Yan Moqi, Zhang Junxin, Yang Huilin, Sun Ye
Department of Orthopedics, The First Affiliated Hospital of Soochow University Orthopedic Institute, Soochow University, Suzhou, China.
Medicine (Baltimore). 2018 Apr;97(14):e0257. doi: 10.1097/MD.0000000000010257.
The pathogenesis of osteoarthritis (OA) is not clear; leptin may be related to its pathogenesis.
We reviewed articles on leptin in OA, chondrocytes, and in vitro experiments. It is concluded that leptin may lead to OA via some signaling pathways. At the same time, the concentration of leptin in vitro experiments and OA/rheumatoid arthritis (RA) patients was summarized.
Leptin levels in serum and synovial fluid of OA/RA patients were higher than normal person. In the condition of infection and immunity, serum leptin levels in the peripheral blood significantly increase. Because of the close relationship between obesity, leptin, and OA, it is crucial to study the effects of weight loss and exercise intervention on serum leptin levels to improve the symptoms of OA patients.
Treatment for leptin-increased obesity may be a treatment for OA. The role of leptin in OA cannot be ignored and needs to be further studied.
骨关节炎(OA)的发病机制尚不清楚;瘦素可能与其发病机制有关。
我们回顾了关于OA、软骨细胞和体外实验中瘦素的文章。得出结论:瘦素可能通过某些信号通路导致OA。同时,总结了体外实验以及OA/类风湿关节炎(RA)患者中瘦素的浓度。
OA/RA患者血清和滑液中的瘦素水平高于正常人。在感染和免疫状态下,外周血中的血清瘦素水平显著升高。由于肥胖、瘦素与OA之间关系密切,研究减肥和运动干预对血清瘦素水平的影响对于改善OA患者症状至关重要。
治疗瘦素升高型肥胖可能是治疗OA的一种方法。瘦素在OA中的作用不容忽视,需要进一步研究。