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Updated: Jul 21, 2025

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
The Role of Genetics and Epigenetic Regulation in the Pathogenesis of Osteoarthritis
Kajetan Kiełbowski1, Mariola Herian1, Estera Bakinowska1
1Department of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Abstract:
Osteoarthritis (OA) is progressive disease characterised by cartilage degradation, subchondral bone remodelling and inflammation of the synovium. The disease is associated with obesity, mechanical load and age. However, multiple pro-inflammatory immune mediators regulate the expression of metalloproteinases, which take part in cartilage degradation. Furthermore, genetic factors also contribute to OA susceptibility. Recent studies have highlighted that epigenetic mechanisms may regulate the expression of OA-associated genes. This review aims to present the mechanisms of OA pathogenesis and summarise current evidence regarding the role of genetics and epigenetics in this process.
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