Osteoarthritis

Inflammatory gradients in the infrapatellar fat pad of knee osteoarthritis: implications for joint damage

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

These findings underscore the heterogeneity within the IFP and suggest that localized inflammation, particularly B cell involvement, may contribute to the change of IFP and pathophysiology of KOA.

Study context

Population
Infrapatellar fat pad (IFP) tissues from knee OA patients at different disease stages
Comparison
Inflammatory layer vs non-inflammatory layer of the IFP
Methodological detailshistological evaluation (H&E staining), Quantitative PCR (qPCR), immunohistochemistry
  • Histological evaluation (H&E staining)
  • qPCR
  • Immunohistochemistry

Main finding

As reported in the abstract

  • Pronounced inflammatory response in the inflammatory layer; relatively mild inflammation in the non-inflammatory layer
  • Significantly higher pro-inflammatory cytokines (IL-1β, TNF-α, IL-8) in the inflammatory layer vs the non-inflammatory layer
  • Significantly higher adipokines (Leptin, Adiponectin, FABP4) in the inflammatory layer vs the non-inflammatory layer
  • B cell infiltration more prominent in the inflammatory layer than other immune cell types

Original publication

Inflammatory gradients in the infrapatellar fat pad of knee osteoarthritis: implications for joint damage. Arthritis Res Ther. Published 13 December 2025. doi:10.1186/s13075-025-03702-9

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