Although basic calcium phosphate (BCP) crystals are common in osteoarthritis, the crystal-induced signal transduction pathways in human fibroblasts have not been fully comprehended. We have previously demonstrated that the induction of matrix metalloproteinases (MMP) 1 and 3 by BCP crystals follows both the calciumdependent protein kinase C (PKC) pathway and the calcium-independent p44/42 mitogen-activated protein kinase (p44/42 MAPK) pathway. Although we showed that the calcium-dependent PKC pathway was characterized by calcium-dependent PKC␣, here we show that the calcium-independent p44/42 MAPK pathway is mediated by calcium-independent PKC . Inhibition of PKC synthesis and activity by antisense oligodeoxynucleotides and H-89 (N-(2-[p-bromocinnamylamino]ethyl)-5-isoquinolinesulfonamide), respectively, results in the inhibition of p44/42 MAPK activation, thus demonstrating that p44/42 MAPK activity is dependent upon PKC . Reverse transcription-polymerase chain reaction and Western blotting also show that inhibition of PKC results in the inhibition of MMP-1 and MMP-3 mRNA and protein expression as a result of p44/42 MAPK inhibition. These results now lead us to the conclusion that BCP crystal activation of human fibroblasts follows two pathways: 1) the calcium-dependent PKC pathway characterized by PKC␣ and 2) the calcium-independent p44/42 MAPK pathway mediated by PKC , which operate independently leading to an increase in mitogenesis and MMP synthesis and ultimately complementing each other for the efficient regulation of cellular responses to BCP crystal stimulation of human fibroblasts.Basic calcium phosphate (BCP) 1 crystals are among the most common forms of pathologic articular minerals. They frequently occur in the joints of osteoarthritis patients and can be phlogistic (1, 2). There is compelling evidence that these crystals engender multiple biological effects that promote joint degeneration. The presence of BCP crystals correlates strongly with radiographic evidence of cartilaginous degeneration and synovial thickening and is associated with larger joint effusions when compared with joint fluid from osteoarthritis knees where BCP crystals are absent (3, 4). Conversely, osteoarthritis is both more common and more severe in patients with calciumcontaining crystals. We have demonstrated that BCP crystals stimulate the proliferation and synthesis of matrix metalloproteinases (MMPs) in cultured human foreskin and synovial fibroblasts (5-9). The addition of BCP crystals to the growth medium yielded an immediate 10-fold rise in the intracellular calcium level and a second rise starting at 60 min and lasting for 3 h. This second rise in the intracellular calcium level is probably because of the intracellular dissolution of phagocytosed crystals, which may activate a variety of calcium-dependent signals and induce sustained cell proliferation and MMP synthesis (10).To date, BCP crystal-induced signal transduction has not been fully comprehended. We have previously demonstrated that the induction of human MMP-...