Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul 06355, Korea.
Department of Pediatric Hematology/Oncology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea.
Cells. 2022 Sep 20;11(19):2934. doi: 10.3390/cells11192934.
Osteoarthritis (OA) is a chronic degenerative joint disease accompanied by an inflammatory milieu that results in painful joints. The pathogenesis of OA is multifactorial, with genetic predisposition, environmental factors, and traumatic injury resulting in the direct or indirect loss of cartilage. The articular cartilage can also be damaged by direct focal traumatic injury. Articular cartilage provides a smooth, deformable bearing surface with a low coefficient of friction, increased contact area, and reduced contact stress. Articular type II hyaline cartilage lines the synovial joints and, when injured, has a limited ability for repair, except for the most superficial layers via diffusion from the synovial fluid, secondary to no blood supply, a complex structure, and a low metabolic rate. Restoring the articular surface can relieve pain and restore function. Although many strategies have been developed to regenerate type II collagen based on the extent of the lesion, surgical treatments are still evolving. The peroxisome proliferator-activated receptor delta (PPARδ) agonist and collagen treatment of mesenchymal stem cells (MSCs) enhance the chondrogenic capacity in vitro. We present a novel technique for cartilage restoration in a rabbit cartilage osteochondral defect model using a PPARδ agonist (GW0742)-infused 3D collagen scaffold to induce type II cartilage from MSCs.
骨关节炎(OA)是一种慢性退行性关节疾病,伴有炎症环境,导致关节疼痛。OA 的发病机制是多因素的,遗传易感性、环境因素和创伤性损伤导致软骨的直接或间接损失。关节软骨也可能因直接的局灶性创伤而受损。关节软骨提供了一个光滑、可变形的承载面,具有低摩擦系数、增加的接触面积和降低的接触应力。关节型 II 透明软骨覆盖滑膜关节,当受伤时,除了最浅层的通过滑膜液的扩散(由于没有血液供应),修复能力有限,这是由于其复杂的结构和低代谢率。恢复关节表面可以缓解疼痛和恢复功能。尽管已经开发了许多基于病变程度的基于 II 型胶原的再生策略,但手术治疗仍在不断发展。过氧化物酶体增殖物激活受体 δ(PPARδ)激动剂和间质干细胞(MSCs)的胶原处理增强了体外的软骨生成能力。我们提出了一种在兔软骨 - 骨软骨缺损模型中使用 PPARδ 激动剂(GW0742)灌注的 3D 胶原支架诱导 MSCs 产生 II 型软骨的新型软骨修复技术。
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