Leni and Peter W. May Department of Orthopedics, Mount Sinai School of Medicine, New York, NY 10029, USA.
Curr Osteoporos Rep. 2011 Dec;9(4):196-201. doi: 10.1007/s11914-011-0070-3.
It is well accepted that aging is one of the most prominent risk factors for the initiation and progression of osteoarthritis. One of the most pronounced age-related changes in chondrocytes is the exhibition of a senescent phenotype, which is the result of several factors including the accumulation of reactive oxygen species and advanced glycation end products. Compared with a normal chondrocyte, senescent chondrocytes exhibit an impaired ability to respond to many mechanical and inflammatory insults to the articular cartilage. Furthermore, protein secretion is altered in aging chondrocytes, demonstrated by a decrease in anabolic activity and increased production of proinflammatory cytokines and matrix-degrading enzymes. Together, these events may make the articular cartilage matrix more susceptible to damage and lead to the onset of osteoarthritis. A better understanding of the mechanisms underlying age-related chondrocyte pathophysiology may be critical for the development of novel therapeutic interventions for progressive joint diseases.
衰老是引发和进展为骨关节炎的最主要危险因素之一,这一点已被广泛认可。软骨细胞最显著的年龄相关性变化之一是表现出衰老表型,这是多种因素的结果,包括活性氧物质的积累和糖基化终产物的形成。与正常软骨细胞相比,衰老的软骨细胞对关节软骨的许多机械和炎症损伤的反应能力受损。此外,衰老软骨细胞的蛋白分泌发生改变,表现为合成代谢活性降低,促炎细胞因子和基质降解酶的产生增加。这些事件共同作用,可能使关节软骨基质更容易受到损伤,并导致骨关节炎的发生。更好地理解与年龄相关的软骨细胞病理生理学相关的机制,对于开发针对进行性关节疾病的新型治疗干预措施可能至关重要。