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Which genes are linked to osteoarthritis in meniscus and cartilage?

moderate confidence  ·  Last reviewed May 12, 2026

Osteoarthritis (OA) is a joint disease that affects cartilage and meniscus. Researchers have identified specific genes that may increase the risk of OA in these tissues. A 2024 genomic study found that different genes are involved in meniscus and cartilage damage, highlighting that OA is a whole-joint disease. Understanding these genes could lead to better treatments.

What the research says

A comprehensive genomic analysis created the first map of gene activity in human meniscus (112 samples) and cartilage (113 samples), using whole-genome sequencing and single-nucleus multiomics 3. This study identified 27 meniscus-specific, 28 shared, and 20 cartilage-specific causal genes for OA 3. For example, meniscus-specific signals converged on the VEGFA gene, while a shared gene called CLEC18A was linked to both tissues 3. Another computational analysis of OA meniscus tissues found 85 differentially expressed mRNAs and 8 long non-coding RNAs, including genes involved in inflammation, lipid metabolism, and cartilage breakdown 9. That study also highlighted three genes (not named in the abstract) that were common to meniscus, synovium, and cartilage 9. Additionally, research on cholesterol metabolism in chondrocytes (cartilage cells) showed that genes related to cholesterol efflux are important in OA progression 10. The TRPC1 gene, which helps control calcium signaling, was found to protect against cartilage breakdown and cellular senescence in OA 11.

What to ask your doctor

  • What do we know about my genetic risk for osteoarthritis in the meniscus or cartilage?
  • Are there any genetic tests available that could help guide my treatment?
  • How might genes like VEGFA or CLEC18A affect my condition?
  • Could targeting specific genes or pathways be part of future treatments for my OA?
  • Should I consider lifestyle changes or medications that address the genetic factors linked to OA?

This question is drawn from common patient questions about Orthopedics & Sports Medicine and answered using cited medical research. We do not provide individualized advice.