Vaid Rayyan, Sohail Afra, Amir Nabiha
Department of Medicine, Karachi Medical and Dental College, Karachi 75500, Pakistan.
World J Orthop. 2024 Jun 18;15(6):602-604. doi: 10.5312/wjo.v15.i6.602.
Osteoarthritis (OA) presents a growing health concern, with substantial societal and healthcare burdens. Current management focuses on symptom relief, lacking disease-modifying options. Emerging research suggests the sodium channel Nav1.7 as a pivotal target in OA treatment. Preclinical studies demonstrate carbamazepine's efficacy in Nav1.7 blockade, offering significant joint protection in animal models. However, human trials are needed to validate these findings. Carbamazepine's repurposing holds promise for OA management, potentially revolutionizing treatment paradigms. Further research is essential to bridge the gap between preclinical evidence and clinical application, offering hope for improved OA management and enhanced patient quality of life.
骨关节炎(OA)对健康的影响日益受到关注,给社会和医疗保健带来了沉重负担。目前的治疗重点是缓解症状,缺乏改善病情的选择。新出现的研究表明,钠通道Nav1.7是OA治疗的关键靶点。临床前研究证明卡马西平在阻断Nav1.7方面具有疗效,在动物模型中能提供显著的关节保护。然而,需要进行人体试验来验证这些发现。卡马西平的重新利用有望用于OA管理,可能会彻底改变治疗模式。进一步的研究对于弥合临床前证据与临床应用之间的差距至关重要,有望改善OA管理并提高患者生活质量。