Osteoarthritis

Evaluating the role of lipopolysaccharides in the joint: fibronectin as a novel protective mechanism

RMD OpenPublished Mechanistic study

Authors' conclusion

LPS is prevalent in SF across various joint conditions but exhibits low bioactivity, indicating it is not a primary driver of joint inflammation. Fn plays a crucial role in sequestering and neutralising LPS within the synovial environment, offering a protective mechanism against LPS-induced inflammation.

Study context

Population
Synovial fluid (SF) samples from osteoarthritis (OA), RA and trauma patients; rat model of systemic lipopolysaccharides (LPS) exposure
Participants
56 / 7 / 39
Comparison
OA vs Rheumatoid arthritis vs Trauma
  • OAn = 56
  • Rheumatoid arthritisn = 7
  • Trauman = 39
Outcome
LPS in SF: presence, concentration, lipid A profile and bioactivity
Methodological detailsrat model, in vitro assays, 3D synovial membrane model
  • Rat model
  • In vitro assays
  • 3D synovial membrane model

Main finding

As reported in the abstract

  • LPS detected in all SF samples, with comparable concentrations and lipid A profiles across all groups
  • Liquid chromatography-mass spectrometry (LC-MS) indicated higher LPS levels than standard endotoxin assays
  • Minimal proinflammatory responses in bioactivity assays despite elevated LPS presence
  • Prolonged systemic LPS exposure (32 days) did not induce OA-like changes in rat joints
  • LPS colocalised with fibronectin (Fn) in the synovial membrane; Fn binding attenuated LPS bioactivity and hindered its migration in vitro

Original publication

Evaluating the role of lipopolysaccharides in the joint: fibronectin as a novel protective mechanism. RMD Open. Published 10 July 2025. doi:10.1136/rmdopen-2025-005622

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