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洛雷西维因对骨关节炎的影响:一项系统评价和荟萃分析。

Effect of lorecivivint on osteoarthritis: A systematic review and meta-analysis.

作者信息

Kou Haiyang, Qing Zhong, Zhao Guanghui, Sun Xiangxiang, Zhi Liqiang, Wang Jianpeng, Chen Xinlin, Guo Hao, Zhang Rui, Ma Jianbing

机构信息

Translational Medicine Center, Department of Joint Surgery, Yanliang Campus, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710000, Shaanxi, China.

Department of Medical Technology, Guiyang Healthcare Vocational University, Guiyang, Guizhou, 550081, China.

出版信息

Heliyon. 2023 Jul 29;9(8):e18682. doi: 10.1016/j.heliyon.2023.e18682. eCollection 2023 Aug.

Abstract

OBJECTIVE

To comprehensively evaluate the effectiveness and safety of lorecivivint inhibitors in the treatment of osteoarthritis through meta-analysis.

METHODS

A comprehensive literature search on lorecivivint inhibitors in osteoarthritis was performed using electronic databases such as PubMed, Embase, Web of Science, and CochraneLibrary up to July 30, 2022. Two reviewers independently screened, evaluated, and reviewed the eligible studies. Data analysis and processing were carried out using RevMan 5.4 software.

RESULTS

A total of six studies involving 3056 participants were included. Meta-analysis showed that compared with the control group, lorecivivint significantly increased WOMAC discomfort (0.03 mg Week 12) (MD = -0.21, 95% CI [-1.94 - 1.53]; P = 0.81), WOMAC function (0.07 mg Week 24) (MD = -1.81, 95% CI [-4.74 - 1.12]; P = 0.23) and Joint space width (0.23 mg Week 24) (MD = -1.16, 95% CI [-3.69 - 1.38]; P = 0.37).

CONCLUSION

A new treatment method combining Wnt pathway modulators with intra-articular CLK2/DYRK1A inhibitors could be a promising therapy for treating osteoarthritis. Lorecivivint was found to significantly improve WOMAC discomfort, WOMAC function, and joint space width in osteoarthritis patients. It is anticipated to be a reliable, safe, and effective treatment option for osteoarthritis with significant therapeutic utility and potential applications.

摘要

目的

通过荟萃分析全面评估洛雷西维特抑制剂治疗骨关节炎的有效性和安全性。

方法

利用PubMed、Embase、Web of Science和CochraneLibrary等电子数据库,对截至2022年7月30日有关洛雷西维特抑制剂治疗骨关节炎的文献进行全面检索。两名审阅者独立筛选、评估和审查符合条件的研究。使用RevMan 5.4软件进行数据分析和处理。

结果

共纳入6项研究,涉及3056名参与者。荟萃分析表明,与对照组相比,洛雷西维特显著增加了骨关节炎患者的WOMAC不适评分(第12周0.03mg)(MD = -0.21,95%CI[-1.94 - 1.53];P = 0.81)、WOMAC功能评分(第24周0.07mg)(MD = -1.81,95%CI[-4.74 - 1.12];P = 0.23)和关节间隙宽度(第24周0.23mg)(MD = -1.16,95%CI[-3.69 - 1.38];P = 0.37)。

结论

将Wnt通路调节剂与关节内CLK2/DYRK1A抑制剂相结合的新治疗方法可能是治疗骨关节炎的一种有前景的疗法。研究发现洛雷西维特可显著改善骨关节炎患者的WOMAC不适、WOMAC功能和关节间隙宽度。预计它将成为一种可靠、安全且有效的骨关节炎治疗选择,具有显著的治疗效用和潜在应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c4/10415637/2b8fb9002864/gr1.jpg

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