“…While different these cell-based configurations can help explain possible inhibitory mechanisms when loading intact cartilage using our METS. Agarwal et al16,19–21,39 reported that tensile strain (3%, 20%) inhibited or reduced IL-1-induced increases in gene expression (mRNA) for nitric oxide (NO), inducible nitric oxide synthase (iNOS), tumor necrosis factor (TNF)-α, cyclo-oxygenase (COX)-2, and MMP-3, 7, 8, 9, 13, 16, 17 and 19, had no affect on MMP-2, 11 and 14 and TIMP-1, 2 and 3, and reversed IL-1 inhibition of aggrecan synthesis. They concluded that the tensile strain acts at multiple sites within the NF-κB signaling pathway.…”