首页 > 最新文献

Osteoarthritis and Cartilage最新文献

英文 中文
Osteoarthritis year in review 2025: Biology 骨关节炎年回顾2025:生物学
IF 9 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-17 DOI: 10.1016/j.joca.2025.12.013
Fatma Scerif , Suzanne E. Eldridge

Objective

To synthesize recent advances in developmental biology, mechanobiology, metabolism, and tissue engineering as they relate to cartilage biology and osteoarthritis (OA).

Design

Narrative review integrating peer-reviewed studies covering chondrocyte ontogeny, mechanical and metabolic regulation, disease pathogenesis, and regenerative strategies.

Results

SOX9+ progenitors persist postnatally and contribute to cartilage and bone repair. Mechanotransductive signaling through TRPV4 and PIEZO1 ion channels, together with cytoskeletal regulators, orchestrate cartilage matrix remodeling and inflammation. Metabolic rewiring driven by TGF-β, HIF1α, and fatty acid oxidation programs is critical for joint development and OA pathology. Sex-linked lipidomic signatures and enhancer reprogramming shape disease risk and response. Engineered tissues using nasal chondrocytes and transcriptional enhancers offer repair potential.

Conclusions

OA arises from disruption of conserved developmental, metabolic, and mechanical programs. Targeted interventions restoring transcriptional fidelity, metabolic balance, and tissue mechanics offer translational promise.
目的综合发育生物学、力学生物学、代谢学和组织工程学在软骨生物学和骨关节炎(OA)研究中的最新进展。设计叙事性综述,整合同行评审的研究,涵盖软骨细胞个体发生、机械和代谢调节、疾病发病机制和再生策略。结果sox9 +祖细胞在出生后持续存在,并有助于软骨和骨的修复。通过TRPV4和PIEZO1离子通道的机械转导信号,与细胞骨架调节因子一起,协调软骨基质重塑和炎症。由TGF-β、HIF1α和脂肪酸氧化程序驱动的代谢重布线对关节发育和OA病理至关重要。性别相关的脂质组特征和增强子重编程影响疾病风险和反应。使用鼻腔软骨细胞和转录增强剂的工程组织提供修复潜力。结论soa是由保守的发育、代谢和机械程序的破坏引起的。有针对性的干预恢复转录保真度,代谢平衡和组织力学提供了翻译的希望。
{"title":"Osteoarthritis year in review 2025: Biology","authors":"Fatma Scerif ,&nbsp;Suzanne E. Eldridge","doi":"10.1016/j.joca.2025.12.013","DOIUrl":"10.1016/j.joca.2025.12.013","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize recent advances in developmental biology, mechanobiology, metabolism, and tissue engineering as they relate to cartilage biology and osteoarthritis (OA).</div></div><div><h3>Design</h3><div>Narrative review integrating peer-reviewed studies covering chondrocyte ontogeny, mechanical and metabolic regulation, disease pathogenesis, and regenerative strategies.</div></div><div><h3>Results</h3><div>SOX9<sup>+</sup> progenitors persist postnatally and contribute to cartilage and bone repair. Mechanotransductive signaling through TRPV4 and PIEZO1 ion channels, together with cytoskeletal regulators, orchestrate cartilage matrix remodeling and inflammation. Metabolic rewiring driven by TGF-β, HIF1α, and fatty acid oxidation programs is critical for joint development and OA pathology. Sex-linked lipidomic signatures and enhancer reprogramming shape disease risk and response. Engineered tissues using nasal chondrocytes and transcriptional enhancers offer repair potential.</div></div><div><h3>Conclusions</h3><div>OA arises from disruption of conserved developmental, metabolic, and mechanical programs. Targeted interventions restoring transcriptional fidelity, metabolic balance, and tissue mechanics offer translational promise.</div></div>","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"34 2","pages":"Pages 213-220"},"PeriodicalIF":9.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145784549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative MRI Assessment of Knee Cartilage Alterations Following 60-Day Head-Down Bed Rest. 头向下卧床60天后膝关节软骨改变的定量MRI评估。
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-16 DOI: 10.1016/j.joca.2025.12.008
Zheng Zhou,Ziyi Ren,Hao Sun,Fan Yang,Xiyang Liu,Xin Zhang,Yongzhi Li,Hongjie Huang,Jianquan Wang
OBJECTIVETo quantitatively analyze the effects of long-term simulated bed rest unloading on knee articular cartilage using quantitative magnetic resonance imaging (fMRI), alongside functional and subjective outcomes.METHODSIn this prospective cohort study, 23 healthy men (mean age 32.7 ± 5.2 years) completed a 60-day, -6° head-down bed rest (HDBR) protocol. The primary endpoints, knee cartilage T2 relaxation time and thickness, were assessed using a 3.0T MRI system before and after HDBR. Data were analyzed with linear mixed-effects models. Secondary outcomes included isokinetic muscle strength, thigh circumference, dynamic balance (Y-Balance Test), and patient-reported outcomes (International Knee Documentation Committee score, Lysholm Knee Score, Self-rating Anxiety Scale, and Self-rating Depression Scale).RESULTSHDBR induced a decrease in the knee-averaged cartilage T2 relaxation time (mean change, -0.67 ms; 95% CI, -1.22 to -0.11; p = 0.018). In contrast, no clear effect on cartilage thickness was observed (mean change, -0.054 mm; 95% CI, -0.159 to 0.050; p = 0.307). Functional and subjective outcomes indicated declines in muscle performance and functional scores.CONCLUSIONS60 days of simulated microgravity led to a decrease in knee cartilage T2 relaxation time without changes in thickness, suggesting early matrix alterations. These findings, together with observed neuromuscular deficits, highlight the need for protective strategies during prolonged unloading.
目的利用定量磁共振成像(fMRI)技术,定量分析长期模拟卧床下卸对膝关节软骨的影响,以及功能和主观结果。方法在这项前瞻性队列研究中,23名健康男性(平均年龄32.7±5.2岁)完成了60天-6°头向下卧床休息(HDBR)方案。在HDBR前后使用3.0T MRI系统评估主要终点膝关节软骨T2松弛时间和厚度。数据分析采用线性混合效应模型。次要结果包括等速肌力、大腿围、动态平衡(Y-Balance试验)和患者报告的结果(国际膝关节文献委员会评分、Lysholm膝关节评分、自评焦虑量表和自评抑郁量表)。结果shdbr诱导膝关节平均软骨T2松弛时间缩短(平均变化为-0.67 ms; 95% CI为-1.22 ~ -0.11;p = 0.018)。相比之下,对软骨厚度没有明显影响(平均变化为-0.054 mm; 95% CI为-0.159 ~ 0.050;p = 0.307)。功能和主观结果显示肌肉表现和功能评分下降。结论60 d模拟微重力使膝关节软骨T2松弛时间减少,但厚度未见变化,提示早期基质改变。这些发现,连同观察到的神经肌肉缺陷,强调了在长时间卸载过程中保护策略的必要性。
{"title":"Quantitative MRI Assessment of Knee Cartilage Alterations Following 60-Day Head-Down Bed Rest.","authors":"Zheng Zhou,Ziyi Ren,Hao Sun,Fan Yang,Xiyang Liu,Xin Zhang,Yongzhi Li,Hongjie Huang,Jianquan Wang","doi":"10.1016/j.joca.2025.12.008","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.008","url":null,"abstract":"OBJECTIVETo quantitatively analyze the effects of long-term simulated bed rest unloading on knee articular cartilage using quantitative magnetic resonance imaging (fMRI), alongside functional and subjective outcomes.METHODSIn this prospective cohort study, 23 healthy men (mean age 32.7 ± 5.2 years) completed a 60-day, -6° head-down bed rest (HDBR) protocol. The primary endpoints, knee cartilage T2 relaxation time and thickness, were assessed using a 3.0T MRI system before and after HDBR. Data were analyzed with linear mixed-effects models. Secondary outcomes included isokinetic muscle strength, thigh circumference, dynamic balance (Y-Balance Test), and patient-reported outcomes (International Knee Documentation Committee score, Lysholm Knee Score, Self-rating Anxiety Scale, and Self-rating Depression Scale).RESULTSHDBR induced a decrease in the knee-averaged cartilage T2 relaxation time (mean change, -0.67 ms; 95% CI, -1.22 to -0.11; p = 0.018). In contrast, no clear effect on cartilage thickness was observed (mean change, -0.054 mm; 95% CI, -0.159 to 0.050; p = 0.307). Functional and subjective outcomes indicated declines in muscle performance and functional scores.CONCLUSIONS60 days of simulated microgravity led to a decrease in knee cartilage T2 relaxation time without changes in thickness, suggesting early matrix alterations. These findings, together with observed neuromuscular deficits, highlight the need for protective strategies during prolonged unloading.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"91 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145777466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing osteoarthritis after anterior cruciate ligament injury: the case for targeting pre-osteoarthritis illness 预防前交叉韧带损伤后的骨关节炎:针对骨关节炎前期疾病的案例
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-12 DOI: 10.1016/j.joca.2025.12.005
Matthew S. Harkey, Harvi F. Hart, Christopher Kuenze, Grace Lo, Virginia B. Kraus, Constance R. Chu, Jeffrey B. Driban
{"title":"Preventing osteoarthritis after anterior cruciate ligament injury: the case for targeting pre-osteoarthritis illness","authors":"Matthew S. Harkey, Harvi F. Hart, Christopher Kuenze, Grace Lo, Virginia B. Kraus, Constance R. Chu, Jeffrey B. Driban","doi":"10.1016/j.joca.2025.12.005","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.005","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"10 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to the letter to the editor concerning: T2 mapping of the articular cartilage as a biomarker for knee osteoarthritis: An analysis of the population-based Rotterdam Study 回复编辑关于:关节软骨作为膝关节骨关节炎生物标志物的T2图谱:基于人群的鹿特丹研究分析
IF 9 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-12 DOI: 10.1016/j.joca.2025.12.006
Netanja I. Harlianto , Jukka Hirvasniemi , Dirk H.J. Poot , Stefan Klein , Sita M.A. Bierma-Zeinstra , Dieuwke Schiphof , Edwin H.G. Oei
{"title":"Reply to the letter to the editor concerning: T2 mapping of the articular cartilage as a biomarker for knee osteoarthritis: An analysis of the population-based Rotterdam Study","authors":"Netanja I. Harlianto ,&nbsp;Jukka Hirvasniemi ,&nbsp;Dirk H.J. Poot ,&nbsp;Stefan Klein ,&nbsp;Sita M.A. Bierma-Zeinstra ,&nbsp;Dieuwke Schiphof ,&nbsp;Edwin H.G. Oei","doi":"10.1016/j.joca.2025.12.006","DOIUrl":"10.1016/j.joca.2025.12.006","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"34 2","pages":"Pages e3-e4"},"PeriodicalIF":9.0,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The smallest worthwhile effects of strengthening exercise on pain intensity for people with knee osteoarthritis: a benefit-harm trade-off study 加强运动对膝关节骨关节炎患者疼痛强度的最小有价值的影响:一项利弊权衡研究
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-11 DOI: 10.1016/j.joca.2025.12.004
Travis Haber, Kim Bennell, Harrison Hansford, James McAuley, Peter Button, Katrina Hunt, Peixuan Li, Anurika De Silva, Jesse Pardo, Sarah Statulate, Ben Metcalf, Rana S Hinman
{"title":"The smallest worthwhile effects of strengthening exercise on pain intensity for people with knee osteoarthritis: a benefit-harm trade-off study","authors":"Travis Haber, Kim Bennell, Harrison Hansford, James McAuley, Peter Button, Katrina Hunt, Peixuan Li, Anurika De Silva, Jesse Pardo, Sarah Statulate, Ben Metcalf, Rana S Hinman","doi":"10.1016/j.joca.2025.12.004","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.004","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"6 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immediate reductions in compressive and shear forces in the knee from gait retraining are associated with slowed cartilage degeneration after 1 year in medial knee osteoarthritis: A retrospective observational cohort study 一项回顾性观察队列研究表明,膝关节内侧骨性关节炎患者1年后,步态再训练后膝关节压缩力和剪切力的立即减少与软骨退变减慢有关
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-11 DOI: 10.1016/j.joca.2025.12.007
Kirsten Seagers, Julie A. Kolesar, Valentina Mazzoli, Eni Halilaj, Scott L. Delp, Scott D. Uhlrich
{"title":"Immediate reductions in compressive and shear forces in the knee from gait retraining are associated with slowed cartilage degeneration after 1 year in medial knee osteoarthritis: A retrospective observational cohort study","authors":"Kirsten Seagers, Julie A. Kolesar, Valentina Mazzoli, Eni Halilaj, Scott L. Delp, Scott D. Uhlrich","doi":"10.1016/j.joca.2025.12.007","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.007","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"4 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145731946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sympathosensory interactions – possible relevance in osteoarthritis 交感感觉相互作用-可能与骨关节炎有关
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-08 DOI: 10.1016/j.joca.2025.12.001
Zsuzsa Jenei-Lanzl, Susanne Grässel, Hans-Georg Schaible, Rainer H. Straub
The role of the sympathetic and sensory nervous systems in the development and progression of osteoarthritis (OA) is widely recognized, as is the fact that these systems can influence each other. However, the nature of sympathosensory interactions during OA progression remains unclear. In this narrative review, we provide an overview of scientifically proven or putative sympathosensory interactions at the peripheral, spinal, and central levels. We highlight the factors that determine direct or indirect coupling types and describe the signaling and cross-signaling mechanisms of interaction at these different peripheral and central levels. Additionally, we discuss the clinical relevance of possible sympathosensory interactions in OA by introducing a new biopsychosocial OA model emphasizing the vicious cycle of chronic local and systemic inflammation, chronic pain, sleep deprivation, and chronic stress. These interrelated processes also underlie and contribute to common comorbidities such as hypertension and obesity and are unified by a state of autonomic imbalance marked by sympathetic dominance.
交感神经系统和感觉神经系统在骨关节炎(OA)的发生和发展中的作用已被广泛认识,因为这些系统可以相互影响。然而,在OA进展过程中交感感觉相互作用的性质仍不清楚。在这篇叙述性的综述中,我们提供了一个科学证明的或假定的交感感觉在外周、脊柱和中枢水平的相互作用的概述。我们强调了决定直接或间接耦合类型的因素,并描述了在这些不同的外围和中枢水平上相互作用的信号传导和交叉信号传导机制。此外,我们通过引入一个新的生物心理社会OA模型来讨论OA中可能的交感神经相互作用的临床相关性,该模型强调慢性局部和全身炎症、慢性疼痛、睡眠剥夺和慢性应激的恶性循环。这些相互关联的过程也是高血压和肥胖等常见合并症的基础和促成因素,并由一种以交感神经为主的自主神经失衡状态统一起来。
{"title":"Sympathosensory interactions – possible relevance in osteoarthritis","authors":"Zsuzsa Jenei-Lanzl, Susanne Grässel, Hans-Georg Schaible, Rainer H. Straub","doi":"10.1016/j.joca.2025.12.001","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.001","url":null,"abstract":"The role of the sympathetic and sensory nervous systems in the development and progression of osteoarthritis (OA) is widely recognized, as is the fact that these systems can influence each other. However, the nature of sympathosensory interactions during OA progression remains unclear. In this narrative review, we provide an overview of scientifically proven or putative sympathosensory interactions at the peripheral, spinal, and central levels. We highlight the factors that determine direct or indirect coupling types and describe the signaling and cross-signaling mechanisms of interaction at these different peripheral and central levels. Additionally, we discuss the clinical relevance of possible sympathosensory interactions in OA by introducing a new biopsychosocial OA model emphasizing the vicious cycle of chronic local and systemic inflammation, chronic pain, sleep deprivation, and chronic stress. These interrelated processes also underlie and contribute to common comorbidities such as hypertension and obesity and are unified by a state of autonomic imbalance marked by sympathetic dominance.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"5 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145705014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Observations of Early Structural Changes over 6 Years on Magnetic Resonance Imaging in Knees without Radiographic Osteoarthritis 无放射性骨关节炎的膝关节6年磁共振成像早期结构改变观察
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-06 DOI: 10.1016/j.joca.2025.12.003
Karin Magnusson, Aleksandra Turkiewicz, Jaanika Paemre, Armaghan Mahmoudian, Martin Englund
{"title":"Observations of Early Structural Changes over 6 Years on Magnetic Resonance Imaging in Knees without Radiographic Osteoarthritis","authors":"Karin Magnusson, Aleksandra Turkiewicz, Jaanika Paemre, Armaghan Mahmoudian, Martin Englund","doi":"10.1016/j.joca.2025.12.003","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.003","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"1 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145689319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does spontaneous cartilage thickening occur in osteoarthritic knees? Data from IMI-APPROACH and the OAI 膝关节骨性关节炎会发生自发软骨增厚吗?数据来自IMI-APPROACH和OAI
IF 7 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-06 DOI: 10.1016/j.joca.2025.12.002
C. Salzlechner, W. Wirth, S.C. Mastbergen, M. Kloppenburg, F.J. Blanco, I.K. Haugen, F. Berenbaum, M.P. Jansen
{"title":"Does spontaneous cartilage thickening occur in osteoarthritic knees? Data from IMI-APPROACH and the OAI","authors":"C. Salzlechner, W. Wirth, S.C. Mastbergen, M. Kloppenburg, F.J. Blanco, I.K. Haugen, F. Berenbaum, M.P. Jansen","doi":"10.1016/j.joca.2025.12.002","DOIUrl":"https://doi.org/10.1016/j.joca.2025.12.002","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"115 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145689320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unicompartmental versus bicompartmental joint space width measures: Which reflect whole joint structural damage better? Data from IMI-APPROACH 单室与双室关节空间宽度测量:哪个更能反映整个关节结构损伤?数据来自IMI-APPROACH
IF 9 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-11-28 DOI: 10.1016/j.joca.2025.11.011
Eva A. Bax , Roel J.H. Custers , Nienke van Egmond , Moyo C. Kruyt , Hassan Rayegan , Margreet Kloppenburg , Francisco J. Blanco , Ida K. Haugen , Francis Berenbaum , Frank W. Roemer , Harrie Weinans , Simon C. Mastbergen , Mylène P. Jansen

Objective

To investigate the associations between whole joint cartilage and meniscal morphology on MRI and radiographic joint space width (JSW) measures and in knee osteoarthritis (KOA), to determine whether bicompartmental measures demonstrate stronger associations than unicompartmental ones, and to evaluate their correlations with Kellgren and Lawrence grading.

Design

A cross-sectional analysis of baseline radiographs and MRIs from 262 KOA participants in the prospective, multicenter IMI-APPROACH cohort was conducted. Radiographic measures included minimum joint space width (mJSW), fixed location JSW (JSW(x)), mean JSW, and joint line convergence angle (JLCA), assessed using fully automated software. JSW was evaluated both unicompartmentally and bicompartmentally. Cartilage morphology, full-thickness cartilage loss, meniscal extrusion, tears, and maceration were assessed using the semi-quantitative MRI Osteoarthritis Knee Score to summarize whole-joint cartilage and meniscal morphology. Associations of radiographic measures with MRI outcomes were assessed using multivariable linear regression; Spearman correlations with Kellgren and Lawrence (KL) were also evaluated.

Results

MRI-defined meniscal maceration was associated with unicompartmental and bicompartmental JSW measures. Full-thickness cartilage loss was associated with unicompartmental (95% CI [-0.16;-0.02]) and bicompartmental mJSW (95% CI [-0.14;-0.02]), and JLCA (95% CI [0.04;0.22]). Models explained 32–39% of variance for unicompartmental and 23–45% for bicompartmental measures (R²). Bicompartmental measures showed stronger correlations with KL grading than unicompartmental measures (95% CI: –0.31 to –0.02).

Conclusions

Associations between whole-joint cartilage and meniscal degeneration are similar for uni- and bicompartmental JSW, with bicompartmental JSW showing stronger correlations with KL grades. These findings support including both compartments in radiographic assessment to improve structural evaluation in KOA.
目的探讨全关节软骨与半月板形态在MRI和x线关节间隙宽度(JSW)测量以及膝关节骨关节炎(KOA)中的相关性,确定双室测量是否比单室测量表现出更强的相关性,并评价其与Kellgren和Lawrence分级的相关性。对262名前瞻性多中心IMI-APPROACH队列KOA患者的基线x线片和核磁共振成像进行横断面分析。x线摄影测量包括最小关节间隙宽度(mJSW)、固定位置JSW(JSW(x))、平均JSW和关节线会聚角(JLCA),使用全自动软件进行评估。对JSW进行单部门和双部门评估。采用半定量MRI骨关节炎膝关节评分评估软骨形态、全层软骨损失、半月板挤压、撕裂和浸没,总结全关节软骨和半月板形态。使用多变量线性回归评估放射测量与MRI结果的关联;还评估了Spearman与Kellgren和Lawrence (KL)的相关性。结果smri定义的半月板浸渍与单室和双室JSW测量相关。全层软骨损失与单室(95% CI[-0.16;-0.02])、双室mJSW (95% CI[-0.14;-0.02])和JLCA (95% CI[0.04;0.22])相关。模型解释了单部门32-39%的方差和双部门23-45%的方差(R²)。双部门测量与KL分级的相关性比单部门测量更强(95% CI: -0.31至-0.02)。结论单腔和双腔JSW与全关节软骨和半月板退变的相关性相似,双腔JSW与KL分级的相关性更强。这些发现支持在影像学评估中包括两个房室,以改善KOA的结构评估。
{"title":"Unicompartmental versus bicompartmental joint space width measures: Which reflect whole joint structural damage better? Data from IMI-APPROACH","authors":"Eva A. Bax ,&nbsp;Roel J.H. Custers ,&nbsp;Nienke van Egmond ,&nbsp;Moyo C. Kruyt ,&nbsp;Hassan Rayegan ,&nbsp;Margreet Kloppenburg ,&nbsp;Francisco J. Blanco ,&nbsp;Ida K. Haugen ,&nbsp;Francis Berenbaum ,&nbsp;Frank W. Roemer ,&nbsp;Harrie Weinans ,&nbsp;Simon C. Mastbergen ,&nbsp;Mylène P. Jansen","doi":"10.1016/j.joca.2025.11.011","DOIUrl":"10.1016/j.joca.2025.11.011","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the associations between whole joint cartilage and meniscal morphology on MRI and radiographic joint space width (JSW) measures and in knee osteoarthritis (KOA), to determine whether bicompartmental measures demonstrate stronger associations than unicompartmental ones, and to evaluate their correlations with Kellgren and Lawrence grading.</div></div><div><h3>Design</h3><div>A cross-sectional analysis of baseline radiographs and MRIs from 262 KOA participants in the prospective, multicenter IMI-APPROACH cohort was conducted. Radiographic measures included minimum joint space width (mJSW), fixed location JSW (JSW(x)), mean JSW, and joint line convergence angle (JLCA), assessed using fully automated software. JSW was evaluated both unicompartmentally and bicompartmentally. Cartilage morphology, full-thickness cartilage loss, meniscal extrusion, tears, and maceration were assessed using the semi-quantitative MRI Osteoarthritis Knee Score to summarize whole-joint cartilage and meniscal morphology. Associations of radiographic measures with MRI outcomes were assessed using multivariable linear regression; Spearman correlations with Kellgren and Lawrence (KL) were also evaluated.</div></div><div><h3>Results</h3><div>MRI-defined meniscal maceration was associated with unicompartmental and bicompartmental JSW measures. Full-thickness cartilage loss was associated with unicompartmental (95% CI [-0.16;-0.02]) and bicompartmental mJSW (95% CI [-0.14;-0.02]), and JLCA (95% CI [0.04;0.22]). Models explained 32–39% of variance for unicompartmental and 23–45% for bicompartmental measures (R²). Bicompartmental measures showed stronger correlations with KL grading than unicompartmental measures (95% CI: –0.31 to –0.02).</div></div><div><h3>Conclusions</h3><div>Associations between whole-joint cartilage and meniscal degeneration are similar for uni- and bicompartmental JSW, with bicompartmental JSW showing stronger correlations with KL grades. These findings support including both compartments in radiographic assessment to improve structural evaluation in KOA.</div></div>","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"34 2","pages":"Pages 297-303"},"PeriodicalIF":9.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Osteoarthritis and Cartilage
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1