Review Article

The Role of Inflammation in the Pathogenesis of Osteoarthritis

Table 1

Molecular changes in humans with osteoarthritis.

Authors (year)Subjects’ characteristicsSampleMolecules and cells involved
CytokinesChemokinesMatrix metalloproteinases (MMPs)Immune cellsOther proteinsmiRNA

Hou et al. (2017) [9]OA patients,
Non-OA patients,
Synovial tissue↑ CX3CL1↑ MMP-3
Deligne et al. (2015) [14]OA patients, , mean age yearsSynovial tissues↑ IL-1β, IL-6, IL-8, IL-18, IL17, IL-22, and TGFβ1↑ MMP-2↑ Leukocyte (macrophages, T-lymphocytes, B-lymphocytes, neutrophils) infiltrates↑ MPO
Shan et al. (2017) [15]OA patients, , median age 65 years
Healthy control, , median age 61 years
Fasting venous blood↑ IL-21, IFN-γ, and IL-17A↑ PD-1+CXCR5+CD4+ T cells, ICOS+CXCR5+CD4+ T cells, and IL-21+CXCR5+CD4+ T cells↑ CRP
Xia et al. (2017) [16]OA patients,
Healthy control,
Blood
Synovial fluid
↑ IL-10 and TGF-β↑ LAG-3+ Treg cells
Min et al. (2017) [20]Knee OA patients, , mean age 68.0 years
Healthy control, , mean age 57.7 years
Fasting blood↑ TNF-α↑ Serum OPG
↓ DKK1
Chang et al. (2015) [21]OA patients, , mean age yearsPeripheral blood
Articular synovial membrane
↑ TNF-α and IL-1β↑ CCR3 and eotaxin-1(CCL11)↑ MMP-9
Ni et al. (2015) [22]OA patients, , median age 66 years
Healthy control, , median age 60 years
Blood
Synovial fluid
Synovial tissues
↑ TNF-α, IL-1β, and IL-6↑ FSTL1, p-p65, and p-IκBα
↓ p53 and p21
Ma et al. (2015) [23]OA patients, , mean age yearsArticular cartilages↑ IL-1α, IL-1, and TNF-↑ MMP-13↑ p65 nuclear level
↓ IκBα degradation
Ding et al. (2015) [24]OA patients, , mean age 66.6 yearsSynovial tissues↑ MMP-2↑ Cadherin-11
Xu et al. (2015) [26]OA patients,
Normal control,
Articular cartilage↑ Sam68 expression
Jiang et al. (2017) [28]OA patients, Articular cartilages↑ BRD4
Qu et al. (2018) [30]Articular cartilage↑ IL-6 and TNF-α↑ MMP-13↓ Ghrelin, ACAN, col2, sox-9, and GAG
↑ ADAMTS-5 and iNOS
Xia et al. (2016) [31]OA patients,
Normal control,
Blood
Articular cartilage
Synovial tissues
↑ TNFα, IL-6, and IL8↑ COX-2, iNOS, and p-p65
↓ IkBα
↑ miR-381a-3p
Zhang et al. (2016) [35]OA patients,
Normal control,
Articular cartilages↑ IL-6, TNF-α↑ MMP-13↓ ACAN, col2, and Ik-Bα expression
↑ TRAF2 and p-p65 expression
↓ miR-502-5p
Snelling et al. (2017) [41]OA patients, , mean age yearsBlood
Synovial fluid
14 patients had detectable IL-17 in SF with ↑ IL-6↑ CCL7 in the 14 patients↑ Leptin, resistin, and NGF
Monasterio et al. (2018) [42]TMJ-OA patients, , mean age years
Control: DDWR patients, , mean age years
Synovial fluid↑ IL-17, IL-1β, IL-22, and RANKL↑ CCL5, CCL20, CCR5, and CCR7
Alaaeddine et al. (2015) [46]OA patients, , mean age years
Non-OA donor, , mean age years
Knee cartilage↑ IL-6 by CCL20↑ CCL20 and CCR6↑ MMP-1 and MMP-13 by CCL20↑ PGE2 and proteoglycan by CCL20
↑ ADAMTS-5 and col10 mRNA expression
Favero et al. (2018) [47]Early-stage OA patients, , median age 34 years
End-stage OA patients, , median age 62 years
Synovial tissues↑ IL-6 and IL-8↑ CCL2, CCL21, and CCL5 (RANTES)↑ MMP-3 and MMP-10↑ TIMP-2, TIMP-4
↑ GAG and ACAN CS846 epitope
Capsoni et al. (2015) [48]Articular cartilage↑ IL-6 and IL-8↑ MMP-3 and MMP-13↑ NO, iNOS, TIMP-3, and TIMP-4
Zhang et al. (2017) [49]OA patients, , average age 49 years
Healthy control, , average age 42 years
Knee articular cartilage
Blood
↑ IL-6, IL-8↑ P2X7R↓ miR-373
Böhm et al. (2016) [50]OA patients, , mean age 66.7 yearsSynovial tissue↑ IL-6 and IL-8
Wu et al. (2018) [51]OA patients, , mean age 43 years
Normal control, , mean age 39 years
Synovial tissue↑ IL-6, IL-8↑ MMP-3, MMP-13↓ STC1↑ miR-454
van Geffen et al. (2016) [53]OA patients, Articular cartilage↑ IL37, IL-6, and IL-8↑ MMP-1, MMP-3, and MMP-13↑ ADAMTS5
Ding et al. (2017) [54]OA patients, , mean age years, and disease duration years
Healthy control, , mean age years
Blood
Synovial fluid
Synovial tissues
↑ IL-37, IL-1β, TNF-α, and IL-6
Mabey et al. (2016) [55]OA patients, , mean age years
Healthy control, , mean age years
Blood samples
Synovial fluid
↑ IL-2, IL-4, IL-6, and IL-10
He et al. (2017) [56]OA patients, , mean age yearsArticular cartilage↑ IL-6, TNF-α, and IFN-γ
↓ IL-4
↑ SOCS1, caspase 9, Bax, Bcl-2, and iNOS
Sun et al. (2015) [59]Articular cartilage↑ IL-1R and TNF-α↑ MMP-1 and MMP-13↑ PARP-1, iNOS, and p-p65
↓ TIMP-1
Raghu et al. (2017) [63]OA patients,
Normal control,
Synovial tissue
Synovial fluid
↑ CCL2
Chen et al. (2018) [64]Facet joint OA patients, , mean age years
Healthy control, , mean age years
Facet joint tissues↑ CCL4 and CCL4L2↑ DKK2
Belluzzi et al. (2018) [67]OA patients, , median age 68 yearsCartilage
Synovial membrane tissues
Meniscus
IFP
↑ IL-6, IL-1β↑ CXCL8, CCL21↑ MMP-10
Huang et al. (2016) [68]Synovial tissues↑ IL-6, IL-1β, and TNF-α↑ MCP-1 (CCL2)↑ NO, PGE2, iNOS, COX-2, VCAM-1, ICAM-1, ET-1, TF, and p-IkB
Arkestål et al. (2018) [69]OA patients,
Healthy control,
Peripheral blood
Bone marrow
↑ CCR2
↓ CXCR3
Chen et al. (2015) [70]Synovial tissues↑ IL-6↑ MMP-13↑ COX-2, PGE2, VEGF, p-IKK α/β, p-IkBα, and p-p65 expression
Zeng et al. (2019) [73]OA patients,
Patients with other joint diseases,
Articular cartilage↑ TNF-α and IL-6↑ MMP-3 and MMP-13↑ FOXM1, iNOS, COX-2, NO, PGE2, and p-p65
Xia et al. (2017) [74]Cartilage tissues↑ IL-6 and TNF-α↑ MMP-13↑ PRMT1, ADAMTS-5, NO, PGE2, iNOS, COX-2, SHH, Gli-1, and Patch 1
↓ ACAN and COL2A1
Burguera et al. (2014) [75]OA patients, , mean age yearsArticular cartilages↑ IL-6↑ MMP-13↑ COX2, PGE-2, and nitrite
Peng et al. (2017) [76]OA patients, , mean age years
Normal control, , mean age years
Synovial tissues↑ MMP-13↓ DUSP1
↑ p-p38, p-JNK, and COX-2
Ma et al. (2018) [77]OA patients, Knee cartilage↑ IL-8↑ MMP-13↑ p-PKR, p-PKC, COX-2, ROS, p-ERK, and p65 activity
↓ SOD, catalase, and PPAR-γ
Haneda et al. (2018) [78]OA patients, , average age 76.4 years
Normal control, , average age 85.1 years
Cartilage tissues↑ MMP-3, MMP-13↑ AQP1, ADAMTS-4, and ADAMTS-5
↓ COL2A1 and ACAN expression
Yang et al. (2017) [81]OA patients,
Normal control,
Articular cartilage↑ MMP-13↑ IRF-8
Fu et al. (2016) [82]Normal donorsArticular cartilage↑ MMP-1, MMP-3, and MMP-9↑ NO, PGE2, iNOS, COX-2, ADAMTS-4, ADAMTS-5, HMGB1, and TLR4 expression
Chou et al. (2018) [83]OA patients, for cartilage samples, mean age years; for synovial fluid samples, mean age yearsKnee articular cartilage
Synovial fluid
↑ IL-6↑ MMP-3↑ TSG-6, TIMP1, and VEGF
Chen et al. (2018) [84]OA patients, , mean age years
Healthy donor, , mean age years
Articular cartilage↑ IL-6↑ MMP-3↑ TAK1, nitrite, PGE2, and p-p65
↓ IkBα
↓ miR-149
Alunno et al. (2017) [86]OA patients, Synovial fluid
FLS
↑ MMP-2
Gui et al. (2017) [88]OA patients, , mean age 63.4 yearsArticular cartilages↑ SOCS3, NF-κB, and COX2
Terauchi et al. (2016) [95]OA patients, Articular cartilage↑ Runx2
Tao et al. (2015) [96]OA patients, , mean age years
Healthy control, , mean age years
Articular cartilage↑ KPNA2
Struglics et al. (2016) [100]OA patients, , median age 64 yearsSynovial fluid↑ IL-1β, IL-6, IL-8, and TNF-α↑ C4d, C3bBbP, and sTCC
Daghestani et al. (2015) [101]OA patients, , mean age yearsSynovial fluid
Blood
↑ CD163 and CD14
Mao et al. (2017) [107]OA patients, , mean age years
Healthy donor, , mean age years
Normal donors for bone marrow, , mean age 37 years
Bone marrow
Cartilage tissues
↑ ADAMTS-4 and ADAMTS-5
↓ ACAN
↓ miR-92a-3p