Inflammaging and osteoarthritis - therapeutic opportunities - Scorecard - 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 Scorecard: Therapeutic Approaches for Osteoarthritis in the Context of Inflammaging

At a Glance

CategoryDetail
ConditionOsteoarthritis (OA)
Key MechanismsSenescence-associated secretory phenotype (SASP) drives chronic inflammation and cartilage degradation through pro-inflammatory cytokines and proteases.
Target PopulationOlder adults experiencing osteoarthritis.
Care SettingClinical management of osteoarthritis.

Key Highlights

  • SASP contributes to chronic inflammation and cartilage degradation in OA.
  • Key pro-inflammatory cytokines include IL-1, TNF, and IL-6.
  • Pharmacological approaches like anakinra, metformin, and rapamycin show potential in OA management.
  • MicroRNA modulation and CRISPR/Cas9 editing are emerging therapeutic strategies.
  • Inflammatory signaling pathways such as NF-κB and MAPK/p38 are critical in OA pathogenesis.

Guideline-Based Recommendations

Diagnosis

  • Assess clinical symptoms and imaging findings to diagnose OA.

Management

  • Consider pharmacological interventions targeting SASP-related pathways.

Monitoring & Follow-up

  • Regularly evaluate disease progression and treatment response.

Risks

  • Monitor for potential side effects of anti-inflammatory therapies.

Patient & Prescribing Data

Older adults with osteoarthritis and evidence of chronic inflammation.

Targeting SASP-related pathways may help reduce inflammation and preserve cartilage.

Clinical Best Practices

  • Integrate pharmacological and gene-based approaches in OA management.
  • Focus on modulating inflammatory cytokines to restore cartilage homeostasis.
  • Utilize biomarkers to assess cartilage integrity and disease progression.

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