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[DOI] [PMC free article] [PubMed] [Google Scholar] 24.Yarema M., Chopra P., Sivilotti M.L.A., Johnson D., Nettel-Aguirre A., Bailey B., Victorino C., Gosselin S., Purssell R., Thompson M., et al

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These mediators diffuse through the synovial fluid to the cartilage surface, where they drive chondrocytes toward catabolic, hypertrophic, or senescent phenotypes, upregulate MMPs and aggrecanases, suppress COL2A1 and ACAN expression, and promote oxidative stress and ferroptosis, thereby accelerating ECM breakdown (Chou et al., 2020