Inflammaging and osteoarthritis - therapeutic opportunities - Report - MDSpire

Inflammaging and osteoarthritis - therapeutic opportunities

  • By

  • Megan Chan

  • Phoebe Low

  • Shi Chee Ong

  • Sze Mun Choy

  • Wen Xing Lee

  • Kah Yong Goh

  • Kanya Moolsuwan Ng

  • Kimberly Chua

  • Jia Ying Lee

  • Alvin Kunyao Guo

  • Jiang Jia

  • Eng King Tan

  • Hong-Wen Tang

  • Kenon Chua

  • June 23, 2026

  • 0 min

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Clinical Report: Therapeutic Approaches for Osteoarthritis in the Context of Inflammaging

Overview

This review discusses the role of the senescence-associated secretory phenotype (SASP) in osteoarthritis (OA) and highlights emerging therapeutic strategies targeting inflammation. Pharmacological agents such as anakinra, metformin, and rapamycin are mentioned in the context of managing OA by reducing inflammation and preserving cartilage integrity.

Background

Osteoarthritis (OA) is a prevalent degenerative disease characterized by cartilage degradation and chronic inflammation. The accumulation of senescent cells and the SASP contribute to the inflammatory environment that exacerbates OA progression. Understanding the molecular mechanisms involved in SASP can inform therapeutic approaches aimed at mitigating OA-related inflammation and cartilage breakdown.

Data Highlights

No numerical data or trial data presented in the source material.

Key Findings

  • The SASP contributes to chronic inflammation and cartilage degradation in OA.
  • Key pro-inflammatory cytokines involved in OA include IL-1β, TNF, and IL-6.
  • Pharmacological agents like anakinra, metformin, and rapamycin are discussed in relation to inflammation and cartilage preservation.
  • MicroRNA modulation and CRISPR/Cas9 editing are emerging strategies to regulate SASP factors.
  • Accumulation of senescent chondrocytes and macrophages activates signaling pathways such as NF-κB and JAK/STAT.

Clinical Implications

Targeting the SASP and associated inflammatory pathways may provide new avenues for OA treatment.

Conclusion

This review summarizes the importance of understanding SASP in OA pathogenesis and highlights therapeutic strategies.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Beyond cartilage degeneration: osteoarthritis as a systems failure of inflammation regulation
  2. Clinical Rheumatology, 2024 -- Targeting Inflammation in Osteoarthritis: A Review of Clinical Trial Findings
  3. Clinical Rheumatology, 2025 -- Association between the systemic immune-inflammation index and risk of osteoarthritis: a cross-sectional NHANES 2013–2018 study
  4. Frontiers in Immunology, 2026 -- NF-κB signaling in osteoarthritis: integrating mechanical stress, innate immunity, and cartilage degeneration
  5. EULAR Recommendations Management, 2026 -- Recommendations Management | EULAR
  6. Metformin for Knee Osteoarthritis in Patients With Overweight or Obesity: A Randomized Clinical Trial - PMC, 2025
  7. Recommendations Management | EULAR
  8. Metformin for Knee Osteoarthritis in Patients With Overweight or Obesity: A Randomized Clinical Trial - PMC
  9. https://www.ors.org/wp-content/uploads/AM25/429.pdf

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