{"id":307761,"date":"2025-07-31T23:16:14","date_gmt":"2025-07-31T23:16:14","guid":{"rendered":"https:\/\/www.europesays.com\/uk\/307761\/"},"modified":"2025-07-31T23:16:14","modified_gmt":"2025-07-31T23:16:14","slug":"revolutionary-treatment-could-help-the-32million-of-americans-who-suffer-from-crippling-knee-pain","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/uk\/307761\/","title":{"rendered":"&#8216;Revolutionary&#8217; treatment could help the 32million of Americans who suffer from crippling knee pain"},"content":{"rendered":"<p class=\"mol-para-with-font\">A revolutionary gene therapy could offer new hope for the 32.5million Americans suffering from a crippling condition that makes it difficult to walk.<\/p>\n<p class=\"mol-para-with-font\"><a style=\"font-weight: bold;\" target=\"_self\" href=\"https:\/\/www.dailymail.co.uk\/sciencetech\/osteoarthritis\/index.html\" id=\"mol-209be340-6e33-11f0-accf-cbd1f8937151\" rel=\"noopener\">Osteoarthritis<\/a> is caused by the gradual breakdown of the cartilage that cushions the joints, leading to pain, stiffness and <a style=\"font-weight: bold;\" target=\"_self\" class=\"\" href=\"https:\/\/www.dailymail.co.uk\/health\/article-13684539\/Hope-millions-living-crippling-knee-pain-trial-shows-autoimmune-drug-relieves-osteoarthritis.html\" rel=\"noopener\">impaired movement<\/a>. It is difficult to treat, with patients often needing regular pain relief and joint replacement surgery.<\/p>\n<p class=\"mol-para-with-font\">But a first-in-human trial of a novel therapy suggests doctors could soon relieve the pain for at least a year with a single injection.<\/p>\n<p class=\"mol-para-with-font\">Scientists at the Mayo Clinic injected the knees of nine osteoarthritis patients with a genetically-altered benign virus that caused cells to make an anti-inflammation molecule.<\/p>\n<p class=\"mol-para-with-font\">Over 12 months, participants reported they had reduced pain and were better able to move their knee. There were no serious safety issues.<\/p>\n<p class=\"mol-para-with-font\">Dr Christopher Evans, a physical medicine expert who led the study, said: &#8216;This could revolutionize the treatment of osteoarthritis.\u00a0This study provides a highly promising, novel way to attack the disease.&#8217;<\/p>\n<p class=\"mol-para-with-font\">This was only a Phase 1 trial, the initial stage of testing for a new medical treatment, so more tests are needed to solidify dosage, frequency and pricing.<\/p>\n<p class=\"mol-para-with-font\">But the early results were heralded as promising, with doctors now hoping to be able to get the drug to patients within the next few years.<\/p>\n<p>   <img decoding=\"async\" id=\"i-c5c86f35d806d224\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/07\/100817931-14959821-image-a-12_1753982055907.jpg\" height=\"423\" width=\"634\" alt=\"The nine participants in the early trial had no serious reactions to the treatment (stock image)\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/>   <\/p>\n<p class=\"imageCaption\">The nine participants in the early trial had no serious reactions to the treatment (stock image)<\/p>\n<p>Your browser does not support iframes.<\/p>\n<p class=\"mol-para-with-font\">Osteoarthritis is the most common form of arthritis, and is linked to wear and tear on joints caused by aging, repeated stress from a job or sport, obesity or previous injury.<\/p>\n<p class=\"mol-para-with-font\">It is most common in the hands, knees, hips and spine, and tends to be diagnosed at around 50 years old. Patients are normally female, and may be overweight or have a family history of the disease.<\/p>\n<p class=\"mol-para-with-font\">The repetitive stress on joints from overuse and injury can damage cartilage, while aging means cells are less able to repair the tissue, leading to the condition.<\/p>\n<p class=\"mol-para-with-font\">Doctors treat osteoarthritis with over-the-counter painkillers and lifestyle changes, and may also recommend a joint replacement in severe cases. Hyaluronic acid injections are also available, but these normally only last around six months.<\/p>\n<p class=\"mol-para-with-font\">Painkillers and injections only target the pain, while joint replacements are used to resolve the cause of the disease.\u00a0<\/p>\n<p class=\"mol-para-with-font\">In osteoarthritis, joints affected by the condition typically contain high levels of interleukin-1 (IL-1), a molecule linked to high levels of inflammation, pain and cartilage loss.<\/p>\n<p class=\"mol-para-with-font\">Dr Evans and his team have focused on reducing levels of this molecule by targeting it with the\u00a0molecule IL-1 receptor antagonist (IL-1Ra), which has been shown to reduce IL-1 levels.<\/p>\n<p class=\"mol-para-with-font\">In the study, published in <a style=\"font-weight: bold;\" class=\"\" rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.science.org\/doi\/10.1126\/scitranslmed.adu9804\">Science Translational Medicine<\/a>, scientists recruited participants who were suffering from osteoarthritis.<\/p>\n<p>   <img decoding=\"async\" id=\"i-69c4c4356201439\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/07\/100819499-14959821-image-a-14_1753984959549.jpg\" height=\"827\" width=\"634\" alt=\"Robbie Williams revealed he was suffering from osteoarthritis in his back in 2016\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/>   <\/p>\n<p class=\"imageCaption\">Robbie Williams revealed he was suffering from osteoarthritis in his back in 2016<\/p>\n<p class=\"mol-para-with-font\">Patients were then injected three times in one of the knees with osteoarthritis with an altered virus carrying the IL-1Ra gene.<\/p>\n<p class=\"mol-para-with-font\">The gene entered cells in the knee, and caused them to start to make the anti-inflammatory molecule.<\/p>\n<p class=\"mol-para-with-font\">Tests on blood and fluid found in the cavities of joints after the injection showed there were much lower levels of inflammation than before.<\/p>\n<p class=\"mol-para-with-font\">The study was only meant to test whether the treatment was safe to use in humans, but doctors said that participants also said the injections helped to ease their pain.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Only two minor safety events were reported, and both were effusions, or abnormal fluid accumulations, that increased pain but resolved with treatment. The treatment used was not specified.<\/p>\n<p class=\"mol-para-with-font\">It wasn&#8217;t clear how long pain relief from the injections may last. It also wasn&#8217;t clear whether it could be used to ease pain in other joints like the fingers.<\/p>\n<p class=\"mol-para-with-font\">Dr Evans added: &#8216;Any medications you inject into the affected joint will seep right back out in a few hours.<\/p>\n<p class=\"mol-para-with-font\">&#8216;As far as I know, gene therapy is the only reasonable way to overcome this pharmacologic barrier, and it&#8217;s a huge barrier.&#8217;\u00a0<\/p>\n<p class=\"mol-para-with-font\">In similar early studies, Dr Evans and his team added the IL-1RA gene into a harmless virus called AAV and tested it in the lab.<\/p>\n<p class=\"mol-para-with-font\">In these models, they found that the virus successfully infiltrated the cells that make up the linings of joints and cartilage and caused the molecule to be made.<\/p>\n<p class=\"mol-para-with-font\">In 2015, the team then received approval to start testing the drug in humans, but regulatory hurdles meant it took another four years before this could begin.<\/p>\n<p class=\"mol-para-with-font\">The scientists are now excited to offer their treatment to a wider group of participants.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"A revolutionary gene therapy could offer new hope for the 32.5million Americans suffering from a crippling condition that&hellip;\n","protected":false},"author":2,"featured_media":307762,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[92,105,16,15],"class_list":{"0":"post-307761","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-dailymail","9":"tag-health","10":"tag-uk","11":"tag-united-kingdom"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@uk\/114950398653674879","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/307761","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/comments?post=307761"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/307761\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media\/307762"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media?parent=307761"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/categories?post=307761"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/tags?post=307761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}