用于治疗骨关节炎的抗氧化剂:梦想还是现实?
Antioxidant to treat osteoarthritis: dream or reality?
作者信息
Henrotin Y, Kurz B
机构信息
Bone and Cartilage Research Unit, University of Liège, Institute of pathology, Level +5, CHU Sart-Tilman, 4000 Liège, Belgium.
出版信息
Curr Drug Targets. 2007 Feb;8(2):347-57. doi: 10.2174/138945007779940151.
Osteoarthritis is one of the most common chronic diseases that causes pain and physical disability in patient. Although OA is considered as a global disease affecting all joint tissues, cartilage degradation is the end point. The degradation of cartilage results of the combination of mechanical stress and biochemical factors, mainly metalloproteinases and reactive oxygen species (ROS). The activity of reactive oxygen species is balanced by enzymatic and non-enzymatic antioxidants, that act by inhibiting oxidative enzymes, scavenging free radicals or chelating ion metals. Until now, few information is available on the antioxidative status of chondrocytes. Further, the modification of the antioxidative system in osteoarthritis remains unknown. Some antioxidant supplements or drugs with antioxidant properties have been developed to reinforce the cellular antioxidant status. However, until now, there is no consistent evidence that additional antioxidant supply is efficient to relieve OA symptoms or to prevent structural changes in OA cartilage.
骨关节炎是导致患者疼痛和身体残疾的最常见慢性疾病之一。尽管骨关节炎被认为是一种影响所有关节组织的全球性疾病,但软骨降解是其终点。软骨降解是机械应力和生化因素共同作用的结果,主要是金属蛋白酶和活性氧(ROS)。活性氧的活性由酶促和非酶促抗氧化剂平衡,这些抗氧化剂通过抑制氧化酶、清除自由基或螯合离子金属发挥作用。到目前为止,关于软骨细胞抗氧化状态的信息很少。此外,骨关节炎中抗氧化系统的改变仍然未知。已经开发了一些具有抗氧化特性的抗氧化补充剂或药物来增强细胞抗氧化状态。然而,到目前为止,没有一致的证据表明额外补充抗氧化剂能有效缓解骨关节炎症状或预防骨关节炎软骨的结构变化。