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[细胞衰老在骨关节炎发病机制中的研究进展]

[Research progress of cellular senescence in the pathogenesis of osteoarthritis].

作者信息

Xie Jinwei, Lu Lingyun, Yu Xijie

机构信息

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Laboratory of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Apr 15;35(4):519-526. doi: 10.7507/1002-1892.202011065.

Abstract

OBJECTIVE

To review the pathological effects of cellular senescence in the occurrence and development of osteoarthritis (OA) and potential therapeutic targets.

METHODS

The role of chondrocyte senescence, synovial cell senescence, mesenchymal stem cells senescence in OA, and the biological mechanism and progress of chondrocyte senescence were summarized by consulting relevant domestic and abroad literature.

RESULTS

The existing evidence has basically made clear that chondrocyte senescence, mesenchymal stem cells senescence, and cartilage repair abnormalities, and the occurrence and development of OA have a certain causal relationship, and the role of the senescence of synovial cells, especially synovial macrophages in OA is still unclear. Transcription factors and epigenetics are the main mechanisms that regulate the upstream pathways of cellular senescence. Signal communication between cells can promote the appearance of senescent phenotypes in healthy cells. Targeted elimination of senescent cells and promotion of mesenchymal stem cells rejuvenation can effectively delay the progress of OA.

CONCLUSION

Cellular senescence is an important biological phenomenon and potential therapeutic target in the occurrence and development of OA. In-depth study of its biological mechanism is helpful to the early prevention and treatment of OA.

摘要

目的

综述细胞衰老在骨关节炎(OA)发生发展中的病理作用及潜在治疗靶点。

方法

通过查阅国内外相关文献,总结软骨细胞衰老、滑膜细胞衰老、间充质干细胞衰老在OA中的作用,以及软骨细胞衰老的生物学机制和研究进展。

结果

现有证据基本明确软骨细胞衰老、间充质干细胞衰老与软骨修复异常和OA的发生发展存在一定因果关系,而滑膜细胞尤其是滑膜巨噬细胞衰老在OA中的作用仍不明确。转录因子和表观遗传学是调节细胞衰老上游通路的主要机制。细胞间信号通讯可促使健康细胞出现衰老表型。靶向清除衰老细胞和促进间充质干细胞年轻化可有效延缓OA进展。

结论

细胞衰老在OA发生发展中是一种重要的生物学现象和潜在治疗靶点。深入研究其生物学机制有助于OA的早期防治。

相似文献

1
[Research progress of cellular senescence in the pathogenesis of osteoarthritis].[细胞衰老在骨关节炎发病机制中的研究进展]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Apr 15;35(4):519-526. doi: 10.7507/1002-1892.202011065.

本文引用的文献

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Articular cartilage regeneration by activated skeletal stem cells.激活的骨骼干细胞实现关节软骨再生。
Nat Med. 2020 Oct;26(10):1583-1592. doi: 10.1038/s41591-020-1013-2. Epub 2020 Aug 17.
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