Osteoarthritis

Molecular clustering in osteoarthritis primary tissues identifies shared inflammatory and tissue-specific pathway profiles

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

Our findings identify gene expression-based patient clusters in different primary joint tissues and point to shared and disease tissue-specific molecular programs in OA, thus setting the foundation for transcription signature-based patient stratification.

Study context

Population
Knee osteoarthritis (OA) patients; low- and high-grade OA knee cartilage, synovium and infrapatellar fat pad tissues
Participants
330 patients
Outcome
Transcriptomic clusters across joint tissues
Methodological detailsRNA sequencing, unsupervised machine learning clustering, multi-omics factor analysis, external validation
  • RNA sequencing
  • Unsupervised machine learning clustering
  • Multi-omics factor analysis
  • External validation

Main finding

As reported in the abstract

Gene classifier cross-validated accuracy (low-grade cartilage subgroups), 95% CI 91.1-96.6%

94.5%

Observational data: associations, not effects.

Original publication

Molecular clustering in osteoarthritis primary tissues identifies shared inflammatory and tissue-specific pathway profiles. Osteoarthritis Cartilage. Published 19 August 2026. doi:10.1016/j.joca.2026.08.008

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