Abstract:[Objective] To investigate the effects of curcumin on pain and cartilage degeneration of knee osteoarthritis (KOA) in rat. [Methods] Thirty male Sprague-Dawley rats were randomly divided into 3 groups with 10 rats in each group. Ten animals in the sham group received capsulotomy only, while the remaining 20 rats had anterior cruciate ligament resected to establish the KOA rat model. Ten rats in the curcumin group was given curcumin (50 mg/kg) intraperitoneally, while the other 20 animals in the sham and model groups were given the same amount of normal saline once a day for 8 weeks. Eight weeks after modeling, pain response was evaluated, histological observation and scoring were conducted. In addition, ELESIA assay was used for synovial Il-1 β, TNF-α and McP-1, while Western blot assay was con- ducted for MMP-1, MMP-13, Aggrecan and Collagen II of cartilage. [Results] The model group had significantly lower mechanical with- drawal threshold (MWT) and thermal withdrawal latency (TWL) (P<0.05) , while significantly higher Osteoarthritis Research Society Interna- tional (OARSI) histological score than the sham group (P<0.05) . However, the curcumin group got significantly reversed variation in terms of MWT, TWL and OARSI scores compared with those in the model group (P<0.05) . As results of ELESIA assay, the model group had signifi- cantly higher synovial Il-1 β, TNF-α and MCP-1 than the sham group (P<0.05) , whereas which were significantly reversed in the curcumin group (P<0.05) . In term of Western blot assay, the model group had significant increases in MMP-1 and MMP-13, whereas significant de- creases in aggrecan and collagen II compared with the sham group (P<0.05) . Compared with model group, the curcumin group got signifi- cantly decreased MMP-1 and MMP-13 (P<0.05) , while significantly increased aggrecan and collagen II (P<0.05) . [Conclusion] The cur- cumin does considerably reduce hyperalgesia and cartilage degeneration in the KOA rats, which may be related to reducing IL-1β, TNF-α and McP-1 and restoring the balance of cartilage metabolism.