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骨关节炎——近期研究见解

Osteoarthritis - Insights From Recent Research.

作者信息

Kim Hyun Ah

机构信息

Division of Rheumatology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.

Institute for Skeletal Aging, Hallym University, Chuncheon, Korea.

出版信息

J Rheum Dis. 2022 Jul 1;29(3):132-139. doi: 10.4078/jrd.2022.29.3.132.

Abstract

Osteoarthritis (OA) is the most common form of arthritis and is a growing public health concern in the aging society. In rapidly aging societies such as in Korea, the increasing prevalence of OA may present serious new health issues. There is no treatment for OA that can either prevent or slow the progression of joint damage. For the development of effective therapeutics, precise understating of its pathogenesis is important. In this review, the current evidence of etiopathogenesis of OA is discussed. First, while epidemiologic study of OA are still dominated by reports from Western countries, findings from Korean epidemiologic studies are highlighted. Then, recent progresses in genetics, especially in the field of genome wide association study and mendelian randomization studies, are reviewed with focus on Asian population. Lastly, sex difference in pain etopathogenesis is reviewed. Studies of OA pathogenesis including epidemiology, genetics, animal model and pain signaling will aid in progress towards treatment of OA.

摘要

骨关节炎(OA)是最常见的关节炎形式,在老龄化社会中,它日益成为公共卫生关注的焦点。在韩国这样快速老龄化的社会中,OA患病率的上升可能带来严重的新健康问题。目前尚无能够预防或减缓关节损伤进展的OA治疗方法。为了开发有效的治疗方法,准确理解其发病机制很重要。在这篇综述中,我们讨论了OA病因发病机制的当前证据。首先,虽然OA的流行病学研究仍以西方国家的报告为主,但韩国流行病学研究的结果受到了重点关注。然后,回顾了遗传学领域的最新进展,特别是全基因组关联研究和孟德尔随机化研究领域,重点是亚洲人群。最后,对疼痛病因发病机制中的性别差异进行了综述。包括流行病学、遗传学、动物模型和疼痛信号传导在内的OA发病机制研究将有助于推动OA治疗的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f8/10324928/5b9349749cdb/jrd-29-3-132-f1.jpg

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