Obesity, and corresponding chronic-low grade inflammation, is associated with the onset and progression of knee OA. The origin of this inflammation is poorly understood. Here, the effect of high fat, high sucrose (HFS) diet induced obesity (DIO) on local (synovial fluid), and systemic (serum) inflammation is evaluated after a 12-week obesity induction and a further 16-week adaptation period. For 12-weeks of obesity induction, n ¼ 40 DIO male Sprague-Dawley rats consumed a HFS diet while the control group (n ¼ 14) remained on chow. DIO rats were allocated to prone (DIO-P, top 33% based on weight change) or resistant (DIO-R, bottom 33%) groups at 12-weeks. Animals were euthanized at 12-and after an additional 16-weeks on diet (28-weeks). At sacrifice, body composition and knee joints were collected and assessed. Synovial fluid and sera were profiled using cytokine array analysis. At 12-weeks, DIO-P animals demonstrated increased Modified Mankin scores compared to DIO-R and chow (p ¼ 0.026), and DIO-R had higher Mankin scores compared to chow (p ¼ 0.049). While numerous systemic and limited synovial fluid inflammatory markers were increased at 12-weeks in DIO animals compared to chow, by 28-weeks there were limited systemic differences but marked increases in local synovial fluid inflammatory marker concentrations. Metabolic OA may manifest from an initial systemic inflammatory disturbance. Twelve weeks of obesity induction leads to a unique inflammatory profile and induction of metabolic OA which is altered after a further 16-weeks of obesity and HFS diet intake, suggesting that obesity is a dynamic, progressive process. Increasing rates of obesity have been attributed to the consumption of a "western-type" high fat, high sugar diet. 1 Obesity is associated with osteoarthritis (OA)-related changes both clinically and in animal models 2 Likely, metabolic OA may be one subtype of OA with a distinct inflammatory signature, and a unique OA trajectory, when compared with other subtypes (e.g. post-traumatic, genetic). [2][3][4][5] Previously, we and others have shown that longterm exposure to high fat or western-type diets result in OA-related changes in animal models of dietinduced obesity. 6-8 Furthermore, these OA-related changes may be explained by the inflammatory signatures and metabolic dysfunction resulting from the increased body fat of these animals. 3,6,7,9 Moreover, high fat high sucrose diet-induced obesity significantly alters the synovial fluid cytokine, adipokine, and growth factor concentrations in rats after 28-weeks, and many changes are associated with OA-like structural changes. 3,10 However, comparative inflammatory marker profiles from serum and synovial fluid over time, in the context of a high fat, high sucrose dietinduced metabolic OA, are unknown, but are critical to understanding this disease trajectory.Similar to humans, outbred Sprague-Dawley rats demonstrate obesity prone and obesity resistant phenotypes after exposure to a high energy obesity-inducing diet. 11 A diet-induced obe...