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推动未来骨关节炎治疗向精准医学发展:整合再生医学、基因治疗和昼夜节律生物学。

Progressing future osteoarthritis treatment toward precision medicine: integrating regenerative medicine, gene therapy and circadian biology.

作者信息

Kim Ee Hyun, Jeon Seungho, Park Junyoung, Ryu Ji Hyun, Mobasheri Ali, Matta Csaba, Jin Eun-Jung

机构信息

Integrated Omics Institute, Wonkwang University, Iksan, Republic of Korea.

Department of Biomedical Materials Science, Graduate School of JABA, Wonkwang University, Iksan, Republic of Korea.

出版信息

Exp Mol Med. 2025 Jun;57(6):1133-1142. doi: 10.1038/s12276-025-01481-6. Epub 2025 Jun 30.

DOI:10.1038/s12276-025-01481-6
PMID:40588525
Abstract

Osteoarthritis (OA) is marked by cartilage degradation, inflammation and varied pain. Traditional treatments such as nonsteroidal anti-inflammatory drugs primarily offer symptom relief without halting disease progression. Advances in regenerative medicine and stem cell and gene therapies, combined with innovative biomaterials such as hydrogels, present new opportunities to target the underlying pathophysiology of OA. This review explores these promising approaches alongside the emerging roles of circadian biology and organelle health in OA pathogenesis and therapy. It highlights the shift toward precision medicine, offering a comprehensive analysis of emerging targeted strategies aimed at improving OA management and patient outcomes.

摘要

骨关节炎(OA)的特征是软骨退化、炎症和不同程度的疼痛。传统治疗方法如非甾体抗炎药主要是缓解症状,而无法阻止疾病进展。再生医学、干细胞和基因疗法的进展,以及水凝胶等创新生物材料的出现,为针对OA的潜在病理生理学提供了新的机会。本文综述探讨了这些有前景的方法,以及昼夜节律生物学和细胞器健康在OA发病机制和治疗中的新作用。它强调了向精准医学的转变,全面分析了旨在改善OA管理和患者预后的新兴靶向策略。

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Progressing future osteoarthritis treatment toward precision medicine: integrating regenerative medicine, gene therapy and circadian biology.推动未来骨关节炎治疗向精准医学发展:整合再生医学、基因治疗和昼夜节律生物学。
Exp Mol Med. 2025 Jun;57(6):1133-1142. doi: 10.1038/s12276-025-01481-6. Epub 2025 Jun 30.
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本文引用的文献

1
Comparative analysis of regulations and studies on stem cell therapies: focusing on induced pluripotent stem cell (iPSC)-based treatments.比较分析干细胞疗法的法规和研究:重点关注基于诱导多能干细胞(iPSC)的治疗方法。
Stem Cell Res Ther. 2024 Nov 21;15(1):447. doi: 10.1186/s13287-024-04065-9.
2
Functional biomaterials for osteoarthritis treatment: From research to application.用于骨关节炎治疗的功能性生物材料:从研究到应用。
Smart Med. 2022 Dec 27;1(1):e20220014. doi: 10.1002/SMMD.20220014. eCollection 2022 Dec.
3
Functional Nanomaterials for the Treatment of Osteoarthritis.
用于治疗骨关节炎的功能纳米材料
Int J Nanomedicine. 2024 Jul 4;19:6731-6756. doi: 10.2147/IJN.S465243. eCollection 2024.
4
Clinical phenotypes, molecular endotypes and theratypes in OA therapeutic development.骨关节炎治疗研发中的临床表型、分子内型和治疗型
Nat Rev Rheumatol. 2024 Sep;20(9):525-526. doi: 10.1038/s41584-024-01126-4.
5
Development of alginate-collagen interpenetrating network for osteoarthritic cartilage by in situ softening.通过原位软化开发用于骨关节炎软骨的藻酸盐-胶原蛋白互穿网络。
Int J Biol Macromol. 2024 May;266(Pt 2):131259. doi: 10.1016/j.ijbiomac.2024.131259. Epub 2024 Apr 3.
6
Nitric oxide-scavenging hyaluronic acid nanoparticles for osteoarthritis treatment.用于骨关节炎治疗的一氧化氮清除透明质酸纳米颗粒。
Biomater Sci. 2024 Mar 12;12(6):1477-1489. doi: 10.1039/d3bm01918g.
7
The peroxisome: an update on mysteries 3.0.过氧化物酶体:更新的未解之谜 3.0 版。
Histochem Cell Biol. 2024 Feb;161(2):99-132. doi: 10.1007/s00418-023-02259-5. Epub 2024 Jan 20.
8
Biomaterial-Based Gene Delivery: Advanced Tools for Enhanced Cartilage Regeneration.基于生物材料的基因传递:增强软骨再生的先进工具。
Drug Des Devel Ther. 2023 Dec 4;17:3605-3624. doi: 10.2147/DDDT.S432056. eCollection 2023.
9
Exploring the promising potential of induced pluripotent stem cells in cancer research and therapy.探索诱导多能干细胞在癌症研究和治疗中的广阔前景。
Mol Cancer. 2023 Nov 28;22(1):189. doi: 10.1186/s12943-023-01873-0.
10
Effect of intra-articular injection of a hyaluronic acid-alendronate conjugate on post-traumatic osteoarthritis induced by destabilization of the medial meniscus in rats.玻璃酸钠-阿伦膦酸钠偶联物关节内注射对内侧半月板不稳定诱导大鼠创伤后骨关节炎的影响。
Sci Rep. 2023 Nov 24;13(1):20692. doi: 10.1038/s41598-023-46965-5.