Table 1.
Summary of cytokines across all conditions.
Cytokines | Fold change from control (CI = 95%) | Role in OA | |||||
---|---|---|---|---|---|---|---|
SVF day 1 | SVF day 3 | SVF + adipo day 1 | SVF + adipo day 3 | MSC seeding | MSC media | ||
Proinflammatory | |||||||
MIF | 0.94 | 0.93 | 0.89 | 0.99 | 1.49 | 0.79 | Induce the release of proinflammatory cytokines, such as TNF-α, IFN-γ, IL-1β, IL-6, and IL-8 [6] and MIF levels in synovial fluid correlate to OA severity [7] |
TNF-β | 1.00 | 1.26 | 1.03 | 1.28 | 1.52 | 1.18 | TNF-beta stimulates cartilage matrix breakdown [8] |
IL-1α | 1.21 | 1.35 | 0.98 | 1.26 | 1.34 | N.D. | Highly expressed in OA-derived human articular cartilage [9] |
IL-1β | 1.03 | 1.12 | 0.59 | 0.89 | 1.00 | 0.94 | Induce inflammatory reactions and catabolic effects independently as well as in combination with other mediators in OA with respect to the articular cartilage [10] |
IL-12 | 0.67 | 0.86 | 0.49 | 0.78 | 1.00 | 0.90 | Expressed by infiltrating macrophages and synovial cells in OA [11] |
IL-17 | 0.70 | 1.17 | 0.83 | 0.90 | 0.96 | 0.09 | Inhibit the synthesis of proteoglycans in OA and upregulate catabolic enzymes which break down cartilage [10] |
IFN-γ | 0.96 | 0.86 | 0.89 | 0.80 | 0.99 | 0.93 | Stimulate cartilage breakdown by production of enzymes via IL-1β [12] |
| |||||||
Anti-inflammatory/dual role | |||||||
IL-10 | 0.90 | 0.85 | 0.40 | 0.61 | 1.05 | 0.86 | Expressed in chondrocytes and involved in collagen and aggrecan synthesis. Inhibition of catabolic enzymes and apoptosis of chondrocytes [10] |
IL-2 | 0.81 | 2.35 | 0.69 | 0.74 | 1.23 | 1.35 | Elevated levels are found in OA synovial fluid and increased levels correlate to increase severity [13] |
IL-6 | 0.93 | 0.84 | 0.47 | 0.94 | 1.11 | 0.84 | Catabolism aggrecan via aggrecanase activity [14] involved in the synthesis of tissue inhibitor of metalloproteinases known to stop cartilage breakdown [15] |
| |||||||
Chemokines | |||||||
GROα | 1.02 | 0.89 | 0.79 | 0.87 | 0.94 | 1.12 | Constitutively secreted by chondrocytes and secretion of this chemotactic protein is increased in stimulated osteoarthritic chondrocytes and synovial fibroblasts [16] |
MIP-1β | 0.92 | 0.83 | 0.86 | 1.17 | 1.16 | 1.14 | Present in significantly higher levels in OA synovial fluid compared to normal synovial fluid [17] |
RANTES | 0.78 | 0.99 | 0.94 | 1.31 | 1.09 | 0.67 | Secreted by IL-1 stimulated osteoarthritic chondrocytes and TNF-α stimulated synovial fibroblasts [16] |
MCP-1 | 0.79 | 0.65 | 0.75 | 0.90 | 0.95 | 0.91 | Constitutively expressed in osteoarthritic chondrocytes and increased secretion in IL-1 stimulated osteoarthritic chondrocytes [16] |
MCP-3 | 0.83 | 1.07 | 0.82 | 0.95 | 0.97 | N.D. | Activate immune cells such as monocytes, T lymphocytes, basophils, and eosinophils [18] |
MIP-1α | 0.83 | 0.67 | 0.82 | 0.90 | 1.04 | 0.95 | Expressed by osteoarthritic derived chondrocytes and production is enhanced by TNF-α stimulated chondrocytes [19] |
| |||||||
Growth factors | |||||||
HGF | 0.69 | 0.83 | 0.83 | 1.56 | 1.42 | 0.95 | Promote osteophyte formation via MCP-1 mediated infiltration of immune cells into OA affected joint [20] |
FGF-β | 0.89 | 1.21 | 0.79 | 0.98 | 1.26 | 0.84 | Potentiate articular cartilage resurfacing and may stimulate expression of MMP-13 [21, 22] |
β-NGF | 1.02 | 0.92 | 0.73 | 0.86 | 0.78 | 0.86 | Higher expression is found in osteoarthritic derived chondrocyte compared to healthy chondrocytes [23] |
GM-CSF | 0.84 | 1.82 | 0.76 | 0.91 | 1.38 | N.D. | Key mediator in inflammation and arthritic pain [24] |
VEGF | 0.71 | 0.82 | 0.51 | 0.71 | 1.00 | 0.84 | Expressed in osteoarthritic-derived chondrocytes and shown to increase osteochondral angiogenesis in OA patients [25] |
G-CSF | 0.97 | 0.96 | 0.51 | 0.80 | 1.06 | 0.84 | Can significantly increase nitrite levels in cartilage when combined with IL-1β explants [26] |
A summary of cytokines across all the conditions treated with HA. The data is represented as fold change in concentration compared to control. A value more than one indicates the HA treatment increased the secretion of that cytokine in that condition. Bold values represent a significant fold change from control determined numerically using confidence interval set at 95%. Italic values were only detected in one of the three biological replicates for that condition.