Poiraudeau S, Berenbaum F, Corvol M
Service de rééducation et de réadaptation des pathologies de l'appareil locomoteur et du rachis, Hôpital Cochin, Paris.
Rev Prat. 1996 Nov 15;46(18):2180-5.
Osteoarthritis is mainly characterized by cartilage degradation as a result of series of pathological processus still not well understood. In recent years much interest has centered on the contribution of cytokines to cartilage degradation: characterization of cytokines extracted from normal and pathological articulation, site of production (synoviocytes, chondrocytes, osteoblasts) and their role on the production of proteases, protease inhibitors or other types of molecules implicated in osteoarthritis. Several types of cytokines such as IL 1 beta and TNF alpha, known as proinflammatory factors in rheumatoid arthritis, have been shown to be present in the synovial fluid from osteoarthritic patients. Recent experimental data allow us to better understand the cellular and molecular mechanisms of the cytokines respectively involved into rheumatoid arthritis and osteo-arthritis.
骨关节炎的主要特征是软骨降解,其源于一系列尚未完全明确的病理过程。近年来,细胞因子对软骨降解的作用备受关注:从正常和病理关节中提取细胞因子的特性、产生部位(滑膜细胞、软骨细胞、成骨细胞)以及它们在蛋白酶、蛋白酶抑制剂或其他与骨关节炎相关分子产生中的作用。几种细胞因子,如白细胞介素1β和肿瘤坏死因子α,在类风湿关节炎中被认为是促炎因子,已被证实在骨关节炎患者的滑液中存在。最近的实验数据使我们能够更好地理解分别参与类风湿关节炎和骨关节炎的细胞因子的细胞和分子机制。