Propionate, a gut-derived short-chain fatty acid, alleviated pain, protected cartilage, reduced inflammation, restored gut barrier integrity, and rebalanced microbiota in OA rats, and in human OA chondrocytes it upregulated ECM-related genes, downregulated inflammatory mediators, and enhanced autophagy, suggesting it may serve as a promising disease-modifying therapy for OA.
Key Findings
Results
Propionate attenuated pain behaviors in MIA-induced OA rats.
A monosodium iodoacetate (MIA)-induced OA rat model was used to evaluate the effects of propionate on pain and inflammation.
Behavioral assessments were used to measure pain outcomes.
Propionate treatment improved pain behaviors compared to untreated OA rats.
Nociceptive markers were reduced following propionate treatment.
Results
Propionate preserved cartilage structure and reduced inflammatory markers in MIA-induced OA rats.
Histological analysis was used to assess cartilage structure in MIA-induced rats.
Propionate treatment preserved cartilage structure compared to OA controls.
Both nociceptive and inflammatory markers were reduced with propionate treatment.
Findings were assessed through histological analysis of joint tissue.
Results
Propionate restored intestinal barrier function in MIA-induced OA rats.
The intestinal environment was assessed by histology and tight junction protein analysis.
Propionate treatment restored intestinal barrier function in OA rats.
Tight junction protein expression was analyzed to evaluate barrier integrity.
Results indicate propionate acts on the gut-joint axis to influence OA progression.
Results
Propionate rebalanced gut microbiota composition in MIA-induced OA rats.
Gut microbiota profiling was performed in MIA-induced rats with and without propionate treatment.
Propionate treatment restored microbial balance in OA rats.
Dysregulation of the gut-joint axis was identified as a contributor to OA progression.
Microbiota characterization confirmed compositional changes associated with propionate treatment.
Results
Propionate modulated inflammatory and extracellular matrix (ECM)-related gene expression in human OA chondrocytes stimulated with IL-1β.
Human OA chondrocytes were analyzed using qPCR and RNA sequencing following IL-1β stimulation with or without propionate treatment.
Propionate upregulated ECM-related genes in human OA chondrocytes.
Propionate downregulated inflammatory mediators in IL-1β-stimulated human OA chondrocytes.
RNA sequencing was used to comprehensively profile gene expression changes.
Results
Propionate promoted autophagy and suppressed catabolic and inflammatory cell death pathways in human OA chondrocytes.
Autophagy promotion was identified through gene expression analysis in human OA chondrocytes treated with propionate.
Propionate suppressed catabolic pathways in IL-1β-stimulated human OA chondrocytes.
Inflammatory cell death pathways were also suppressed by propionate treatment.
These effects were identified via qPCR and RNA sequencing analyses.
Han S, Cho K, Na H, Jhun J, Moon Y, Choi J, et al.. (2026). Propionate attenuates osteoarthritis progression by regulating the gut-joint axis.. Frontiers in immunology. https://doi.org/10.3389/fimmu.2026.1717556