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针对与年龄相关的骨关节炎的靶向治疗进展:当前研究的综合综述。

Advances in targeted therapies for age-related osteoarthritis: A comprehensive review of current research.

机构信息

Department of Orthopedics, Renmin Hospital of Wuhan University, Wuhan 430060, China; Central Laboratory, Renmin Hospital of Wuhan University, Wuan 430060, China.

Department of Orthopedics, Renmin Hospital of Wuhan University, Wuhan 430060, China; Central Laboratory, Renmin Hospital of Wuhan University, Wuan 430060, China.

出版信息

Biomed Pharmacother. 2024 Oct;179:117314. doi: 10.1016/j.biopha.2024.117314. Epub 2024 Aug 20.

Abstract

Osteoarthritis (OA) is a common degenerative joint disease that disproportionately impacts the elderly population on a global scale. As aging is a significant risk factor for OA, there is a growing urgency to develop specific therapies that target the underlying mechanisms of aging associated with this condition. This summary seeks to offer a thorough introduction of ongoing research efforts aimed at developing therapies to combat senescence in the context of OA. Cellular senescence plays a pivotal role in both the deterioration of cartilage integrity and the perpetuation of chronic inflammation and tissue remodeling. Consequently, targeting SnCs has emerged as a promising therapeutic approach to alleviate symptoms and hinder the progression of OA. This review examines a range of approaches, including senolytic drugs targeting SnCs, senomorphics that modulate the senescence-associated secretory phenotype (SASP), and interventions that enhance immune system clearance of SnCs. Novel methodologies, such as utilizing novel materials for exosome delivery and administering anti-aging medications with precision, offer promising avenues for the precise treatment of OA. Accumulating evidence underscores the potential of targeting senescence in OA management, potentially facilitating the development of more effective and personalized therapeutic interventions.

摘要

骨关节炎(OA)是一种常见的退行性关节疾病,在全球范围内不成比例地影响老年人群体。由于衰老OA 的一个重要危险因素,因此迫切需要开发针对与这种疾病相关的衰老潜在机制的特定疗法。本摘要旨在全面介绍目前旨在开发治疗 OA 中衰老的疗法的研究工作。细胞衰老在软骨完整性的恶化和慢性炎症和组织重塑的持续存在中起着关键作用。因此,靶向 SnC 已成为一种有前途的治疗方法,可缓解症状并阻止 OA 的进展。本综述探讨了一系列方法,包括针对 SnC 的 senolytic 药物、调节衰老相关分泌表型(SASP)的 senomorphics 以及增强免疫系统清除 SnC 的干预措施。利用新型材料进行外泌体传递和精确施用抗衰老药物等新方法为 OA 的精确治疗提供了有前途的途径。越来越多的证据强调了在 OA 管理中靶向衰老的潜力,这可能有助于开发更有效和个性化的治疗干预措施。

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