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Systemic and local adipose tissue in knee osteoarthritis

journal contribution
posted on 2023-05-19, 20:29 authored by Chang, J, Liao, Z, Lu, M, Meng, T, Han, W, Chang-Hai DingChang-Hai Ding
Knee osteoarthritis (OA) is the most common joint disease. Body adipose tissue has been shown to be related to the development and progression of knee OA. Among systemic adipose tissues, subcutaneous adipose tissue is significantly and negatively associated with muscle mass and forces, and could be related to the presence and progression of knee OA. Visceral adipose tissue is associated with increased cartilage loss and production of pro-inflammatory cytokines. Intra-muscular adipose tissue is associated with knee osteoarthritic changes, but it remains controversial if inter-muscular adipose tissue has a role to play in the pathogenesis for knee OA. Knee local adipose tissue such as infrapatellar fat pad (IPFP) can interact with neighbouring tissues, and may have a biphasic effect in knee OA. The underlying mechanisms for the roles of the systemic and local fat in knee OA could be related to biomechanical, metabolic, inflammatory factors and fat fibrosis, which may have a separated or combined effect on OA. Tissue engineering from systemic or local adipose tissue is a new research direction, and adipose tissue-derived stem cells from systemic or local adipose tissue may be beneficial for OA cartilage repair. Research on systemic and local adipose tissue would provide novel approaches for prevention and treatment of knee OA, but further studies are required to explore the roles of different adipose tissues in knee OA and the effects of stem cells derived from different adipose tissues on knee OA.

History

Publication title

Osteoarthritis and Cartilage

Volume

26

Issue

7

Pagination

864-871

ISSN

1063-4584

Department/School

Menzies Institute for Medical Research

Publisher

Elsevier Ltd

Place of publication

United Kingdom

Rights statement

Copyright 2018 Osteoarthritis Research Society International

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

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