Chen Di, Kim Dongyeon J, Shen Jie, Zou Zhen, O'Keefe Regis J
Research Center for Human Tissues and Organs Degeneration, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China.
Department of Orthopedic Surgery, Washington University at St. Louis, MO, USA.
J Orthop Translat. 2019 Dec 23;23:132-139. doi: 10.1016/j.jot.2019.11.008. eCollection 2020 Jul.
Osteoarthritis (OA) is the most common form of arthritis, is the leading cause of impaired mobility in the elderly, and accounts for more than a third of chronic moderate to severe pain. As a degenerative joint disorder, OA affects the whole joint and results in synovial hyperplasia, degradation of articular cartilage, subchondral sclerosis, osteophyte formation, and chronic pain. Currently, there is no effective drug to decelerate OA progression and molecular targets for drug development have been insufficiently investigated. Anti-OA drug development can benefit from more and precise knowledge of molecular targets for drug development. Runt-related transcription factor 2 (Runx2) is a key transcription factor controlling osteoblast and chondrocyte differentiation and is among the most promising potential therapeutic targets. Notably, Runx2 expression is upregulated in several murine OA models, suggesting a role in disease pathogenesis. In this review article, we summarized recent findings on Runx2 related to OA development and evaluated its potential as a therapeutic target.
A better understanding of the role of Runx2 in osteoarthritis pathogenesis will contribute to the development of novel intervention of osteoarthritis disease.
骨关节炎(OA)是最常见的关节炎形式,是老年人行动能力受损的主要原因,且占慢性中度至重度疼痛的三分之一以上。作为一种退行性关节疾病,OA影响整个关节,导致滑膜增生、关节软骨降解、软骨下硬化、骨赘形成和慢性疼痛。目前,尚无有效的药物来减缓OA的进展,且药物研发的分子靶点尚未得到充分研究。抗OA药物研发可受益于对药物研发分子靶点更精确的认识。 runt相关转录因子2(Runx2)是控制成骨细胞和软骨细胞分化的关键转录因子,是最有前景的潜在治疗靶点之一。值得注意的是,Runx2在几种小鼠OA模型中的表达上调,提示其在疾病发病机制中起作用。在这篇综述文章中,我们总结了与OA发展相关的Runx2的最新研究结果,并评估了其作为治疗靶点的潜力。
更好地理解Runx2在骨关节炎发病机制中的作用将有助于开发骨关节炎疾病的新型干预措施。