Large-scale molecular endotype discovery in synovial fluid reveals osteoarthritis as a single biological continuum.

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Title: Large-scale molecular endotype discovery in synovial fluid reveals osteoarthritis as a single biological continuum.
Authors: Perry TA; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK. thomas.perry@kennedy.ox.ac.uk., Deng Y; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK., Hulley PA; Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK., Maciewicz RA; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK., Mitchelmore J; Novartis Biomedical Research, Basel, Switzerland., Larsson S; Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden., Gogain J; Standard BioTools (previously known as SomaLogic), Boulder, Colorado, USA., Brachat S; Novartis Biomedical Research, Basel, Switzerland., Struglics A; Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden., Appleton CT; Department of Medicine, University of Western Ontario, London, Ontario, Canada., Kluzek S; Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.; NIHR Nottingham Biomedical Research Centre and Versus Arthritis Sport, Exercise and Osteoarthritis Centre, University of Nottingham, Nottingham, UK., Arden NK; Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.; Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Oxford, Oxford, UK., Felson D; Section of Rheumatology, Boston University School of Medicine, Boston, Massachusetts, USA., Bondi L; MRC Biostatistics Unit, University of Cambridge, Cambridge, UK., Kapoor M; Schroeder Arthritis Institute, University Health Network, Toronto, Ontario, Canada., Lohmander LS; Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden., Welting TJ; Laboratory for Experimental Orthopedics, Department of Orthopedic Surgery, Maastricht University, Maastricht, Netherlands., Walsh DA; Pain Centre Versus Arthritis, Advanced Pain Discovery Platform, and the NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, UK.; Sherwood Forest Hospitals NHS Foundation Trust, Sutton in Ashfield, UK., Valdes AM; Pain Centre Versus Arthritis, Advanced Pain Discovery Platform, and the NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, UK., Jostins-Dean L; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK., Watt FE; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK.; Department of Immunology and Inflammation, Imperial College London, London, UK., Tom BDM; MRC Biostatistics Unit, University of Cambridge, Cambridge, UK., Vincent TL; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK. tonia.vincent@kennedy.ox.ac.uk.
Corporate Authors: STEpUP OA Consortium
Source: Nature communications [Nat Commun] 2026 Jun 02; Vol. 17 (1). Date of Electronic Publication: 2026 Jun 02.
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Journal Info: Publisher: Nature Pub. Group Country of Publication: England NLM ID: 101528555 Publication Model: Electronic Cited Medium: Internet ISSN: 2041-1723 (Electronic) Linking ISSN: 20411723 NLM ISO Abbreviation: Nat Commun Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Perry+TA%22">Perry TA</searchLink>; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK. thomas.perry@kennedy.ox.ac.uk.<br /><searchLink fieldCode="AU" term="%22Deng+Y%22">Deng Y</searchLink>; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Hulley+PA%22">Hulley PA</searchLink>; Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Maciewicz+RA%22">Maciewicz RA</searchLink>; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Mitchelmore+J%22">Mitchelmore J</searchLink>; Novartis Biomedical Research, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Larsson+S%22">Larsson S</searchLink>; Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.<br /><searchLink fieldCode="AU" term="%22Gogain+J%22">Gogain J</searchLink>; Standard BioTools (previously known as SomaLogic), Boulder, Colorado, USA.<br /><searchLink fieldCode="AU" term="%22Brachat+S%22">Brachat S</searchLink>; Novartis Biomedical Research, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Struglics+A%22">Struglics A</searchLink>; Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.<br /><searchLink fieldCode="AU" term="%22Appleton+CT%22">Appleton CT</searchLink>; Department of Medicine, University of Western Ontario, London, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Kluzek+S%22">Kluzek S</searchLink>; Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.; NIHR Nottingham Biomedical Research Centre and Versus Arthritis Sport, Exercise and Osteoarthritis Centre, University of Nottingham, Nottingham, UK.<br /><searchLink fieldCode="AU" term="%22Arden+NK%22">Arden NK</searchLink>; Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.; Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Felson+D%22">Felson D</searchLink>; Section of Rheumatology, Boston University School of Medicine, Boston, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Bondi+L%22">Bondi L</searchLink>; MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.<br /><searchLink fieldCode="AU" term="%22Kapoor+M%22">Kapoor M</searchLink>; Schroeder Arthritis Institute, University Health Network, Toronto, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Lohmander+LS%22">Lohmander LS</searchLink>; Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.<br /><searchLink fieldCode="AU" term="%22Welting+TJ%22">Welting TJ</searchLink>; Laboratory for Experimental Orthopedics, Department of Orthopedic Surgery, Maastricht University, Maastricht, Netherlands.<br /><searchLink fieldCode="AU" term="%22Walsh+DA%22">Walsh DA</searchLink>; Pain Centre Versus Arthritis, Advanced Pain Discovery Platform, and the NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, UK.; Sherwood Forest Hospitals NHS Foundation Trust, Sutton in Ashfield, UK.<br /><searchLink fieldCode="AU" term="%22Valdes+AM%22">Valdes AM</searchLink>; Pain Centre Versus Arthritis, Advanced Pain Discovery Platform, and the NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, UK.<br /><searchLink fieldCode="AU" term="%22Jostins-Dean+L%22">Jostins-Dean L</searchLink>; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Watt+FE%22">Watt FE</searchLink>; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK.; Department of Immunology and Inflammation, Imperial College London, London, UK.<br /><searchLink fieldCode="AU" term="%22Tom+BDM%22">Tom BDM</searchLink>; MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.<br /><searchLink fieldCode="AU" term="%22Vincent+TL%22">Vincent TL</searchLink>; Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK. tonia.vincent@kennedy.ox.ac.uk.
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