Zeng Ni, Yan Zhi-Peng, Chen Xin-Yuan, Ni Guo-Xin
1School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
2Department of Rehabilitation Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Aging Dis. 2020 Oct 1;11(5):1317-1328. doi: 10.14336/AD.2019.1116. eCollection 2020 Oct.
Osteoarthritis is the most prevalent arthritis typically characterized by degradation of cartilage. However, its pathogenesis is not fully understood. Currently, osteoarthritis is best considered a disease of the whole "joint organ". Infrapatellar fat pad (IFP), an adipose tissue near synovium, is now attaching importance to researchers for its inflammatory phenotype. In this narrative review, a large body of evidence has been gathered for the involvement of IFP in the development of knee osteoarthritis. Additionally, the underlying mechanisms of how IFP can be involved in this process have been proposed. However, further investigations are needed to better understand its precise role in this process and its underlying mechanism, and beyond that, to develop new strategies to slow down the degenerative process and explore an effective and timely diagnosis of the disease.
骨关节炎是最常见的关节炎,其典型特征是软骨退化。然而,其发病机制尚未完全明确。目前,骨关节炎最好被视为一种累及整个“关节器官”的疾病。髌下脂肪垫(IFP)是一种靠近滑膜的脂肪组织,因其炎症表型而受到研究人员的关注。在这篇叙述性综述中,已收集到大量证据表明IFP参与了膝关节骨关节炎的发展。此外,还提出了IFP参与这一过程的潜在机制。然而,需要进一步研究以更好地了解其在这一过程中的精确作用及其潜在机制,除此之外,还需要制定新策略来减缓退变过程,并探索对该疾病进行有效及时的诊断方法。