2022
DOI: 10.2147/oajsm.s321139
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Cross-Communication Between Knee Osteoarthritis and Fibrosis: Molecular Pathways and Key Molecules

Abstract: Knee fibrosis is characterized by the presence of excessive connective tissue due to dysregulated fibroblast activation following local or systemic tissue damage. Knee fibrosis constitutes a major clinical problem in orthopaedics due to the severe limitation in the knee range of motion that leads to compromised function and patient disability. Knee osteoarthritis is an extremely common orthopedic condition that is associated with patient disability and major costs to the health-care systems worldwide. Although… Show more

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Cited by 5 publications
(6 citation statements)
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“…ACAN mRNA expression showed downregulation in OA sf-MSCs compared with H cells, supported by DMMB assay, specific for GAG quantification, which enforces the reduced chondrogenic potential of OA sf-MSCs. Supposing to observe a reduced synthesis of the chondrogenic markers in OA sf-MSCs, we speculate that the unexpected expression of COL2A1 marker, such as H sf-MSCs, could be related to a fibrotic condition which typically occurs in the articular joint during OA progression and plays a critical role in OA pathogenesis as well as cartilage destruction [ 55 , 56 ]. The reduced synthesis of GAG supports this hypothesis, but further investigations, based on a higher number of donors, are needed to confirm the assumption.…”
Section: Discussionmentioning
confidence: 99%
“…ACAN mRNA expression showed downregulation in OA sf-MSCs compared with H cells, supported by DMMB assay, specific for GAG quantification, which enforces the reduced chondrogenic potential of OA sf-MSCs. Supposing to observe a reduced synthesis of the chondrogenic markers in OA sf-MSCs, we speculate that the unexpected expression of COL2A1 marker, such as H sf-MSCs, could be related to a fibrotic condition which typically occurs in the articular joint during OA progression and plays a critical role in OA pathogenesis as well as cartilage destruction [ 55 , 56 ]. The reduced synthesis of GAG supports this hypothesis, but further investigations, based on a higher number of donors, are needed to confirm the assumption.…”
Section: Discussionmentioning
confidence: 99%
“…Google Scholar was also used as a complementary search engine. A manual search of the reference lists of past reviews was performed 140 . Furthermore, citation searching was performed on the original records using Web of Science as recommended 125 .…”
Section: Star Methodsmentioning
confidence: 99%
“…[ 21 ] Synovial fibrosis exists in different stages of OA, is stimulated by synovitis. For example, IL‐1β is not only a key regulator of TGF‐β, but also stimulates IL‐1β receptors on fibroblasts, leading to fibroblast proliferation and promoting fibrosis, [ 119 ] and IL‐6 promotes fibrosis by activating the Notch/STAT3 pathway. [ 120 ] Recent studies have found that synovial fibroblast and macrophage pyroptosis is involved in synovial fibrosis and is associated with the release of inflammatory factors (IL‐1β, IL‐18) due to activated NLRP3 inflammasome.…”
Section: The Pathological Change Of Synovial Cells In Oamentioning
confidence: 99%