2018
DOI: 10.1038/s41584-018-0073-x
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Modern-day environmental factors in the pathogenesis of osteoarthritis

Abstract: The prevalence of osteoarthritis (OA) is rising for reasons that are not fully understood. In this Opinion article, we review the possibility that OA is an evolutionary mismatch disease, which is a disease more common today than in the past because genes inherited from previous generations are inadequately or imperfectly adapted to modern environmental conditions. We focus on four major environmental factors in OA pathogenesis that have become ubiquitous within the past half-century: obesity, metabolic syndrom… Show more

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Cited by 187 publications
(148 citation statements)
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“…However, the metabolic alterations that define the MS are considered among the four major environmental factors that are associated with the OA pathogenesis (27). In addition, (i) studies on painful interphalangeal OA showed that MS is significantly associated with the disease, even adjusting for both age and BMI (28) and (ii) a follow-up study carried out on a high number of subjects suggests that both overweight and obesity increase the risk of incidenthand OA, a joint not subjected to mechanical overload (7).…”
Section: Discussionmentioning
confidence: 99%
“…However, the metabolic alterations that define the MS are considered among the four major environmental factors that are associated with the OA pathogenesis (27). In addition, (i) studies on painful interphalangeal OA showed that MS is significantly associated with the disease, even adjusting for both age and BMI (28) and (ii) a follow-up study carried out on a high number of subjects suggests that both overweight and obesity increase the risk of incidenthand OA, a joint not subjected to mechanical overload (7).…”
Section: Discussionmentioning
confidence: 99%
“…21 Chondrocyte apoptosis is generally considered a vital pathological feature of OA. 21 Chondrocyte apoptosis is generally considered a vital pathological feature of OA.…”
Section: Discussionmentioning
confidence: 99%
“…Osteoarthritis is caused by various factors, such as biomechanical forces, metabolic distress, cytokine occurrence, genetic heritage, cartilage condition, chondrocyte apoptosis and free radical generation. 21 Chondrocyte apoptosis is generally considered a vital pathological feature of OA. Weakening the course of chondrocyte apoptosis can ameliorate the progress of joint cartilage degeneration.…”
Section: Discussionmentioning
confidence: 99%
“…Felson in Nature Review Rheumatology entitled: "Modern-day environmental factors in the pathogenesis of osteoarthritis" has challenged our understanding of the pathogenesis of osteoarthritis (OA). n this original and timely article the authors propose the possibility that osteoarthritis (OA) is an evolutionary mismatch disease 1 . They argue that OA is much more common today than in the past because deleterious genes inherited from previous generations may be inadequately or imperfectly adapted to our modern environment.…”
Section: Commentarymentioning
confidence: 99%