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探索尿酸与骨关节炎之间的联系。

Exploring the Link between Uric Acid and Osteoarthritis.

作者信息

Ma Cheryl Ann, Leung Ying Ying

机构信息

Duke-NUS Medical School, Singapore, Singapore.

Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.

出版信息

Front Med (Lausanne). 2017 Dec 13;4:225. doi: 10.3389/fmed.2017.00225. eCollection 2017.

DOI:10.3389/fmed.2017.00225
PMID:29326934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5733531/
Abstract

Both gout and osteoarthritis (OA) are common forms of arthritis that inflict a huge burden to an aging population with the increasing prevalence of obesity. Clinicians have long observed the link between these two conditions. In this review, we summarize the evidence from epidemiologic and immunological studies that described the possible relationship between the two conditions. The recent new understanding on monosodium uric acid crystal-induced inflammation has given insight into probable shared pathogenesis pathways for both conditions. We describe the potential therapeutic implications, particularly regarding the possibility of repurposing traditional gout medications for use in OA.

摘要

痛风和骨关节炎(OA)都是常见的关节炎形式,随着肥胖患病率的上升,给老龄化人口带来了巨大负担。临床医生早就观察到了这两种病症之间的联系。在本综述中,我们总结了流行病学和免疫学研究的证据,这些证据描述了这两种病症之间可能的关系。最近对尿酸单钠晶体诱导炎症的新认识为这两种病症可能的共同发病机制途径提供了见解。我们描述了潜在的治疗意义,特别是关于将传统痛风药物重新用于骨关节炎治疗的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/055b/5733531/1021fe69da7f/fmed-04-00225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/055b/5733531/d0c9e5357c11/fmed-04-00225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/055b/5733531/1021fe69da7f/fmed-04-00225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/055b/5733531/d0c9e5357c11/fmed-04-00225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/055b/5733531/1021fe69da7f/fmed-04-00225-g002.jpg

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本文引用的文献

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Colchicine lack of effectiveness in symptom and inflammation modification in knee osteoarthritis (COLKOA): a randomized controlled trial.秋水仙碱对膝关节骨关节炎症状和炎症改善无效(COLKOA):一项随机对照试验。
Osteoarthritis Cartilage. 2018 May;26(5):631-640. doi: 10.1016/j.joca.2018.01.026. Epub 2018 Feb 7.
2
Gout and risk of knee replacement for severe knee osteoarthritis in the Singapore Chinese Health Study.新加坡华人健康研究中痛风与严重膝关节骨关节炎膝关节置换风险的关系。
Osteoarthritis Cartilage. 2017 Dec;25(12):1962-1968. doi: 10.1016/j.joca.2017.07.017. Epub 2017 Jul 27.
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Revisiting the Role of Interleukin-1 Pathway in Osteoarthritis: Interleukin-1α and -1β, and NLRP3 Inflammasome Are Not Involved in the Pathological Features of the Murine Menisectomy Model of Osteoarthritis.
一项比较代谢组学分析揭示了大骨节病和骨关节炎软骨之间的代谢差异。
Bone Joint Res. 2024 Jul 17;13(7):362-371. doi: 10.1302/2046-3758.137.BJR-2023-0403.R1.
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Targeting CD44 Receptor Pathways in Degenerative Joint Diseases: Involvement of Proteoglycan-4 (PRG4).靶向退行性关节疾病中的CD44受体通路:蛋白聚糖-4(PRG4)的作用
Pharmaceuticals (Basel). 2023 Oct 8;16(10):1425. doi: 10.3390/ph16101425.
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Am J Transl Res. 2023 Jul 15;15(7):4709-4717. eCollection 2023.
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Life (Basel). 2023 Jun 14;13(6):1388. doi: 10.3390/life13061388.
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