“…Alterations in DNA methylation patterns have been observed in OA chondrocytes, particularly a loss of DNA methylation at the promoters and the concurrent "unsilencing" of various OA-associated genes including MMP3, 9, and 13, ADAMTS4, IL-1β, and iNOS (14,33,34). Recently, Professor Bhutani's team reported a remarkable dysregulation of 5hmC homeostasis in patients with OA, with increases in global 5hmC levels observed in OA chondrocytes when compared to normal chondrocytes (35).…”