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Regarding the mechanism of PBMs action on chondrocytes, studies confirm that PBM upregulates the gene and protein expression of type II collagen and aggregated proteoglycans, significantly promoting chondrocyte proliferation and activity ( in vitro experiments reveal that PBM, through close-range efficient irradiation, simultaneously activates the Sox9-centred ECM synthesis pathway while suppressing the inflammation-catabolism pathway mediated by NF-B and others

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In line with these findings, hypermethylation of the D-loop region was also detected in these patients, which is associated with reduced mtDNA synthesis (91)

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