“…Synovial tissue is an important part of the knee joint, which mostly includes synovial macrophages and fibroblast-like synoviocytes (FLS) (95); synoviocyte proliferation, invasion, and migration are essential for the RA pathology (96). Among synovial and FLS miRNAs, miR-21 (39), miR-26a-5p (41), miR-126 (50), miR-135a (51), miR-138 (54), miR-143 (56), miR-145 (56), miR-155 (58), and miR-421 (63) are overexpressed, whereas miR-19a (37), miR-20a (38), miR-22 (40), miR-27a (42), miR-29a (44), miR-34a (45), miR-137 (53), miR-140-3p (55), miR−152 (57), and miR-495 (68) are downregulated. The disturbed miRNAs enhance the expression level of proinflammatory cytokine (IL-6, IL-8, TNF-a, and IL-1b) and enzymes that erode the bone matrix (MMP-1 and MMP-3) by affecting Wnt (97,98), NF-kB (81,99), JAK/STAT (48,100), and TLR (101,102) pathways.…”