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Osteoarthritis

Probing knee OA as a system responding to a stimulus

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Systems level analysis using stimulus–response modelling could increase our understanding of the interplay between biochemical, structural and functional variables that influence the development and manifestation of osteoarthritis. Furthermore, surrogate markers of clinical responses identified might enable early diagnosis, improve therapy, and facilitate development of new treatments and end points.

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Figure 1: The stimulus–response model for OA.

References

  1. Lo, G. H., Harvey, W. F. & McAlindon, T. E. Associations of varus thrust and alignment with pain in knee osteoarthritis. Arthritis Rheum. http://dx.doi.org/10.1002/art.34422.

  2. Andriacchi, T. P. et al. A framework for the in vivo pathomechanics of osteoarthritis at the knee. Ann. Biomed. Eng. 32, 447–457 (2004).

    Article  Google Scholar 

  3. Noyes, F. R., Schipplein, O. D., Andriacchi, T. P., Saddemi, S. R. & Weise, M. The anterior cruciate-deficient knee with varus alignment. An analysis of gait adaptations and dynamic joint loadings. Am. J. Sports Med. 20, 707–716 (1992).

    Article  CAS  Google Scholar 

  4. Zhang, Y. et al. Fluctuation of knee pain and changes in bone marrow lesions, effusions, and synovitis on magnetic resonance imaging. Arthritis Rheum. 63, 691–699 (2011).

    Article  Google Scholar 

  5. Somers, T. J., Keefe, F. J., Godiwala, N. & Hoyler, G. H. Psychosocial factors and the pain experience of osteoarthritis patients: new findings and new directions. Curr. Opin. Rheumatol. 21, 501–506 (2009).

    Article  Google Scholar 

  6. Patra, D. & Sandell, L. J. Recent advances in biomarkers in osteoarthritis. Curr. Opin. Rheumatol. 23, 465–470 (2011).

    Article  CAS  Google Scholar 

  7. Andriacchi, T. P., Koo, S. & Scanlan, S. Gait mechanics influence healthy cartilage morphology and osteoarthritis of the knee. J. Bone Joint Surg. Am. 91 (Suppl. 1), 95–101 (2009).

    Article  Google Scholar 

  8. Hunter, D. J. et al. Systematic review of the concurrent and predictive validity of MRI biomarkers in OA. Osteoarthritis Cartilage 19, 557–588 (2011).

    Article  CAS  Google Scholar 

  9. Erhart-Hledik, J. C., Muendermann, A., Favre, J., Smith, R. L. & Andriacchi, T. P. Mechanically induced changes in COMP concentrations predict changes in cartilage thickness after 5 years [abstract 1783]. Presented 58th Annual Meeting of the Orthopaedic Research Society, San Francisco, CA, USA (2012).

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Andriacchi, T. Probing knee OA as a system responding to a stimulus. Nat Rev Rheumatol 8, 371–372 (2012). https://doi.org/10.1038/nrrheum.2012.59

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