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[氧化应激与骨关节炎中的软骨细胞:作用机制与治疗策略的进展]

[Oxidative stress and chondrocytes in osteoarthritis:advances in mechanisms of action and therapeutic strategies].

作者信息

Tao Ye-Long, Fan Jian-Bo

机构信息

Department of Orthopaedics, the 2nd Hospital Affiliated to Nantong University, Nantong First People's Hospital, Nantong 226014, Jiangsu, China.

Department of Orthopaedics, the 2nd Hospital Affiliated to Nantong University, Nantong First People's Hospital, Nantong 226014, Jiangsu, China; Department of Orthopaedics, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, China.

出版信息

Zhongguo Gu Shang. 2025 Apr 25;38(4):434-40. doi: 10.12200/j.issn.1003-0034.20240396.

Abstract

With the deepening understanding of the pathogenesis of osteoarthritis (OA), therapeutic strategies targeting oxidative stress in chondrocytes have gradually become a research hotspot. This article summarizes the important role of oxidative stress in the development of OA, pointing out that it is closely related to chondrocyte senescence, inflammatory cascade reaction, and cartilage matrix degradation. Given the central role of oxidative stress in the pathological process of OA, inhibiting oxidative stress and the generation of reactive oxygen species (ROS) is considered the key to alleviating chondrocyte damage and senescence, and preventing the progression of OA. Although some progress has been made in current OA research, there are still many challenges, such as the in-depth understanding of the etiology of OA and the limited selection of therapeutic drugs. Future research will focus on a more comprehensive understanding of the mechanism of oxidative stress in OA, exploring new biomarkers and therapeutic targets, and developing new drugs or treatment methods targeting oxidative stress pathways. These efforts are expected to bring more effective treatment options to OA patients, thereby improving their quality of life and prognosis.

摘要

随着对骨关节炎(OA)发病机制理解的不断深入,针对软骨细胞氧化应激的治疗策略逐渐成为研究热点。本文总结了氧化应激在OA发生发展中的重要作用,指出其与软骨细胞衰老、炎症级联反应及软骨基质降解密切相关。鉴于氧化应激在OA病理过程中的核心作用,抑制氧化应激及活性氧(ROS)的产生被认为是减轻软骨细胞损伤和衰老、阻止OA进展的关键。尽管目前OA研究已取得一些进展,但仍存在诸多挑战,如对OA病因的深入认识以及治疗药物选择有限等问题。未来研究将聚焦于更全面地了解OA中氧化应激的机制,探索新的生物标志物和治疗靶点,开发针对氧化应激途径的新药或治疗方法。这些努力有望为OA患者带来更有效的治疗选择,从而改善其生活质量和预后。

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