“…According to Kojima, Hoso, Watanabe, Matsuzaki, Hibino, Sasaki 46 , these changes may be related to the presence of flocculation, corrosion and cracks in the articular cartilage. Taking into consideration the findings of studies by Hadler-Olsen, Fadnes, Sylte, Uhlin-Hansen, Winberg 47 and Takaishi, Kimura, Dalah, Okada, D'Armiento 48 , the changes that were observed in the present study in the LG and EG may have been the result of an increase in the rate of synthesis and the secretion of matrix-degrading enzymes by chondrocytes, as well as the production of metalloproteases that are capable of unfolding collagen and proteoglycans, which release their fragments in the articular fluid, thereby weakening the cartilage matrix. Synovial fluid and the fibrous articular capsule respond to these fragments and other biochemical mediators, such as cytokines and leukotrienes, which leads to changes in the other components of the joint.…”