IntroductionThe aim of this article is to critically review literature about aquaporin 1 and its involvement in joint diseases. In particular, we focused our research on osteoarthritis of the knee. We reviewed the literature regarding aquaporin 1 role in joint cavity disease. We examined the current literature through searching PubMed and Scopus using appropriate keywords in relation to aquaporin 1 and osteoarthritis. Main research articles were selected for review. Discussion Aquaporin 1 is an integral membrane protein expressed in different normal and pathological tissues, for example, erythrocytes, renal tubule cells and in knee tissues (synoviocytes, articular chondrocytes and fibrochondrocytes). In knee tissues, aquaporin 1 is also expressed in human synovitis and in chondrocytes of patients with rheumatoid arthritis and osteoarthritis. The process of development and ageing of articular cartilage is related to its nutrition and function, which depend mainly on the water molecular transmembrane transport. Water transport is taken by aquaporins. The regulation of the water and solute content of chondrocytes will profoundly affect their anabolic and catabolic functions. The chondrocytes are supplied by diffusion, helped by the pumping action generated by compression of the articular cartilage or flexion of the elastic cartilage. The water content of cells is effectively influenced by the abundance of aquaporin water channels. Conclusion This review reports recent findings about the involvement of aquaporin 1 in the function of the articular cartilage and its possible role in knee osteoarthritis.