“…To capture the breadth of this effect, we have used well-described, custom automated scoring algorithms (24, 25, 44–46) to provide large scale quantitation of histological changes associated with PTOA spanning the synovium, the weight-bearing areas of both articular surfaces, and the subchondral bone. Intra-articular administration of NAC or amobarbital significantly abrogated PTOA after an IAF as shown by classic PTOA indicators including PG content, cartilage thickness, and structural damage scores as well as intracellular phenomena linked to PTOA such as oxidative stress (4, 10, 11, 15, 19, 47, 48) and altered mitochondrial metabolism (10, 11, 13, 14, 17–19, 24, 27, 49). This occurred in the absence of any overt anti-inflammatory effect during the acute phase, suggesting either a distinct, oxidation-dependent pathway contributing to rapid PTOA progression or an uncoupling of inflammation from rapid progression via protection against oxidation.…”