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Metabolic stress-induced joint inflammation and osteoarthritis.

Published on Nov 1, 2015in Osteoarthritis and Cartilage4.879
· DOI :10.1016/j.joca.2015.05.016
Alice Courties6
Estimated H-index: 6
(French Institute of Health and Medical Research),
Oreste Gualillo49
Estimated H-index: 49
(Usach: University of Santiago, Chile)
+ 1 AuthorsJérémie Sellam33
Estimated H-index: 33
(French Institute of Health and Medical Research)
Abstract
Osteoarthritis (OA) is a heterogeneous disorder with several risk factors. Among them, obesity has a major impact on both loading and non-loading joints. Mechanical overload and activity of systemic inflammatory mediators derived from adipose tissue (adipokines, free fatty acids, reactive oxygen species) provide clues to the increased incidence and prevalence of OA in obesity. Recently, research found greater OA prevalence and incidence in obese patients with cardiometabolic disturbances than “healthy” obese patients, which led to the description of a new OA phenotype - metabolic syndrome (MetS)-associated OA. Indeed, individual metabolic factors (diabetes, dyslipidemia, and hypertension) may increase the risk of obesity-induced OA. This review discusses hypotheses based on pathways specific to a metabolic factor in MetS-associated OA, such as the role of advanced glycation end products and glucose toxicity. A better understanding of these phenotypes based on risk factors will be critical for designing trials of this specific subset of OA.
  • References (144)
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References144
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#1Karine Louati (University of Paris)H-Index: 2
#2Céline VidalH-Index: 4
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Objectives To investigate the prevalence of osteoarthritis (OA) in patients with diabetes mellitus (DM) and prevalence of DM in patients with OA and whether OA and DM are associated. Design A systematic literature review and meta-analysis. We included cohort, case–control and cross-sectional studies assessing the number of patients with DM and/or OA. The mean prevalence of OA among patients with DM and DM among patients with OA was calculated. Data from trials assessing an association of diabete...
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