2020
DOI: 10.3390/life11010003
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The Role of Fibrosis in Osteoarthritis Progression

Abstract: Osteoarthritis (OA) is a chronic degenerative joint disease where the main characteristics include cartilage degeneration and synovial membrane inflammation. These changes in the knee joint eventually dampen the function of the joint and restrict joint movement, which eventually leads to a stage where total joint replacement is the only treatment option. While much is still unknown about the pathogenesis and progression mechanism of OA, joint fibrosis can be a critical issue for better understanding this disea… Show more

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Cited by 64 publications
(69 citation statements)
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“…TNC is a component of the extracellular matrix and is involved with organ fibrosis, inflammation, and cardiovascular disease ( Golledge et al., 2011 ; Yasuda et al., 2018 ). The formation of fibrocartilage and fibrosis in the joint is a major contributor to the degenerative changes in osteoarthritis ( Rim and Ju, 2020 ). Further, elevated levels of TGF-β signaling are associated with the pathological and fibrosis changes ( van der Kraan, 2017 ).…”
Section: Discussionmentioning
confidence: 99%
“…TNC is a component of the extracellular matrix and is involved with organ fibrosis, inflammation, and cardiovascular disease ( Golledge et al., 2011 ; Yasuda et al., 2018 ). The formation of fibrocartilage and fibrosis in the joint is a major contributor to the degenerative changes in osteoarthritis ( Rim and Ju, 2020 ). Further, elevated levels of TGF-β signaling are associated with the pathological and fibrosis changes ( van der Kraan, 2017 ).…”
Section: Discussionmentioning
confidence: 99%
“…OA is a whole-joint disease that affects muscle, subchondral bone, cartilage, ligaments, and synovial tissue. [12][13][14] Four distinct synoviopathies have been reported to emerge during OA, namely, hyperplastic, inflammatory, fibrotic, and detritus-rich forms. 15 Synovial fibrosis is characterised by excessive proliferation of FLS, differentiation to myofibroblast-like cells, and ECM synthesis.…”
Section: Synovial Fibrosis In Osteoarthritismentioning
confidence: 99%
“…OA presents as cartilage degeneration, remodelling of the subchondral bone and localised inflammation [ 4 ]. The emerging evidence suggests, in the most part, that synovitis and fibrosis plays an important role in the pathogenesis of OA and is related to clinical symptoms and structural progression [ 5 , 6 , 7 , 8 , 9 , 10 , 11 ].…”
Section: Introductionmentioning
confidence: 99%