{"title":"Plasma Lipoprotein Subclasses and Risk of Incident Knee Osteoarthritis: A Population-Based Cohort Study.","authors":"Cheng Li,Jing Wu,Yuqing Zhang,Hongyi He,Ying Hu,Jie Wei,Guanghua Lei,Chao Zeng","doi":"10.1016/j.joca.2025.07.013","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.013","url":null,"abstract":"OBJECTIVELipoprotein subclasses play diverse roles in health and disease. Although lipoproteins have been implicated in knee osteoarthritis (KOA), the relationship between lipoprotein subclasses and KOA remains unexplored.METHODWe conducted a cohort study using UK Biobank data to examine the associations of 85 plasma lipoprotein subclasses, defined by combinations of density (high, low, intermediate, very-low), size (extremely-large, very-large, large, medium, small, very-small), and composition (triglyceride, free cholesterol, cholesteryl ester, phospholipid), with incident KOA in metabolome-wide analysis. Data were analyzed using Cox proportional hazards models, correcting for multiple tests (0.05/9). Targeted analyses were subsequently conducted to examine the association between key lipoprotein subclasses and the risk of knee replacement.RESULTSAmong 115,237 participants followed for a median of 12.8 years, 38 lipoprotein subclasses were statistically significantly associated with incident KOA. Higher concentrations of very-large and large high-density lipoproteins (HDL), excluding triglyceride, were associated with a lower risk of incident KOA (hazard ratios [HRs] ranging from 0.87 to 0.94 per 1-standard deviation increase in log-transformed lipoprotein subclasses concentrations). Conversely, higher concentrations of small HDL, irrespective of composition, were associated with higher risks of incident KOA (HRs ranging from 1.04 to 1.09). After adjusting for body mass index as a continuous variable, differential effects among HDL subclasses remained evident, except for the association between large HDL and KOA. Similar associations were observed for targeted analysis in knee replacement.CONCLUSIONWe provided novel evidence of diverse associations between lipoprotein subclasses and incident KOA and knee replacement, indicating the distinct effects of HDL subclasses.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"28 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769704","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}
Troels Kjeldsen, Ulrik Dalgas, Søren T Skou, Lisa U Tønning, Kim G Ingwersen, Sara Birch, Pætur M Holm, Mette Garval, Claus Varnum, Jacob Callesen, Frederik Foldager, Bo M Bibby, Inger Mechlenburg
{"title":"Booster sessions for maintaining the effect of neuromuscular exercise and progressive resistance training in hip osteoarthritis: 12-month follow-up from a multicenter cluster-randomized controlled trial.","authors":"Troels Kjeldsen, Ulrik Dalgas, Søren T Skou, Lisa U Tønning, Kim G Ingwersen, Sara Birch, Pætur M Holm, Mette Garval, Claus Varnum, Jacob Callesen, Frederik Foldager, Bo M Bibby, Inger Mechlenburg","doi":"10.1016/j.joca.2025.07.012","DOIUrl":"10.1016/j.joca.2025.07.012","url":null,"abstract":"<p><strong>Objective: </strong>To investigate if exercise booster sessions (EBS) are superior to no further intervention (CON) in prolonging effects on functional performance after supervised exercise in patients with hip osteoarthritis (OA).</p><p><strong>Methods: </strong>Multicenter, cluster-randomized, controlled, parallel-group, assessor-blinded, superiority trial conducted at hospitals and physiotherapy clinics. EBS participants were offered one group-based exercise session supervised by a physiotherapist at 1, 3, 5 and 7 months after the initial 3-month intervention. At each EBS, exercise complications were addressed and modifications were provided. CON participants received no further intervention. The primary outcome was change in the 30-second Chair Stand Test (30s-CST) from 3 to 12 months. Key secondary outcomes were changes in Pain and hip-related Quality of Life (QoL) subscales from the Hip disability and Osteoarthritis Outcomes Score (HOOS).</p><p><strong>Results: </strong>160 participants with clinically diagnosed hip OA enrolled from January 18th 2021 to April 28th 2023 and were cluster-randomized to EBS (N=84) or CON (N=76). The mean change (95% CI) from 3- to 12-month follow-up in 30s-CST was 0.8 (0.1; 1.5) chair stands in EBS and 0.5 (-0.1; 1.1) chair stands in CON (difference: 0.3 [-0.6; 1.2]), for HOOS pain it was 4.0 (-0.8; 8.7) points in EBS and 1.1 (-3.6; 5.7) points in CON (difference: 2.9 [-3.8; 9.6]), for HOOS QoL it was 6.8 (1.4; 12.2) points in EBS and 1.5 (-3.8; 6.8) points in CON (difference: 5.3 [-2.2; 12.9]).</p><p><strong>Conclusions: </strong>EBS were not superior to CON for maintaining effects for functional performance, hip pain or hip-related quality of life at 12 months.</p><p><strong>Registration: </strong>Clinicaltrials.gov (NCT04714047).</p>","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":" ","pages":""},"PeriodicalIF":9.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718274","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}
{"title":"Letter to the editor concerning 'A decade of exposure: long-term air pollution and its impact on osteoarthritis: a nationwide cohort study in Taiwan'.","authors":"Cheng Li","doi":"10.1016/j.joca.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.010","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"709 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144693367","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}
Rebecca H. Rickman, Luke A. Pattison, Lanhui Qiu, Maya Dannawi, Fraser Welsh, Ewan St. John Smith
{"title":"The osteoarthritis associated sphingolipid sphingomyelin 34:1 causes inflammatory pain in mice","authors":"Rebecca H. Rickman, Luke A. Pattison, Lanhui Qiu, Maya Dannawi, Fraser Welsh, Ewan St. John Smith","doi":"10.1016/j.joca.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.011","url":null,"abstract":"Osteoarthritis (OA) has a multifactorial pathogenesis, pain being the main symptom driving clinical decision making. Dysregulation of multiple mediators occurs in OA, the roles of many remaining to be identified. In dogs and humans with OA, synovial fluid lipidome dysregulation occurs, some findings being replicated in the plasma lipidome in a mouse OA model. One upregulated lipid is the sphingomyelin N-palmitoyl-D-erythro-sphingosylphosphorylcholine (d18:1/16:0), referred to here as SM. This study aimed to determine if SM causes joint pain and neuronal hyperexcitability in mice.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"24 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665097","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}
{"title":"Response to letter regarding 'A decade of exposure: long-term air pollution and its impact on osteoarthritis: a nationwide cohort study in Taiwan'.","authors":"Yi-Chuan Chan,Yen-Wei Huang,Shu-Han Chuang,Yi-Jie Kuo,Yu-Pin Chen","doi":"10.1016/j.joca.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.009","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"16 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645807","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}
{"title":"Resolving Microenvironment Complexity and Cellular Heterogeneity in Osteoarthritis via Spatial Transcriptomics.","authors":"Peng Xie,Antonia RuJia Sun,Feng Gao,Lin Li,Ross Crawford,Indira Prasadam","doi":"10.1016/j.joca.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.007","url":null,"abstract":"Osteoarthritis (OA) is a multifactorial joint disease characterized by complex tissue interactions, spatially compartmentalized pathology, and diverse cellular phenotypes. Traditional transcriptomic approaches have provided valuable insights into OA pathogenesis but lack the spatial resolution required to understand how cellular behaviour is influenced by local tissue context. Spatial transcriptomics (ST) has emerged as a transformative tool that enables in situ gene expression profiling while preserving the anatomical architecture of tissues. In this review, we explore recent advances in ST technologies and highlight their application across key joint compartments in OA, including cartilage, synovium, subchondral bone, and periarticular tissues. We discuss how ST is uncovering zonal gene expression patterns, pathogenic cell states, fibroblast-immune cell interactions, and signalling gradients that drive disease progression. We also outline current technical limitations and propose future directions for integrating spatial data with other omics and imaging modalities. As ST platforms continue to evolve, they hold immense promise for redefining OA phenotypes, identifying novel therapeutic targets, and advancing precision medicine approaches for joint disease.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"10 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645821","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}
Alessandro Chiarotto, Sita MA Bierma-Zeinstra, Katie de Luca, Jan Hartvigsen, Christopher B Little, Raja Rampersaud, Frances MK Williams, Manuela L Ferreira
{"title":"Developing classification criteria for spine osteoarthritis: is it the right time?","authors":"Alessandro Chiarotto, Sita MA Bierma-Zeinstra, Katie de Luca, Jan Hartvigsen, Christopher B Little, Raja Rampersaud, Frances MK Williams, Manuela L Ferreira","doi":"10.1016/j.joca.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.008","url":null,"abstract":"","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"44 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613147","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}
Kim L Bennell,Rachel K Nelligan,Jesse J Pardo,Sarah Stratulate,Melanie A Holden,Belinda J Lawford,Louise M Thoma,Daniel K White,Elizabeth Wellsandt,Hiral Master,Jesper Bie Larsen,Kate Button,Natalie J Collins,Søren T Skou,Yves Henrotin,Rana S Hinman
{"title":"Research priorities for physical activity and exercise management of people with knee and hip osteoarthritis: a multi-stage international priority-setting study from the OARSI Rehabilitation Discussion Group.","authors":"Kim L Bennell,Rachel K Nelligan,Jesse J Pardo,Sarah Stratulate,Melanie A Holden,Belinda J Lawford,Louise M Thoma,Daniel K White,Elizabeth Wellsandt,Hiral Master,Jesper Bie Larsen,Kate Button,Natalie J Collins,Søren T Skou,Yves Henrotin,Rana S Hinman","doi":"10.1016/j.joca.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.006","url":null,"abstract":"OBJECTIVETo identify research priorities for physical activity and exercise management of knee and hip osteoarthritis (OA).DESIGNWe used a multi-stage process involving an international multi-disciplinary panel of 276 experts (150 consumers, 69 clinicians spanning 5 disciplines, 54 researchers, and 3 funder/consumer organisation representatives) from 26 countries. The process included: 1) compiling a list of unanswered research questions from existing research; 2) assembling the panel and generating additional questions from members via an online survey; 3) consolidating research questions (eg. removing duplicates); 4) scoring questions for priority by the panel on an 11-point numeric rating scale (0='not a priority at all; 10='highest priority') via another online survey; and 5) ranking the top 20 priority questions by the panel via an online discrete choice experiment (1000Minds).RESULTSA list of 61 research questions was compiled from the literature and the panel generated an additional 346 questions. Following consolidation, 178 questions remained and were scored by 150 of the original panelists (54%), with mean priority scores from 5.0 to 8.4. 153 (55%) panelists completed the discrete choice experiment. The top three research priorities were: 1) investigating the impact of physical activity and exercise on delaying/avoiding joint replacement, 2) developing effective interventions to promote long-term exercise adherence, and 3) stratifying people to the most appropriate form of exercise support.CONCLUSIONWe identified research priorities about physical activity and exercise management of knee and hip OA. These will guide the international research agenda with the aim of improving outcomes for people with OA.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"109 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613029","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}
{"title":"Histone demethylase KDM5C is critical for cartilage development and protects against osteoarthritis by increasing HIF-1α to maintain mitochondrial function.","authors":"Lingli Ding,Yage Zhang,Zhao Gao,Shengnan Qin,Siluo Wu,Yamei Liu,Weiping Lin,Haibin Wang,Gang Li,Yonghui Hou,Liangliang Xu","doi":"10.1016/j.joca.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.005","url":null,"abstract":"OBJECTIVEWith age-related incidence and prevalence, osteoarthritis (OA) is becoming a major source of disability with an increased medical burden worldwide. Lysine Demethylase 5C (KDM5C) mutation causes abnormalities of epilepsy and short stature. Our previous study has demonstrated KDM5C is indispensable for osteogenesis and bone formation. However, the role of KDM5C in cartilage development and OA remains unknown.METHODSWe used KDM5C chondrocyte-specific knockout mice model to investigate its role in cartilage development and OA. Western blotting, quantitative RT-PCR, immunofluorescence staining, RNA-seq, and immune-precipitation assay were applied to detect the levels of genes or proteins. Destabilization of the medial meniscus (DMM) model was used to investigate the effect of KDM5C overexpression on OA progression.RESULTSIn this study, we found decreased expression of KDM5C in chondrocytes of murine and human OA samples. Meanwhile, KDM5C was indispensable for chondrogenic differentiation. The RNAseq analysis showed KDM5C knockout impaired mitochondrial function with inhibition of the oxidative phosphorylation, tricarboxylic acid cycle, and hypoxia-inducible factor-1α (HIF-1α) signaling pathway. We further demonstrated that KDM5C interacted with and increased HIF-1α in chondrocytes. The deletion of KDM5C significantly decreased HIF-1α, leading to increased ROS production and impaired mitochondrial function, which finally disturbed cartilage homeostasis and promoted OA progression. Most importantly, intra-articular injection of lentiviral vector expressing KDM5C could inhibit OA progression in mice.CONCLUSIONSKDM5C plays a critical role in cartilage development and OA progression. It maintains mitochondrial function and articular cartilage homeostasis by increasing HIF-1α.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"698 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613031","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}
{"title":"Effects of pre- and post-surgery physical activity interventions on physical activity and sedentary behaviour levels following knee and hip arthroplasty: a systematic review and meta-analysis of randomised controlled trials.","authors":"Noah d'Unienville,Ben Singh,Bethany Gower,Kimberley Szeto,Heather Badger,Matilda Krywanio,Carol Maher,Dominic Thewlis","doi":"10.1016/j.joca.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.joca.2025.07.003","url":null,"abstract":"OBJECTIVETo evaluate general exercise and behavioural interventions designed to improve physical activity (PA) or reduce sedentary behaviour in total knee or hip arthroplasty (TKA/THA) patients.DESIGNA systematic review and meta-analysis were conducted on randomised controlled trials reporting PA or sedentary behaviour changes in TKA/THA patients, with effects calculated using standardised mean differences (SMD). Subgroup analyses assessed whether effects differed based on intervention characteristics, arthroplasty timing, outcome type, and follow-up duration. Risk of bias and certainty of evidence were assessed using the PEDro scale and GRADE, respectively.RESULTSTwenty-three trials were included, with meta-analyses including 1265 and 270 participants for PA and sedentary behaviour outcomes, respectively. PA interventions did not decrease sedentary behaviour (SMD=-0.19; 95% CI: -0.66 to 0.29; very low certainty of evidence), but did improve PA (SMD=0.16; 95% CI: 0.01 to 0.30; high certainty of evidence). This included improvements in step count (SMD=0.22; 95% CI: 0.05 to 0.40), but not moderate-to-vigorous PA (SMD=-0.01, 95% CI: -0.33 to 0.30). Interventions were most effective when they integrated wearable activity trackers (e.g., Fitbits; SMD=0.38; 95% CI: 0.18 to 0.57), behaviour change techniques (SMD=0.20, 95% CI: 0.01 to 0.39), and began less than two weeks after surgery (SMD=0.32, 95% CI: 0.14 to 0.50).CONCLUSIONPA interventions, particularly those integrating behavioural strategies and wearable technology, promote PA in arthroplasty patients, but their effects on sedentary behaviour are unclear. These findings suggest that implementing evidence-based PA interventions be considered an essential component of acute arthroplasty care to enhance overall patient health.","PeriodicalId":19654,"journal":{"name":"Osteoarthritis and Cartilage","volume":"63 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613030","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}