Abstract
Osteoarthritis (OA) is a disease characterized by a degeneration of articular cartilage. Although the etiology of OA is not yet known and is likely multifactorial, this disease process involves a disturbance in the normal balance of degradation and repair in articular cartilage (1). The breakdown of the cartilage matrix leads to the development of fibrillation, fissures, the appearance of gross ulcerations, and the disappearance of the full thickness surface of the joint. This is accompanied by hypertrophic bone changes with osteophyte formation and subchondral plate thickening. The cartilage matrix breakdown products released into the synovial fluid are phagocytosed by the synovial membrane. Consequently, the membrane becomes hypertrophic and hyperplastic, and an inflammatory reaction is often observed. Although the remodeling of subchondral bone is associated with OA pathology, it is still under debate whether this tissue change initiates or is involved in the progression of cartilage loss.
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Martel-Pelletier, J., Tardif, G., Fernandes, J., Pelletier, JP. (2000). Metalloproteases and Their Modulation as Treatment in Osteoarthritis. In: Tsokos, G.C. (eds) Principles of Molecular Rheumatology. Current Molecular Medicine, vol 1. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-018-6_33
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DOI: https://doi.org/10.1007/978-1-59259-018-6_33
Publisher Name: Humana Press, Totowa, NJ
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