Medical Forum / Diseases and Disorders / Arthritis / February 2007
Osteoarthritis Cause
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Steven - 28 Jan 2007 18:19 GMT The cartilage decreases and there's less shock resistance and lubrication, and the bones can start rubbing together.
But, what causes that to happen?
TIA
Fire Chief - 28 Jan 2007 22:53 GMT > The cartilage decreases and there's less shock resistance and > lubrication, and the bones can start rubbing together. > > But, what causes that to happen? Genetics
Injuries (especially sports injuries)
Wheel of Fortune <g>
Virus, germs, bugs
No one really knows.
Dean - 29 Jan 2007 05:47 GMT 1. Severe injury such as violent dislocation.
2. Prolonged cycles of compressive loading....everything wears out sooner or later.
3. The other causes mentioned above.
> The cartilage decreases and there's less shock resistance and > lubrication, and the bones can start rubbing together. > > But, what causes that to happen? > > TIA Cindy - 29 Jan 2007 13:25 GMT Steven, Yep what they said... In my family...it is Genetics I believe...and then you add in the other stuff... Like being over weight for many years working in a factory standing on my feet for 20 years surely had something to do with the wear and tear in my knees and feet... But I assure you...I never walked on my hands or my elbows... But I started showing signs of OA very early before I was overweight and working...As a Child..Not JRA either.. My Dad, his mother...Had very severe OA..and my Grandmother was a very small woman...My daughter started early also..as a young teen. She also has symptoms of FM which I have and I do believe she has it...although not dx... of course I had not even heard of it until I was about 44 when I was dx and I believe I have always had it...
Her daughter that is 4 now...since she was an infant when you lift her, you can here her bones popping... And my son's newest baby is the same way... I am not a doctor so this is just specualtion on my part... But I think for us...it is genetics along with the regular wear and tear of life... Cindy
> The cartilage decreases and there's less shock resistance and > lubrication, and the bones can start rubbing together. > > But, what causes that to happen? > > TIA ironjustice@aol.com - 29 Jan 2007 18:13 GMT >>Steven wrote: The cartilage decreases and there's less shock resistance and lubrication, and the bones can start rubbing together.
But, what causes that to happen?
TIA<<
When one moves .. the body NATURALLY has a spillage of blood into the joint .. normal wear and tear. EVERY joint experiences this release of blood. Normally the blood would be CLEARED and recycled but when we have too much iron in our body the iron from the spilled blood is NOT **removed** and remains and destroys the joint.
This is evidenced by the number of drugs used in Osteoarthritis which TARGET .. iron.
Aspirin , sulfasalazine , indomethacin and bucillamine are ALL iron binding / targeting .. drugs.
Pretty simple .. really ..
: J Rheumatol. 1980 Jan-Feb;7(1):30-6. Links Synovial iron deposition in osteoarthritis and rheumatoid arthritis. Ogilvie-Harris DJ, Fornaiser VL. We examined the iron deposition in the synovia of 25 patients with rheumatoid arthritis, 25 patients with osteoarthritis, and 20 controls without joint disorders. Both osteoarthritis and rheumatoid synovia contained iron, but in the latter greater quantities were present. None of the controls with normal synovia had iron deposition. As osteoarthritic patients had no concurrent systemic disorders, we suggest that local factors are of major importance in the deposition of iron, as opposed to the theory that iron deposition in synovium is a reflection of a generalized disturbance of iron kinetics in chronic disease.
PMID: 7354467 [PubMed - indexed for MEDLINE
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
Fire Chief - 29 Jan 2007 22:36 GMT On Jan 29, 10:13 am, numbnutz again spewed:
> Man Is A Herbivore!http://tinyurl.com/a3cc3 Created with CANINE TEETH to bite and chew MEAT.
... numbnutz tom always hits the nail right on the thumb.
Fire Chief - 31 Jan 2007 04:00 GMT On Jan 29, 10:13 am, numbnutz "ironjust" posted before reading:
> : J Rheumatol. 1980 Jan-Feb;7(1):30-6. Links
> WE SUGGEST THAT LOCAL FACTORS ARE OF MAJOR IMPORTANCE in the > deposition of iron, as opposed to the theory that iron deposition in synovium > is a reflection of a generalized disturbance of iron kinetics in chronic disease. > PMID: 7354467 [PubMed - indexed for MEDLINE
> Man Is A Herbivore!http://tinyurl.com/a3cc3 Created with CANINE TEETH to rip, chew, and eat meat.
> DEAD PEOPLE WALKING Scares the $hit out of numbnutz tom.
... numbnutz tom gets change back when he posts his 2 cents.
Ginnie - 01 Feb 2007 10:46 GMT >>> Steven wrote: > The cartilage decreases and there's less shock resistance and [quoted text clipped - 6 lines] > When one moves .. the body NATURALLY has a spillage of blood into the > joint .. normal wear and tear. <snip>
Tom, what's *your* definition of "spillage" as you used it here?
> Pretty simple .. really .. > > : J Rheumatol. 1980 Jan-Feb;7(1):30-6. Links > Synovial iron deposition in osteoarthritis and rheumatoid arthritis. > Ogilvie-Harris DJ, Fornaiser VL. He couldn't find a document MORE RECENT than *1980* to cite the causes of OA?? Nobody's looked into it since then? ;-)
> We examined the iron deposition in the synovia of 25 patients with > rheumatoid arthritis, 25 patients with osteoarthritis, and 20 controls [quoted text clipped - 8 lines] > > PMID: 7354467 [PubMed - indexed for MEDLINE Oy.
Ginnie & >^..^< __________________________
ironjustice - 12 Feb 2007 06:02 GMT >>Ginnie wrote:Tom, what's *your* definition of "spillage" as you used it here?<< Bend your finger .. imagine .. looking into the joint .. the red blood cells .. millions of them are coursing through your finger ..
They are CRUSHED .. smashed .. twisted .. and distorted .. WHEN .. you .. 'bend your joint' ..
These destroyed red blood cells .. are .. natural ..
Everyday .. stuff ..
UNLESS .. you screw it up ..
The iron FROM these destroyed red blood cells are naturally / normally CLEARED .. or stored in ferritin to BE .. cleared .. and stored in the ferritin to be .. cleared and stored in the ferritin to be .. cleared .. UNTIL .. the ferritin is LOADED and it is turned into .. hemosiderin ..
This ferritin would NEVER .. normally TURN INTO .. hemosiderin .. because .. ? .. we are NORMALLY slightly .. anemic .. and the spilled iron would be .. recycled ..
When we are NOT .. slightly anemic .. this iron is NEVER .. cleared and remains to be .. targeted by .. aspirin .. sulfasalazine .. and the like .. drugs .. for the taking ..
>> He couldn't find a document MORE RECENT than *1980* to cite the causes of OA?? Nobody's looked into it since then? ;-)<<
Your little smile at the end of the .. snide remark .. doesn't make it .. any .. more .. friendly .. Ginnie .. and remember .. we go quite a ways .. back ..
Don't .. we ..
Remember don't be taking any iron binding .. drugs .. now .. ya .. hear ..
> > We examined the iron deposition in the synovia of 25 patients with > > rheumatoid arthritis, 25 patients with osteoarthritis, and 20 controls [quoted text clipped - 8 lines] > > > > PMID: 7354467 [PubMed - indexed for MEDLINE
>> Oy.<< Unless you are .. Jewish .. this might be construed as .. anti- Semetic ..
But we know .. you aren't .. racist / bigoted / retarded .. in any manner whatsoever .. don't we ..
Heh .. heh ..
http://tinyurl.com/8nove
sid?er?o?phore (sdr--f?r) n. A large, extravasated, mononuclear phagocyte containing a granule of hemosiderin. Also called siderophage.
<<snip>> small foci with iron positive haemosiderophages, indicating prior microtraumatic events, were found in 6/10 samples <<snip>>
Ann Rheum Dis. 2005 Jul;64(7):1083-6. Related Articles, Links
Achilles tendinosis is associated with sprouting of substance P positive nerve fibres.
Schubert TE, Weidler C, Lerch K, Hofstadter F, Straub RH.
Department of Pathology, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany. thomas.schub...@klinik.uni-reg?ensburg.de.
OBJECTIVES: To identify and characterise nerve fibres and inflammatory alterations in painful Achilles tendinosis and thus gain evidence about
the origin of pain in Achilles tendinosis. METHODS: The composition of 10 tendon samples from patients with a prior history of painful Achilles tendinosis and 10 samples from patients with spontaneously ruptured tendons but no previous pain was compared by immunohistochemistry and conventional histology. RESULTS: The presence of granulation tissue was shown in 8/10 cases of Achilles tendinosis. Nociceptive substance P (SP) positive nerve fibres were significantly increased, and an inflammatory infiltration comprising B and T lymphocytes was found. Additionally, small foci with iron positive haemosiderophages, indicating prior microtraumatic events, were found in 6/10 samples. None of the spontaneously ruptured tendons contained granulation tissue or haemosiderophages. Inflammatory infiltration in these patients consisted almost exclusively of granulocytes and SP positive nerve fibres were decreased. The density of sympathetic nerve fibres did not differ in the two conditions. CONCLUSION: Achilles tendinosis is associated with the presence of granulation tissue, haemosiderophages, and SP positive nerve fibres, which may transmit the
clinically pertinent pain. Achilles tendinosis may be caused by repeated microtraumata with ensuing organisation that is accompanied by
sprouting of nociceptive SP positive nerve fibres.
PMID: 15958764 [PubMed - in process]
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Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
Ginnie - 22 Feb 2007 23:41 GMT <snip> <snip .. snip>
>>> Ginnie wrote: >>> He couldn't find a document MORE RECENT than *1980* [quoted text clipped - 6 lines] > > Don't .. we .. <snip> <more .. snippage> <help-I'm-drowning-in .. snippage>
"we go quite a ways .. back ..
Don't .. we .."?
So... what're you sayin' here, Tommy? That we're "tight", after all these years?
"Homies"?
"Blood"?
Gee. I didn't know ya felt about me "that" way, Tommy. Careful what you say on these froups... ya never know how folks will spin this choice bit of info. Especially after you've pronounced that blood is full of iron and other [BAD-words-deleted] 'stuff '. Could get icky.
So, as they say... thanks, but.
I'll take the iron, and skip THAT blood. Besides, I'm anemic, so the hospital's gonna "top me off" with a few fresh units during surgery. Either that, or (Yummmmmmm!) a great big IV bag of iron infusion.
Ginnie & >^..^< ______________________________
Fire Chief - 29 Jan 2007 22:34 GMT > The cartilage decreases and there's less shock resistance and > lubrication, and the bones can start rubbing together. > > But, what causes that to happen? Steven, BEWARE of numbnutz tom ranting and raving about "iron".
He's a psycho in diapers, not yet weaned from mama.
... Internet addiction is a terminal disease.
spodosaurus - 30 Jan 2007 04:42 GMT >> The cartilage decreases and there's less shock resistance and >> lubrication, and the bones can start rubbing together. [quoted text clipped - 6 lines] > > ... Internet addiction is a terminal disease. What ARE you talking about?
His mother kept him in a cage...
 Signature spammage trappage: remove the underscores to reply Many people around the world are waiting for a marrow transplant. Please volunteer to be a marrow donor and literally save someone's life: http://www.abmdr.org.au/ http://www.marrow.org/
Cindy - 30 Jan 2007 14:12 GMT Has he landed again...I would never know unless someone responds...as I killfiled for good...good thing some of you are out there to warn the unknowing and naive ones from the pscyho nut...
> > The cartilage decreases and there's less shock resistance and > > lubrication, and the bones can start rubbing together. [quoted text clipped - 6 lines] > > ... Internet addiction is a terminal disease. tsedinger@yahoo.com - 31 Jan 2007 19:58 GMT > The cartilage decreases and there's less shock resistance and > lubrication, and the bones can start rubbing together. > > But, what causes that to happen? > > TIA Someone once said on this site that osteo starts with inflammation. I subscribe to that theory. Something has to set off the wear and tear. The things that are wrong with me are all related to arthritis-- both hips replaced, an inflammatory bowel disease, with accompanying eye involvement, and rosacea. I just wonder if there is some way to stop the inflammation before it starts. Although it's too late for me and loads of other people it would be a worthwhile thing to study since arthritis is so prevalent.
d'huit - 01 Feb 2007 18:14 GMT On Jan 28, 1:19 pm, Steven <s...@msn.com> wrote:
> The cartilage decreases and there's less shock resistance and > lubrication, and the bones can start rubbing together. > > But, what causes that to happen? > > TIA Someone once said on this site that osteo starts with inflammation. I subscribe to that theory. Something has to set off the wear and tear. The things that are wrong with me are all related to arthritis-- both hips replaced, an inflammatory bowel disease, with accompanying eye involvement, and rosacea. I just wonder if there is some way to stop the inflammation before it starts. Although it's too late for me and loads of other people it would be a worthwhile thing to study since arthritis is so prevalent.
i'm one who subscribes to inflammation being the most destructive influence, but i think irritation is at least one initiator of joint inflammation. but then, i don't know much.
kate
Jack N Dalton - 02 Feb 2007 08:43 GMT These articles suggest that since we know that MMPs does the actual damage in arthritis that reducing them a tad might help. They specialize in cutting things up with their Zinc ion tips. They mistakenly cut up worn cartilage that cannot be easily replaced.
What causes this unwanted excessive MMP activity is unknown.
I have found that a number common meds and supplements (especially certain families of flavonoids) have been shown to reduce these specific MMPs involved in arthritis.(MMP-1, MMP-2, MMP-3, MMP-9, MMP-13)
Taking the correct ones to reduce a specific MMPs should be quite harmless and helpful. I can elaborate on this if requested. Checking PubMed (NLM) on MMPs and arthritis would be a good idea.
http://www.pubmed.gov
jack n dalton
P.S. I have posted this before but since no one seems understand or care about this approach I will just say "Here it is again ..folks!!!"
Ann Anat. 2005 Nov;187(5-6):473-85. Related Articles, Links
Pathomechanisms of cartilage destruction by mechanical injury.
Kurz B, Lemke AK, Fay J, Pufe T, Grodzinsky AJ, Schunke M.
Anatomisches Institut der Christian-Albrechts-Universitat zu Kiel, Olshausenstrasse 40, D-24098, Kiel, Germany
Mechanical injury is considered to be a major inductor of articular cartilage destruction and therefore a risk factor for the development of secondary osteoarthritis. Mechanical injury induces damage to the tissue matrix directly or mediated by chondrocytes via expression of matrix-degrading enzymes and reduction of biosynthetic activity. As a consequence the mechanical properties of cartilage change. Some of the pathomechanisms of mechanical injury have already been uncovered by the use of a broad range of in vitro-models. They demonstrate that mechanical injury induces tissue swelling and decrease in both the compressive and shear stiffness of articular cartilage, probably due to disruption of the collagen network. Injurious compression induces chondrocyte death by necrosis and apoptosis and the remaining cells decrease their biosynthetic activity. The tissue content of proteoglycans also decreases with time in injured cartilage, and the tissue loses its ability to respond to physiological levels of mechanical stimulation with an increase in biosynthesis. Immature cartilage seems to be more vulnerable to injurious compression than more mature tissue. The expression of several matrix-degrading enzymes like ADAM-TS5 and matrix-metalloproteinases (MMP-1, MMP-2, MMP-3, MMP-9, MMP-13) is increased after injury and may in part be regulated by an autocrine vascular endothelial growth factor (VEGF)-dependent signalling pathway. Apoptosis seems to be mediated by caspase activity and reactive oxygen species.
For that reason activation of antioxidative defense mechanisms as well as the inhibition of angiogenetic factors and MMPs might be key regulators in the mechanically induced destruction of cartilage and might be suggested as potential therapeutic interventions. This review summarizes some of the most important data from in vitro injury studies dealing with the pathomechanisms of cartilage destruction.
Publication Types: a.. Review
PMID: 16320827 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=16146751&query_hl=7&itool=pubmed_docsum ... ... Front Biosci. 2006 Jan 1;11:529-43. Related Articles, Links
Matrix metalloproteinases: role in arthritis.
Burrage PS, Mix KS, Brinckerhoff CE.
Department of Biochemistry, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA.
The irreversible destruction of the cartilage, tendon, and bone that comprise synovial joints is the hallmark of both rheumatoid arthritis (RA) and osteoarthritis (OA). While cartilage is made up of proteoglycans and type II collagen, tendon and bone are composed primarily of type I collagen. RA is an autoimmune disease afflicting numerous joints throughout the body; in contrast, OA develops in a small number of joints, usually resulting from chronic overuse or injury.
In both diseases, inflammatory cytokines such as interleukin-1 beta (IL-1 beta) and tumor necrosis factor-alpha (TNF-alpha) stimulate the production of matrix metalloproteinases (MMPs), enzymes that can degrade all components of the extracellular matrix.
The collagenases, MMP-1 and MMP-13, have predominant roles in RA and OA because they are rate limiting in the process of collagen degradation. MMP-1 is produced primarily by the synovial cells that line the joints, and MMP-13 is a product of the chondrocytes that reside in the cartilage.
In addition to collagen, MMP-13 also degrades the proteoglycan molecule, aggrecan, giving it a dual role in matrix destruction. Expression of other MMPs such as MMP-2, MMP-3 and MMP-9, is also elevated in arthritis and these enzymes degrade non-collagen matrix components of the joints.
Significant effort has been expended in attempts to design effective inhibitors of MMP activity and/or synthesis with the goal of curbing connective tissues destruction within the joints. To date, however, no effective clinical inhibitors exist. Increasing our knowledge of the crystal structures of these enzymes and of the signal transduction pathways and molecular mechanisms that control MMP gene expression may provide new opportunities for the development of therapeutics to prevent the joint destruction seen in arthritis.
PMID: 16146751 [PubMed - in process]
>> The cartilage decreases and there's less shock resistance and >> lubrication, and the bones can start rubbing together. [quoted text clipped - 11 lines] > loads of other people it would be a worthwhile thing to study since > arthritis is so prevalent. GARY Z - 02 Feb 2007 11:18 GMT > These articles suggest that since we know that MMPs does the actual damage > in arthritis that [quoted text clipped - 10 lines] > P.S. I have posted this before but since no one seems understand or care > about this approach I will just say "Here it is again ..folks!!!" Perhaps someday they MIGHT prove this is correct and MAYBE they will then know how to deal with it. Until then, I will hold judgement until they can actually PROVE their theories. Obviously further studies are implicated by these articles, but no definate conclusions can be drawn from them. When science PROVES something, they say so. The rest is all conjecture. GaryZ
spodosaurus - 02 Feb 2007 11:50 GMT >> These articles suggest that since we know that MMPs does the actual damage >> in arthritis that [quoted text clipped - 18 lines] > they say so. The rest is all conjecture. > GaryZ Nothing is ever "proven", it is either supported or not supported. "Proof" is a legal term or a mathematical term, and it is rarely used in science. Science looks for data as evidence to support theories. Very rarely is anything advanced from theory to law in science.
Regards,
Ari
 Signature spammage trappage: remove the underscores to reply Many people around the world are waiting for a marrow transplant. Please volunteer to be a marrow donor and literally save someone's life: http://www.abmdr.org.au/ http://www.marrow.org/
GARY Z - 02 Feb 2007 13:24 GMT > Nothing is ever "proven", it is either supported or not supported. "Proof" > is a legal term or a mathematical term, and it is rarely used in science. [quoted text clipped - 4 lines] > > Ari Hi Ari! I will stand corrected here. There is so much conjecture these days in much of the information we get. I kinda take medical reports as this comparison: 1) We believe there may be a gene that controls this function/disease, 2) We have identified the gene that controls this function/disease. That is all. GaryZ
spodosaurus - 02 Feb 2007 14:43 GMT >> Nothing is ever "proven", it is either supported or not supported. "Proof" >> is a legal term or a mathematical term, and it is rarely used in science. [quoted text clipped - 12 lines] > That is all. > GaryZ My post was really only to let you know a better way to word things when talking about scientific evidence. People in the know often tune out as soon as they hear the word 'proven', because it means that the person using the word is either unfamiliar with the basic tenets of scientific research or is selling something :-)I knew what you meant, though :-)
Ari
 Signature spammage trappage: remove the underscores to reply Many people around the world are waiting for a marrow transplant. Please volunteer to be a marrow donor and literally save someone's life: http://www.abmdr.org.au/ http://www.marrow.org/
Gary Z - 02 Feb 2007 17:21 GMT Thanks Ari! GaryZ
> My post was really only to let you know a better way to word things when > talking about scientific evidence. People in the know often tune out as [quoted text clipped - 3 lines] > > Ari Fire Chief - 02 Feb 2007 16:42 GMT On Feb 2, 3:50 am, Ari wrote:
> Nothing is ever "proven", it is either supported or not supported. > "Proof" is a legal term or a mathematical term, and it is rarely used in > science. Science looks for data as evidence to support theories. Very > rarely is anything advanced from theory to law in science. That's why our automobiles, TV's, stereo sets, and computers are just a figment of our imagination. <g>
We're really not writing messages and sending them to the internet. We don't really talk to others on the telephone. Light bulbs really don't produce light. Planes don't fly, and no one has ever traveled into outer space.
... Chef (n): Any cook who swears in French.
spodosaurus - 02 Feb 2007 17:39 GMT > On Feb 2, 3:50 am, Ari wrote: > [quoted text clipped - 10 lines] > don't produce light. Planes don't fly, and no one has ever traveled > into outer space. What are you rambling about Chief? :)
 Signature spammage trappage: remove the underscores to reply Many people around the world are waiting for a marrow transplant. Please volunteer to be a marrow donor and literally save someone's life: http://www.abmdr.org.au/ http://www.marrow.org/
Fire Chief - 02 Feb 2007 18:14 GMT On Feb 2, 9:39 am, Ari wrote:
> What are you rambling about Chief? :) Oh, I don't know. <g>
Actually, repeating something an instuctor in a Navy "A" school said, ca. 1957.
"You can't see it working, so it doesn't exist."
... The secret of life? Just hang around until you get used to it.
Jack N Dalton - 02 Feb 2007 23:26 GMT >> These articles suggest that since we know that MMPs does the actual >> damage [quoted text clipped - 19 lines] > something, they say so. The rest is all conjecture. > GaryZ I guess this abstract from Lebanon is not an absolute "proof".
jackD
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