“…185,186 In OA chondrocytes, MMP13 gene expression can be induced by mechanical stress and inflammatory cytokines and adipokines, which act via different signaling cascades, including MAPKs. 69 These pathways impact on a complex transcriptional network that involves the actions of transcription factors like RUNX2, 187 CEBP, 116,187,188 ELF3, 82 HIF-2␣, 97,98,149 CREB, 148 and ATF3, 189 among others. 69 The transactivation of MMP13 in articular chondrocytes is also subject to epigenetic modulation, as shown by the repression of LEF1-driven MMP13 gene expression by SIRT1 190 or the impact of the methylation status of the MMP13 promoter in OA cartilage on its CREB-148 and HIF-2␣-driven 149 transcriptional activation.…”