Ramasamy Thamil Selvee, Yee Yong Mei, Khan Ilyas M
Stem Cell Biology Laboratory, Department of Molecular Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Cell and Molecular Biology Laboratory, The Dean's Office, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Front Cell Dev Biol. 2021 Jul 14;9:625497. doi: 10.3389/fcell.2021.625497. eCollection 2021.
Osteoarthritis (OA) is a joint degenerative disease that is an exceedingly common problem associated with aging. Aging is the principal risk factor for OA, but damage-related physiopathology of articular chondrocytes probably drives the mechanisms of joint degeneration by a progressive decline in the homeostatic and regenerative capacity of cells. Cellular aging is the manifestation of a complex interplay of cellular and molecular pathways underpinned by transcriptional, translational, and epigenetic mechanisms and niche factors, and unraveling this complexity will improve our understanding of underlying molecular changes that affect the ability of the articular cartilage to maintain or regenerate itself. This insight is imperative for developing new cell and drug therapies for OA disease that will target the specific causes of age-related functional decline. This review explores the key age-related changes within articular chondrocytes and discusses the molecular mechanisms that are commonly perturbed as cartilage ages and degenerates. Current efforts and emerging potential therapies in treating OA that are being employed to halt or decelerate the aging processes are also discussed.
骨关节炎(OA)是一种关节退行性疾病,是与衰老相关的极为常见的问题。衰老是OA的主要危险因素,但关节软骨细胞的损伤相关病理生理学可能通过细胞稳态和再生能力的逐渐下降来驱动关节退变机制。细胞衰老表现为细胞和分子途径复杂相互作用的结果,这些途径由转录、翻译和表观遗传机制以及微环境因素所支撑,揭示这种复杂性将增进我们对影响关节软骨维持或自我再生能力的潜在分子变化的理解。这种见解对于开发针对与年龄相关功能衰退特定原因的OA疾病新细胞和药物疗法至关重要。本综述探讨了关节软骨细胞内与年龄相关的关键变化,并讨论了随着软骨老化和退变而通常受到干扰的分子机制。还讨论了目前在治疗OA方面为阻止或减缓衰老过程所做的努力和新兴的潜在疗法。
Front Cell Dev Biol. 2021-7-14
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