“…Of note, the chronic inflammatory state of RA synovial joints resulting from autoimmune activation of T-cells, B-cells, macrophages, and other accessory cells (i.e., dendritic cells) of the innate and adaptive immune system [47-49], often results in both “apoptosis-resistance” in RA synovial tissue [50-52] and a reduction in chondrocyte vitality, the latter event generally attributed to the capacity of pro-inflammatory cytokines to induce apoptosis [24]. In addition, the profound loss of chondrocyte viability as OA progresses from an indolent state to an inflammatory disease believed to be generally accompanied by a process resulting from chondrocyte apoptosis is generally considered to be a hallmark of this disease process.…”