CXCL1 contributes to IL-6 expression in osteoarthritis and rheumatoid arthritis synovial fibroblasts by CXCR2, c-raf, MAPK, and AP-1 pathway
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Peroxynitrite (ONOO-), an NO product, is also present in cartilage and helps control how chondrocytes work (Pisoschi and Pop, 2015), work together to form the antioxidant defence mechanism of the cell
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Two agents deserve serious attention here: Pentosan Polysulfate Sodium (PPS) - inhibits NF-B, suppresses TNF- and IL-6 simultaneously, inhibits cartilage-degrading enzymes, and uniquely *strengthens* cartilage matrix through increased structural cross-linking