Role of calcium-containing crystals in osteoarthritis.

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The deposition of calcium-containing crystals in articular tissues is probably an underrecognized event. Clinical observations indicate that exaggerated and uniquely distributed cartilage degeneration is associated with these deposits. Perhaps the most compelling argument favoring a role for crystals in causing osteoarthritis stems from their in vitro effects on articular tissues. In this review, we will highlight some of the recent findings that further reinforce the thesis that basic calcium phosphate (BCP) and calcium pyrophosphate dihydrate (CPPD) crystals can cause the degeneration of articular tissues in 2 separate pathways. In the "Direct" pathway, crystals directly induce fibro-blast-like synoviocytes to proliferate and produce metalloproteinases and prostaglandins. The other "Paracrine Pathway" involves the interaction between crystals and macrophages/monocytes which leads to synthesis and release of cytokines which can reinforce the action of crystals on synoviocytes and/or induce chondrocytes to secrete enzymes and which eventually cause the degeneration of articular tissues.

Original languageEnglish
Pages (from-to)1336-1340
Number of pages5
JournalFrontiers in bioscience : a journal and virtual library
Volume10
StatePublished - Jan 1 2005

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Osteoarthritis
Joints
Calcium
Crystals
Tissue
Calcium Pyrophosphate
Metalloproteases
Chondrocytes
Prostaglandins
Cartilage
Monocytes
Macrophages
Cytokines
Enzymes
Deposits
Synoviocytes

Cite this

Role of calcium-containing crystals in osteoarthritis. / Cheung, Herman S.

In: Frontiers in bioscience : a journal and virtual library, Vol. 10, 01.01.2005, p. 1336-1340.

Research output: Contribution to journalArticle

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