Osteoarthritis

Discovery of calcite as a new pro-inflammatory calcium-containing crystal in human osteoarthritic synovial fluid

Osteoarthritis CartilagePublished Mechanistic study

Authors' conclusion

This study highlights the unique role of Raman spectroscopy in OA crystal research and identified calcite as a novel pro-inflammatory crystal type in OA synovial fluid.

Study context

Population
Synovial fluid from knee osteoarthritis (OA) patients undergoing total joint arthroplasty
Participants
32 synovial fluid samples
Outcome
Characterization of calcium-containing crystals in OA synovial fluid by Raman spectroscopy, and biological effects of calcite crystals
Methodological detailsRaman spectroscopy, in vitro cell stimulation
  • Raman spectroscopy
  • In vitro cell stimulation

Main finding

As reported in the abstract

Calcium-containing crystals in OA synovial fluid

Calcite crystals

93.8 %

Calcium pyrophosphate

37.5 %

Basic calcium phosphate

21.8 %

Dolomite

25 %

Further findings

Cellular response to calcite crystal exposure

Increased production of innate immune-derived cytokines by PBMCs when co-stimulated with lipopolysaccharide (LPS)
HACs and FLSs: enhanced secretion of pro-inflammatory molecules and altered expression of extracellular matrix remodeling enzymes

Original publication

Discovery of calcite as a new pro-inflammatory calcium-containing crystal in human osteoarthritic synovial fluid. Osteoarthritis Cartilage. Published 26 May 2024. doi:10.1016/j.joca.2024.05.004

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