Jeyaraman Madhan, Jeyaraman Naveen, Nallakumarasamy Arulkumar, Ramasubramanian Swaminathan, Muthu Sathish
Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, 600077, Tamil Nadu, India.
Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Karaikal, 609602, Puducherry, India.
J Clin Orthop Trauma. 2024 Apr 23;52:102422. doi: 10.1016/j.jcot.2024.102422. eCollection 2024 May.
Osteoarthritis (OA) is a prevalent degenerative joint disease characterized by the progressive breakdown of joint cartilage and underlying bone, affecting millions globally. Traditional research models, including in-vitro cell cultures and in-vivo animal studies, have provided valuable insights but exhibit limitations in replicating the complex human joint environment. This review article focuses on the transformative role of Organ-on-Chip (OoC) and Joint-on-Chip (JoC) technologies in OA research. OoC and JoC models, rooted in microfluidics, integrate cellular biology with engineered environments to create dynamic, physiologically relevant models that closely resemble human tissues and organs. These models enable an accurate depiction of pathogenesis, offering deeper insights into molecular and cellular mechanisms driving the disease. This review explores the evolution of OoC technology in OA research, highlighting its contributions to disease modeling, therapeutic discovery, and personalized medicine. It delves into the design concepts, fabrication techniques, and integration strategies of joint components in JoC models, emphasizing their role in accurately mimicking joint tissues and facilitating the study of intricate cellular interactions. The article also discusses the significant advancements made in OA research through published JoC models and projects the future scope of these technologies, including their potential in personalized medicine and high-throughput drug screening. The evolution of JoC models signifies a paradigm shift in OA research, offering a promising path toward more effective and targeted therapeutic strategies.
骨关节炎(OA)是一种常见的退行性关节疾病,其特征是关节软骨和下方骨骼逐渐受损,全球数百万人受其影响。传统的研究模型,包括体外细胞培养和体内动物研究,虽提供了有价值的见解,但在复制复杂的人体关节环境方面存在局限性。这篇综述文章聚焦于芯片器官(OoC)和芯片关节(JoC)技术在骨关节炎研究中的变革性作用。OoC和JoC模型基于微流体技术,将细胞生物学与工程环境相结合,以创建与人体组织和器官极为相似的动态、生理相关模型。这些模型能够准确描述发病机制,更深入地洞察驱动该疾病的分子和细胞机制。本综述探讨了OoC技术在骨关节炎研究中的发展历程,突出了其在疾病建模、治疗发现和个性化医疗方面的贡献。深入研究了JoC模型中关节组件的设计理念、制造技术和整合策略,强调了它们在精确模拟关节组织以及促进对复杂细胞相互作用研究中的作用。文章还讨论了通过已发表的JoC模型在骨关节炎研究中取得的重大进展,并展望了这些技术的未来前景,包括它们在个性化医疗和高通量药物筛选中的潜力。JoC模型的发展标志着骨关节炎研究的范式转变,为更有效、更具针对性的治疗策略开辟了一条充满希望的道路。