2017
DOI: 10.4238/gmr16039487
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Research Article Improvement in orthopedic outcome score and reduction in IL-1β, CXCL13, and TNF-α in synovial fluid of osteoarthritis patients following arthroscopic knee surgery.

Abstract: ABSTRACT. Knee osteoarthritis (KOA) is a common degenerative joint disease and immune system dysregulation has been implicated in its pathogenesis. The effect of arthroscopic knee surgery, an important method for KOA diagnosis and treatment, on the expression of immune regulators remains poorly understood. We aimed to investigate the clinical efficacy of such surgery and its impact on IL-1β, CXCL13, and TNF-α expression in the knee joint synovial fluid of osteoarthritis patients. Fifty-seven patients having un… Show more

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Cited by 10 publications
(5 citation statements)
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“…IKKγ is known to be a regulatory subunit [13,27], and it may be poorly responsive to proin ammatory stimuli. It is known that OA synovial uid contains high levels of in ammatory cytokines such as IL-1β and TNFα [28,29], which is consistent with the results of this study showing increased protein expressions of IKKs in degenerated menisci and increased gene expressions of IKKs in meniscal cells in response to these in ammatory cytokines.…”
Section: Discussionsupporting
confidence: 92%
“…IKKγ is known to be a regulatory subunit [13,27], and it may be poorly responsive to proin ammatory stimuli. It is known that OA synovial uid contains high levels of in ammatory cytokines such as IL-1β and TNFα [28,29], which is consistent with the results of this study showing increased protein expressions of IKKs in degenerated menisci and increased gene expressions of IKKs in meniscal cells in response to these in ammatory cytokines.…”
Section: Discussionsupporting
confidence: 92%
“…29 The chemokine CXCL13, upregulated in the PS-and PCS-treated groups after 48 h in the present study, might contribute to a catabolic state as it reportedly increases in the synovial fluid of OA patients with severe cartilage damage, whereas reduced levels are found after surgery. 30,31 IL-1RII serves as an inhibitor of IL-1 signalling, 32 and its increased expression after 48 h of stimulation suggests the potential of all treatments to reduce IL-1β signalling.…”
Section: Discussionmentioning
confidence: 99%
“…TNFα occurs naturally during the development of inflammation in the human body and is produced mainly by immune cells; thus, it invokes a more physiological FLS inflammatory response [ 23 ]. Moreover, elevated levels of this factor are observed in the synovial fluid of OA patients [ 7 , 24 , 25 ]. This approach allowed us to obtain more convincing data regarding the response of FLS to inflammation and compare the pro-inflammatory effects of a substance widely used for modeling inflammation (LPS) with a more physiological cytokine (TNFα).…”
Section: Introductionmentioning
confidence: 99%