2010
DOI: 10.1038/nrrheum.2010.159
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The role of synovitis in pathophysiology and clinical symptoms of osteoarthritis

Abstract: Osteoarthritis (OA), one of the most common rheumatic disorders, is characterized by cartilage breakdown and by synovial inflammation that is directly linked to clinical symptoms such as joint swelling, synovitis and inflammatory pain. The gold-standard method for detecting synovitis is histological analysis of samples obtained by biopsy, but the noninvasive imaging techniques MRI and ultrasonography might also perform well. The inflammation of the synovial membrane that occurs in both the early and late phase… Show more

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Cited by 1,091 publications
(972 citation statements)
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References 97 publications
(109 reference statements)
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“…Several studies have thereafter supported a shift to the concept that inflammation is central to disease progression in both early and late osteoarthritis (38). As to degradation, members of the MMP family, active in breakdown of extracellular matrix in both physiological and pathological processes (39), along with proinflammatory genes are induced via the NF-kB pathway in osteoarthritic chondrocytes.…”
Section: Discussionmentioning
confidence: 99%
“…Several studies have thereafter supported a shift to the concept that inflammation is central to disease progression in both early and late osteoarthritis (38). As to degradation, members of the MMP family, active in breakdown of extracellular matrix in both physiological and pathological processes (39), along with proinflammatory genes are induced via the NF-kB pathway in osteoarthritic chondrocytes.…”
Section: Discussionmentioning
confidence: 99%
“…Over the years, there has been strong evidence that in OA, TNF-α is one of the most important mediators which alters the balance of cartilage matrix degradation and repair, leading finally to cartilage breakdown [12].…”
Section: Discussionmentioning
confidence: 99%
“…33 Since SDSCs are used to facilitate cartilage tissue regeneration, it is critical to consider the effect of synovitis on chondrogenic differentiation of OA SDSCs since inflammatory cytokines have previously been shown to inhibit chondrogenesis. 27,28 CD14 is a glycoprotein expressed on the surface of myelomonocytic cells as a GPI-anchored receptor or secreted in a soluble form.…”
Section: Cd14 and Proinflammatory Cytokines On Chondrogenesis In Oa Smentioning
confidence: 99%