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In T2DM patients, the metabolic stress and inflammatory responses induced by hyperglycemia increase the risk of bone cell damage

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During the development of osteoarthritis, the synovium undergoes interstitial vascularization, fibrosis and hyperplasia (167), and macrophages and fibroblasts in the synovium can release proinflammatory cytokines, etc., which cause synovitis and cartilage degeneration

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