Osteoarthritis

RAGE signalling contributes to oxidative stress and inflammation in knee osteoarthritis patients with metabolic syndrome

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

We conclude that enhanced function of RAGE axis could be one of the mechanisms by which metabolic syndrome leads to KO.

Study context

Population
Patients with knee OA fulfilling ACR diagnostic criteria undergoing total knee replacement surgery
Participants
80 patients
Exposure
Knee osteoarthritis (KO) with metabolic syndrome vs KO without metabolic syndrome
Outcome
RAGE axis, oxidative stress and inflammatory markers

Main finding

As reported in the abstract

  • Enhanced protein expression of RAGE and its ligands AGEs and HMGB-1 in knee joint tissue in KO with MetS vs KO without MetS
  • Gene expression of oxidative stress regulators (NADPH) and inflammation (NFĸB) upregulated in KO with MetS vs KO alone
  • Higher levels of advanced oxidation products and IL-17 in synovial fluid of KO with MetS
  • Enhanced oxidative stress and inflammatory markers also reflected in serum of KO with MetS

Observational data: associations, not effects.

Original publication

RAGE signalling contributes to oxidative stress and inflammation in knee osteoarthritis patients with metabolic syndrome. Clin Exp Rheumatol. Published 5 January 2024. doi:10.55563/clinexprheumatol/t3mejo

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