytokines and are thought to accelerate OA progression (24, 25).”
BackgroundYang, X., Zhou, Y.-F., Chen, Z.-Q., Chen, C., Han, C., Li, X.-L., Tian, H.-J., Cheng, X.-F., Zhang, K., Zhou, T.-J., et al. (2021) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2021.5025 · Cited by 30
“considering the broad application range of the Curcuma genus, and the role of proinflammatory cytokines such as TNF‐α and IL‐1β in the pathophysiology of OA (35), the current study aimed to investigate the anti‐inflammatory effects of curcumenol to treat TNF‐α‐ and IL‐1β‐induced inflammation in ATDC5 and primary chond…”
BackgroundZhan, J., Yan, Z., Kong, X., Liu, J., Zeng, L., Qi, W., Wu, Y., Lin, J. J., Pan, X., & Xue, X. (2021) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.16443 · Cited by 33
Pharmacological Targeting of Heme Oxygenase-1 in Osteoarthritis
Sanada, Y., Tan, S. J. O., Adachi, N., & Miyaki, S. (2021) · Antioxidants · doi:10.3390/antiox10030419 · Cited by 34
“In particular, IL-1β and TNF-α activate chondrocytes to produce MMP-13 and ADAMTS5 and promote catabolic conditions [38,39].”
BackgroundWang, F., Ma, L., Ding, Y. G., He, L., Chang, M., Shan, Y., Siwko, S. K., Chen, G., Liu, Y., Jin, Y., et al. (2020) · Pharmacological Research · doi:10.1016/j.phrs.2020.105406 · Cited by 45
Wu, Z., Xu, L., He, Y., Xu, K., Chen, Z., Moqbel, S. A. A., Ma, C., Jiang, L., Ran, J., Wu, L., et al. (2020) · Aging · doi:10.18632/aging.202252 · Cited by 30
“Among the inflammatory cytokines, interleukin-1β (IL-1β) is known to initiate the pathogenesis of OA by directly activating nuclear factor kappa-B (NF-κB) and mitogen-activated protein (MAP) kinase, upregulating the expression of cartilage matrixdegrading enzymes such as cyclooxygenase 2 (COX2), inducible nitric oxide…”
BackgroundCross-Talk between Diet-Associated Dysbiosis and Hand Osteoarthritis
Silvestre, M. P., Rodrigues, A. M., Canhão, H. M., Marques, C., Teixeira, D., Calhau, C., & Branco, J. (2020) · Nutrients · doi:10.3390/nu12113469 · Cited by 35
“Ultimately this culminates in secondary inflammation in tissues [63].”
BackgroundWang, S., Pillinger, M., Krasnokutsky, S., & Barbour, K. E. (2019) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2019.05.013 · Cited by 30
“Intra-articular and serum levels of pro-inflammatory mediators, including cytokines such as IL-1β, have been associated with more rapid OA progression (6).”
BackgroundChen, W.-H., Lin, C.-M., Huang, C.-F., Hsu, W.-C., Lee, C. H., Ou, K., Dubey, N., & Deng, W.-P. (2016) · American Journal of Sports Medicine · doi:10.1177/0363546516651822 · Cited by 30
Zhang, X.-F., Crawford, R., & Xiao, Y. (2016) · Journal of molecular medicine · doi:10.1007/s00109-016-1425-0 · Cited by 30
“Pro-inflammatory factors, such as IL-1β, IL-6 and TNF-α, are major mediators of the catabolism of OA cartilage [21].”
BackgroundArticular cartilage vesicles and calcium crystal deposition diseases
Rosenthal, A. (2016) · Current Opinion in Rheumatology · doi:10.1097/bor.0000000000000244 · Cited by 30
“IL-1b, a critical factor in osteoarthritis [33], increased exosome formation.”
BackgroundZhou, Y.-L., Park, M., Cheung, E., Wang, L., & Lu, X. (2015) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2015.02.005 · Cited by 30
“Cytokines in serum, such as COMP, IL-1, TNF-α, may also induce the inflammatory processes (Isomäki and Punnonen, 1997; Schuerwegh et al., 2003), which could further produce metalloproteinase and precipitate the degradation of cartilage matrix (Kapoor et al., 2011).”
BackgroundMeta-analysis of tumor necrosis factor alpha -308 polymorphism and knee osteoarthritis risk
Kou, S., & Wu, Y.-C. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-373 · Cited by 30
“TNF-α also induces osteoclastic bone resorption [5] and destruction of cartilages [6].”
BackgroundMetalloproteinases and Metalloproteinase Inhibitors in Age-Related Diseases
Gargiulo, S., Gamba, P., Poli, G., & Leonarduzzi, G. (2014) · Current Pharmaceutical Design · doi:10.2174/13816128113196660701 · Cited by 34
“It is increasingly accepted that inflammation plays a role in OA pathogenesis [459-463].”
BackgroundA Dual Flow Bioreactor with Controlled Mechanical Stimulation for Cartilage Tissue Engineering
Spitters, T. W., Leijten, J., Deus, F. D., Costa, I., van Apeldoorn, A., van Blitterswijk, C. V., & Karperien, M. (2013) · Tissue Engineering. Part C, Methods · doi:10.1089/ten.tec.2012.0435 · Cited by 30
“35,36 By studying the depletion of sGAGs and collagen from the tissue using histological staining, the formation of gradients could be easily studied.”
Su, S., Tian, R., Jiao, Y., Zheng, S., Liang, S., Liu, T., Tian, Z., Cao, X., Xing, Y., Ma, C., et al. (2024) · Journal of Orthopaedic Translation · doi:10.1016/j.jot.2024.09.011 · Cited by 27
“In addition, such changes also induce cell autosecretion of IL-1 β and TNF-α , resulting in the production and secretion of NO, PGE2 and MMPs, which inhibit the chondrocyte ECM [76].”
Meng, J.-Z., Lu, J., Jiang, C.-C., Deng, L., Xiao, M., Feng, J., Ren, T.-Y., Qin, Q., Guo, S., Wang, H., et al. (2024) · Biomaterials · doi:10.1016/j.biomaterials.2024.122817 · Cited by 29
Cartilage organoids and osteoarthritis research: a narrative review
Zeng, D., Chen, Y., Liao, Z., Wei, G., Huang, X., Liang, R., Lu, W. W., Yi, D., & Chen, Y. (2023) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2023.1278692 · Cited by 30
Lee, H., Jeong, Y., Lee, J.-W., Jhun, J., Na, H. S., Cho, K.-H., Kim, S. J., Cho, M., & Heo, T. (2023) · PLoS ONE · doi:10.1371/journal.pone.0281834 · Cited by 28
“Most studies on IL-1β signaling inhibition have reported that inhibition of IL-1β signaling has therapeutic effects in various inflammatory diseases such as rheumatoid arthritis, osteoarthritis, and systemic inflammatory conditions [7, 12, 27].”
BackgroundInnovation in Targeted Intra-articular Therapies for Osteoarthritis
Assi, R., Quintiens, J., Monteagudo, S., & Lories, R. (2023) · Drugs · doi:10.1007/s40265-023-01863-y · Cited by 29
“Tumor necrosis factor (TNF) is a pro-inflammatory cytokine that stimulates tissue destructive enzymes in synovium and cartilage [36].”
BackgroundLin, X., Bell, R. D., Catheline, S., Takano, T., McDavid, A., Jonason, J. H., Schwarz, E., & Xing, L. (2023) · Arthritis & Rheumatology · doi:10.1002/art.42441 · Cited by 29
“In joints affected by OA, soluble factors such as inflammatory cytokines (3) and”
BackgroundProtein-engineered biomaterials for cartilage therapeutics and repair
Haq-Siddiqi, N. A., Britton, D., & Montclare, J. K. (2022) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2022.114647 · Cited by 33
Ma, X., Cai, D., Zhu, Y., Zhao, Y., Shang, X., Wang, C., Zhang, H., Bian, A., Yu, H., & Cheng, W. (2022) · Clinical Science · doi:10.1042/cs20220082 · Cited by 33
Baek, A., Jung, S.-H., Pyo, S., Kim, S. Y., Jo, S., Kim, L., Lee, E. Y., Kim, S. H., & Cho, S.-R. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.609817 · Cited by 29
“…and play important roles in the pathogenesis of OA by modulating oxidative stress, apoptosis, cartilage extracellular matrix degradation extracellular matrix (ECM) synthesis, and intracellular signaling pathways in OA (Kapoor et al., 2011; Lepetsos and Papavassiliou, 2016; Collins et al., 2018).”
BackgroundCalabrese, G., Ardizzone, A., Campolo, M., Conoci, S., Esposito, E., & Paterniti, I. (2021) · Biomolecules · doi:10.3390/biom11030352 · Cited by 29
“IL-1 β and TNF-α increase the synthesis of prostaglandin E2 (PGE2) by stimulating COX-2 gene expression and upregulating the production of NO via inducible nitric oxide synthase iNOS [45,46].”
Zhai, D., Chen, L., Chen, Y., Zhu, Y.-F., Xiao, Y., & Wu, C.-T. (2020) · Biomaterials Science · doi:10.1039/d0bm00450b · Cited by 29
Barbosa, G., Cunha, J. E., Cunha, T., Martinho, L. B., Castro, P., Oliveira, F. F., Cunha, F., Ramalho, F., & Salvini, T. (2019) · Scientific Reports · doi:10.1038/s41598-019-50958-8 · Cited by 29
Lötsch, J., Alfredsson, L. S., & Lampa, J. (2019) · Pain · doi:10.1097/j.pain.0000000000001693 · Cited by 33
“33,34,49 The detection of risk factors requires prospective longitudinal studies.”
BackgroundSun, H.-Q., Zhang, Y.-Y., Song, W., Yin, L., Wang, G., Yu, D., Zhang, Q., Yan, X.-F., & Li, S. (2019) · Human Immunology · doi:10.1016/j.humimm.2019.02.007 · Cited by 29
Association of cytokine gene polymorphisms with osteoarthritis susceptibility.
Rogoveanu, O., Călina, D., Cucu, M., Burada, F., Docea, A., Sosoi, S., Stefan, E., Ioana, M., & Burada, E. (2018) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2018.6477 · Cited by 29
“The inflammatory response was identified as the key component, which promoted synovitis as well as progression of cartilage and bone destruction in OA via the secretion of chemokines, cytokines and other molecules, which can be detected in the synovial fluids (8-10).”
Changes in Synovial Fluid Biomarkers after Experimental Equine Osteoarthritis
Ma, T.-W., Li, Y., Wang, G.-Y., Li, X.-R., Jiang, R.-L., Song, X.-P., Zhang, Z.-H., Bai, H., Li, X., & Gao, L. (2017) · Journal of Veterinary Research · doi:10.1515/jvetres-2017-0056 · Cited by 29
“However, when chondrocytes are in an inflammatory environment, IL-6 can inhibit type II collagen in cartilage matrix form (17).”
BackgroundHsu, Y.-H., Yang, Y.-Y., Huwang, M.-H., Weng, Y.-H., Jou, I., Wu, P.-T., Lin, T.-Y., Wu, L.-W., & Chang, M.-S. (2017) · PLoS ONE · doi:10.1371/journal.pone.0175802 · Cited by 29
Cheleschi, S., Cantarini, L., Pascarelli, N., Collodel, G., Lucherini, O., Galeazzi, M., & Fioravanti, A. (2015) · Cytokine · doi:10.1016/j.cyto.2014.10.023 · Cited by 29
Choi, Y. S., Park, J. K., Kang, E. H., Lee, Y., Kim, T. K., Chung, J.-H., Zimmerer, J. M., Carson, W. E., Song, Y. W., & Lee, Y. J. (2013) · Arthritis Research & Therapy · doi:10.1186/ar4381 · Cited by 33
“Deon D, Ahmed S, Tai K, Scaletta N, Herrero C, Lee IH, Krause A, Ivashkiv LB: Cross-talk between IL-1 and IL-6 signaling pathways in rheumatoid arthritis synovial fibroblasts.”
BackgroundInfluentialRoubille, C., Pelletier, J., & Martel-Pelletier, J. (2013) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.2013.825606 · Cited by 29
“In particular, IL-1b and TNF-a are key cytokines favoring the degeneration of articular cartilage matrix, which makes them prime targets for OA treatment [76].”
BackgroundSelf-citationSharma, S., Lee, A., Choi, K., Kim, K., Youn, I., Trippel, S., & Panitch, A. (2013) · Macromolecular Bioscience · doi:10.1002/mabi.201300112 · Cited by 29
Muscle cell-derived factors inhibit inflammatory stimuli-induced damage in hMSC-derived chondrocytes
Rainbow, R., Kwon, H., Foote, A., Preda, R. C., Kaplan, D., & Zeng, L. (2013) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2013.04.011 · Cited by 29
Yeh, C.-C., Chang, S.-F., Huang, T.-Y., Chang, H.-I., Kuo, H.-C., Wu, Y.-C., Hsieh, C.-H., Shi, C.-S., & Chen, C.-N. (2013) · Arthritis Research & Therapy · doi:10.1186/ar4215 · Cited by 29
“Macrophagederived IL-1b and TNF-a are required for the release of matrix metalloproteinases (MMPs) from the synovium that will ultimately degrade cartilage tissues [3].”
BackgroundMacrophages’ Role in Tissue Disease and Regeneration
Gaffney, L. S., Warren, P. B., Wrona, E. A., Fisher, M. B., & Freytes, D. O. (2017) · Results and problems in cell differentiation · doi:10.1007/978-3-319-54090-0_10 · Cited by 30
Tang, S., Zhang, C., Oo, W. M., Fu, K., Risberg, M. A., Bierma‐Zeinstra, S., Neogi, T., Atukorala, I. G., Malfait, A., Ding, C., et al. (2025) · Nature Reviews Disease Primers · doi:10.1038/s41572-025-00594-6 · Cited by 575
“Activated fibroblast-like synoviocytes and macrophages secrete matrix metalloproteinases related to ECM degradation, causing significant alterations in synovial fluid composition 76 .”
Lou, Z., & Bu, F. (2025) · Medicine · doi:10.1097/md.0000000000041335 · Cited by 28
Cartilage-on-a-chip with magneto-mechanical transformation for osteoarthritis recruitment
Liu, H. W., Wu, X., Liu, R., Wang, W., Zhang, D., & Jiang, Q. Y. (2023) · Bioactive Materials · doi:10.1016/j.bioactmat.2023.10.030 · Cited by 27
“However, in the field of basic OA research, the commonly employed modeling method revolves around stimulating cells with inflammatory factors like IL-1 β , while stress-related changes are often overlooked as influencing factors [3 – 5].”
BackgroundAssociation of Low-Dose Colchicine With Incidence of Knee and Hip Replacements
Heijman, M., Fiolet, A., Mosterd, A., Tijssen, J. G., van den Bemt, B. V. D., Schut, A., Eikelboom, J., Thompson, P. L., van den Ende, C. V. D., Nidorf, S., et al. (2023) · Annals of Internal Medicine · doi:10.7326/m23-0289 · Cited by 28
“The pathophysiology of osteoarthritis is multifactorial, and low-grade chronic inflammation in response to weight-bearing traumatic injury has been described in the affected joints (4).”
BackgroundExtracellular vesicles in osteoarthritis of peripheral joint and temporomandibular joint
Yang, B., Li, X., Fu, C., Cai, W., Meng, B., Qu, Y., Kou, X., & Zhang, Q. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1158744 · Cited by 27
“Among all the cargoes of EVs in OA, two major players, IL-1b and TNF-a, can induce cartilage destruction and inflammation (71).”
BackgroundYu, L.-Z., Luo, R.-S., Qin, G., Zhang, Q.-Y., & Liang, W. (2023) · Journal of Orthopaedic Surgery and Research · doi:10.1186/s13018-023-03590-2 · Cited by 28
Liu, L., Xu, L., Wang, S., Wang, L., Wang, X., Xu, H., Li, X., & Ye, H. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.784822 · Cited by 26
Bao, Z., Chen, M., Li, C., Shan, Q., Wang, Y., & Yang, W. (2022) · Open Life Sciences · doi:10.1515/biol-2022-0079 · Cited by 25
LncRNA MEG3 Protects Chondrocytes From IL-1β-Induced Inflammation via Regulating miR-9-5p/KLF4 Axis
Huang, Y., Chen, D.-S., Yan, Z., Zhan, J., Xue, X., Pan, X., & Yu, H.-C. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.617654 · Cited by 28
Huang, Z., Yang, R., Zhang, L., Zhu, M.-J., Zhang, C., Wen, J., & Li, H. (2021) · Clinical Epigenetics · doi:10.1186/s13148-021-01008-6 · Cited by 28
“Previous studies have reported that IL-1β triggers proinflammatory factor production in chondrocytes [11, 28, 29] and IL-1β plays a vital role in TMJ OA development [11, 30].”
BackgroundExosomal miRNAs in osteoarthritis
Mihanfar, A., Shakouri, S. K., Ansari, M. H. K., Fattahi, A., Latifi, Z., Nejabati, H. R., & Nouri, M. (2020) · Molecular Biology Reports · doi:10.1007/s11033-020-05443-1 · Cited by 33
Anti-IL-1 for the treatment of OA: dead or alive?
Chevalier, X., & Eymard, F. (2019) · Nature Reviews Rheumatology · doi:10.1038/s41584-019-0185-y · Cited by 28
Casticin protects against IL-1β-induced inflammation in human osteoarthritis chondrocytes
Mu, Y., Hao, W., & Li, S. (2018) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2018.10.051 · Cited by 32
Recently highlighted nutraceuticals for preventive management of osteoarthritis
Ravalli, S., Szychlinska, M., Leonardi, R., & Musumeci, G. (2018) · World Journal of Orthopaedics · doi:10.5312/wjo.v9.i11.255 · Cited by 28
Hu, X.-B., Kang, R.-R., Tang, T.-T., Li, Y., Wu, J.-Y., Wang, J.-M., Liu, X.-Y., & Xiang, D. (2018) · Drug Delivery and Translational Research · doi:10.1007/s13346-018-00604-z · Cited by 28
Inhibition of microRNA-449a prevents IL-1β-induced cartilage destruction via SIRT1.
Park, K. W., Lee, K.-M., Yoon, D., Park, K. H., Choi, W., Lee, J.-W., & Kim, S.-H. (2016) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2016.07.002 · Cited by 28
Sex-Specific Protection of Osteoarthritis by Deleting Cartilage Acid Protein 1
Ge, X., Ritter, S. Y., Tsang, K., Shi, R., Takei, K., & Aliprantis, A. O. (2016) · PLoS ONE · doi:10.1371/journal.pone.0159157 · Cited by 28
“IL-1β and TNF-α are two major proinflammatory cytokines in the initiation and progression of OA [37, 38].”
Docosahexenoic acid treatment ameliorates cartilage degeneration via a p38 MAPK-dependent mechanism
Wang, Z., Guo, A., Ma, L.-F., Yu, H.-M., Zhang, L.-G., Meng, H., Cui, Y., Yu, F., & Yang, B. (2016) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2016.2567 · Cited by 28
“In patients with OA, several pro‑inflammatory cytokines are secreted by inflamed synovium and chondrocytes in response to inflammation, which induce overexpression of MMPs (6,28,29).”
InfluentialBozynski, C., Kuroki, K., Stannard, J., Smith, P. A., Stoker, A., Cook, C., & Cook, J. (2015) · The journal of knee surgery · doi:10.1055/s-0035-1544975 · Cited by 28
Liu, Y., Wu, D.-Y., Song, F.-L., Zhu, C.-L., Hui, Y.-J., Zhu, Q.-C., Wu, J., Fan, W.-M., & Hu, J. (2015) · Cellular Physiology and Biochemistry · doi:10.1159/000369724 · Cited by 28
Xu, Y., Dai, G., Liu, Q., Liu, Z.-L., Song, Z., Li, L., Chen, W.-H., & Lin, N. (2014) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2014.1862 · Cited by 28
“The development and progression processes of OA are now considered to involve inflammation (6).”
BackgroundRetractedThe Effects of Amphiregulin Induced MMP-13 Production in Human Osteoarthritis Synovial Fibroblast
Chen, Y.-T., Hou, C.-H., Hou, S., & Liu, J.-F. (2014) · Mediators of Inflammation · doi:10.1155/2014/759028 · Cited by 28
“Synovial inflammation, cartilage surface abrasion, subchondral sclerosis, and osteophyte formation are characteristics of OA [1].”
Moon, S., Jeong, J.-H., Jhun, J. Y., Yang, E. J., Min, J., Choi, J. Y., & Cho, M. (2014) · Immune Network · doi:10.4110/in.2014.14.1.45 · Cited by 29
“IL-1β and IL-6 have been revealed to be the main proinflammatory cytokines involved in the pathophysiology of OA (19).”
Background
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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