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Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
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Related Experiment Video

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A Reproducible Cartilage Impact Model to Generate Post-Traumatic Osteoarthritis in the Rabbit
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Key Pathways to Prevent Posttraumatic Arthritis for Future Molecule-Based Therapy.

Susan Chubinskaya1, Markus A Wimmer2

  • 1Department of Biochemistry, Internal Medicine (Section of Rheumatology), Rush University Medical Center, Chicago, IL, USA ; Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Cartilage
|June 13, 2015
PubMed
Summary

Joint injuries risk posttraumatic osteoarthritis (PTOA). Early events like cell death and inflammation drive PTOA, necessitating novel molecular therapies for cartilage repair.

Keywords:
anabolic responsesanti-inflammatorychondroprotectionmatrix degradationposttraumatic osteoarthritisrepair

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Area of Science:

  • Biomedical Engineering
  • Orthopedics
  • Regenerative Medicine

Background:

  • Joint injuries are prevalent in young adults (18-44 years), increasing the risk of posttraumatic osteoarthritis (PTOA).
  • Early post-injury events include chondrocyte death, apoptosis, inflammation, and matrix damage, leading to progressive osteoarthritis-like lesions.

Purpose of the Study:

  • To review the earliest molecular and cellular responses to joint trauma.
  • To explore therapeutic strategies for delaying or preventing PTOA progression.
  • To identify novel molecular mechanism-based approaches for chondral and osteochondral repair.

Main Methods:

  • Literature review focusing on early biological responses to joint trauma.
  • Categorization of therapeutic options based on molecular targets: chondroprotection, anti-inflammatory, matrix protection, and matrix remodeling/synthesis.

Main Results:

  • Chondrocyte death, apoptosis, inflammation, and matrix damage are key early events following joint trauma.
  • Current treatments are limited to surgical interventions.
  • Experimental biologic approaches face challenges in regenerating functional hyaline cartilage that integrates with host tissue.

Conclusions:

  • There is a critical need for novel molecular mechanism-based therapeutic strategies for PTOA.
  • Understanding early injury manifestations is crucial for developing effective treatments.
  • Future therapies should focus on chondroprotection, anti-inflammation, and matrix repair to prevent PTOA progression.