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骨关节炎的再生方法。

Regenerative methods in osteoarthritis.

机构信息

Balikesir University, Faculty of Medicine, Physical Medicine and Rehabilitation Department, Balıkesir, Turkey.

Afyonkarahisar Health Sciences University, Faculty of Medicine, Physical Medicine and Rehabilitation Department, Afyon, Turkey.

出版信息

Best Pract Res Clin Rheumatol. 2023 Jun;37(2):101824. doi: 10.1016/j.berh.2023.101824. Epub 2023 May 25.

Abstract

Osteoarthritis (OA) is the most common type of arthritis that can affect all joint structures. The primary goals of osteoarthritis treatment are to alleviate pain, reduce functional limitations, and improve quality of life. Despite its high prevalence, treatment options for osteoarthritis are limited, with most therapeutic approaches focusing on symptom management. Tissue engineering and regenerative strategies based on biomaterials, cells, and other bioactive molecules have emerged as viable options for osteoarthritis cartilage repair. Platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) are the most commonly used regenerative therapies today to protect, restore, or increase the function of damaged tissues. Despite promising results, there is conflicting evidence regarding the efficacy of regenerative therapies, and their efficacy remains unknown. The data suggest that more research and standardization are required for the use of these therapies in osteoarthritis. This article provides an overview of the application of MSCs and PRP applications.

摘要

骨关节炎(OA)是最常见的关节炎类型,可影响所有关节结构。骨关节炎治疗的主要目标是缓解疼痛、减少功能障碍和提高生活质量。尽管其患病率很高,但骨关节炎的治疗选择有限,大多数治疗方法都侧重于症状管理。基于生物材料、细胞和其他生物活性分子的组织工程和再生策略已成为骨关节炎软骨修复的可行选择。富含血小板的血浆(PRP)和间充质干细胞(MSCs)是当今最常用的再生疗法,用于保护、修复或增强受损组织的功能。尽管有有希望的结果,但关于再生疗法的疗效存在相互矛盾的证据,其疗效仍不清楚。数据表明,需要对这些疗法在骨关节炎中的应用进行更多的研究和标准化。本文概述了 MSCs 和 PRP 应用的应用。

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