Fox D B, Cook J L
Comparative Orthopaedic Laboratory, Veterinary Medical Teaching Hospital, University of Missouri, Columbia 65211, USA.
J Am Vet Med Assoc. 2001 Sep 15;219(6):756-61. doi: 10.2460/javma.2001.219.756.
Although none of these markers currently have any clinical applications, researchers have made strong advances in understanding molecular markers of OA and remain optimistic that the goal of identifying clinically useful markers of OA is attainable.(3-6,8,9) Much of this positive sentiment arises from the large array of molecules that have been identified.(8) Molecular markers of the greatest potential clinical use will be those that allow early detection of OA, permit disease progression to be monitored, or allow efficacy of various treatment regimens to be assessed. Earlier and more sensitive detection of OA changes may increase effective opportunities for treatment intervention during reversible phases of the OA disease process and allow more objective assessment of treatment efficacy and prognosis.(6)
虽然目前这些标志物均无临床应用,但研究人员在理解骨关节炎分子标志物方面已取得重大进展,并仍乐观地认为,识别骨关节炎临床有用标志物的目标是可以实现的。(3 - 6,8,9)这种积极情绪很大程度上源于已识别出的大量分子。(8)具有最大潜在临床用途的分子标志物将是那些能够早期检测骨关节炎、监测疾病进展或评估各种治疗方案疗效的标志物。更早、更灵敏地检测骨关节炎变化可能会增加在骨关节炎疾病过程的可逆阶段进行治疗干预的有效机会,并能更客观地评估治疗效果和预后。(6)