Neurogenic inflammation in osteoarthritis of the knee.

Abstract:

:Abstract The synovium in a knee joint has an extensive neural network in the somatic and autonomic nervous systems. In medial compartmental osteoarthritis of the knee, neuropeptides were most abundant, with an especially large number of substance P and calcitonin gene-related peptide-immunoreactive free nerve endings. Some of the substance P-positive nerve endings were surrounded by monocytes. Substance P and calcitonin gene-related peptide were found more frequently in the medial than in the lateral or suprapatellar areas. Substance P-positive free nerve endings showed more dendritic morphologic features in the medial region than those in the lateral and suprapatellar regions, and small nerves were accompanied by newly developed vessels in synovial villi. In the medial region, the synovitis was more remarkable than in the lateral region. Patients suffering from medial compartmental osteoarthritis of the knee complain of pain on the anteromedial portion of the knee joint when walking or standing. Therefore, these findings suggest that free nerve endings containing substance P may be implicated in the development and persistence of inflammatory synovitis and the pain pathway in osteoarthritis of the knee.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Saito T

doi

10.3109/s10165-003-0253-6

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

301-4

issue

4

eissn

1439-7595

issn

1439-7609

journal_volume

13

pub_type

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