“…Alterations in DNA methylation patterns have been observed in OA chondrocytes, particularly a loss of DNA methylation at the promoters and the concurrent "unsilencing" of various OA-associated genes including MMP3, 9, and 13, ADAMTS4, IL-1β, and iNOS (14,33,34). Recently, Professor Bhutani's team reported a remarkable dysregulation of 5hmC homeostasis in patients with OA, with increases in global 5hmC levels observed in OA chondrocytes when compared to normal chondrocytes (35). 5hmC gain at specific sites in the promoters of key OA genes was associated with increased gene expression.…”