Xiao Likang, Cui Jiarui, Sun Zhuang, Liu Yunke, Zheng Jia, Dong Yonghui
Department of Orthopedics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, China.
School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Front Pharmacol. 2022 Aug 8;13:920824. doi: 10.3389/fphar.2022.920824. eCollection 2022.
Osteoarthritis (OA) is a multifactorial disease that affects the entire joint, often resulting in severe pain, disability, psychological distress, and a lower quality of life. Patient self-management is emphasized in OA clinical recommendations. Currently, the clinical treatment of OA mainly focuses on pain relief and the improvement of joint function, with few options for regenerating degenerative cartilage or slowing the progression of OA. Therefore, we first reviewed the current treatment of OA, and then summarized the research advances of nanotechnology in OA treatment, including nano drug delivery systems for small molecule drugs, nucleic acids and proteins, nano-scaffolds for cartilage regeneration, and nanoparticle lubricants. Finally, we discussed the opportunities and potential challenges of nanotechnology in OA treatment.
骨关节炎(OA)是一种影响整个关节的多因素疾病,常导致严重疼痛、残疾、心理困扰和生活质量下降。OA临床指南强调患者自我管理。目前,OA的临床治疗主要集中在缓解疼痛和改善关节功能,对于退变软骨再生或减缓OA进展的选择很少。因此,我们首先回顾了OA的当前治疗方法,然后总结了纳米技术在OA治疗中的研究进展,包括用于小分子药物、核酸和蛋白质的纳米药物递送系统、用于软骨再生的纳米支架以及纳米颗粒润滑剂。最后,我们讨论了纳米技术在OA治疗中的机遇和潜在挑战。