“…Researchers 11 have found that cilengitide (integrin receptor antagonist) inhibits the expression of inflammation‐related genes such as IL‐1β, TNF‐α, MMP‐3 and MMP‐13 induced by excessive mechanical stress (10% elongation rate, 0.5 Hz and 3 h) and suppresses the phosphorylation levels of integrin downstream‐related molecules such as FAK, ERK, JNK and p38; these results suggest that excessive mechanical stress can activate integrins on the surface of chondrocytes and upregulate the expression of inflammatory‐related factors through the phosphorylation of FAK and MAPKs, thereby inducing cartilage inflammation. Through histological and proteomic analyses of osteoarthritic cartilage in a destabilized medial meniscus rat model and in vitro findings, SONG et al 103 . demonstrated that excessive mechanical stress (15 V, 2 Hz) led to significantly increased integrin αVβ3 expression, enhanced the phosphorylation of downstream signalling molecules, such as FAK and ERK, and upregulated the expression of inflammation‐related proteins, such as MMP‐9, 13 and Adamts‐5; the inhibition of integrin αVβ3 attenuated chondrocyte inflammation induced by excessive mechanical stress in vivo and in vitro.…”