Therapeutics in Osteoarthritis Based on an Understanding of Its Molecular Pathogenesis

Ju-Ryoung Kim1, Jong Jin Yoo2, Hyun Ah Kim3

  • 1Rheumatology Division, Department of Internal Medicine, Hallym University Sacred Heart Hospital, 896, Pyongchondong, Dongan-gu, Anyang, Kyunggi-do 431-070, Korea. jurykim75@gmail.com.

Insights

Osteoarthritis (OA) is a common joint disease causing cartilage destruction and pain. This review explores new treatments targeting OA's molecular causes and associated tissue changes.

Area of Science:

  • Rheumatology
  • Molecular Biology
  • Pharmacology

Background:

  • Osteoarthritis (OA) is the most common joint disease in the elderly.
  • It involves progressive articular cartilage destruction, synovial inflammation, subchondral bone alterations, and pain.
  • Current understanding of OA's aetiopathogenesis is incomplete, hindering curative treatments.

Purpose of the Study:

  • To review novel therapeutics for OA.
  • To highlight recent advancements in understanding OA's molecular pathogenesis.
  • To examine pro-inflammatory and pro-catabolic mediators and signaling pathways in OA.

Main Methods:

  • Literature review of recent scientific progress in OA.
  • Analysis of molecular pathogenesis, including mediators and signaling mechanisms.
  • Review of changes in subchondral bone and peri-articular muscle.

Main Results:

  • Novel therapeutic strategies are emerging based on molecular insights.
  • Understanding of key pro-inflammatory and pro-catabolic pathways is advancing.
  • Associated changes in bone and muscle are being integrated into therapeutic considerations.

Conclusions:

  • Targeting molecular pathways offers promising avenues for OA treatment.
  • A comprehensive approach addressing cartilage, bone, and muscle is needed.
  • Further research into OA pathogenesis will drive the development of effective therapies.

Related Concept Videos

Understanding the Self01:28

Understanding the Self

The self is a central aspect of human identity, encompassing an individual’s beliefs, emotions, perceptions, and experiences. It is a cognitive and psychological construct that enables individuals to interpret their traits and behaviors, influencing how they perceive themselves and interact with the world. While personality consists of stable and enduring characteristics, the self is shaped by self-perception and social experiences. This distinction highlights the dynamic nature of the...
326
Understanding Self-Concept01:20

Understanding Self-Concept

The self-concept encompasses individuals' beliefs about themselves, structured through cognitive frameworks known as self-schemas. These schemas function as mental representations of specific traits or behaviors, influencing how self-relevant information is perceived, processed, and remembered. For example, individuals who are schematic for body weight are more likely to interpret routine experiences—such as dining out or shopping—through the lens of that trait. Conversely, those...
312
Understanding Deception01:14

Understanding Deception

Deception is a pervasive aspect of human communication. Empirical studies have shown that most individuals engage in some form of deceit on a daily basis, with approximately 20% of social exchanges involving deceptive elements. Lying follows a developmental trajectory, peaking during adolescence and declining with age, possibly due to the maturation of cognitive control and social accountability.Cognitive and Social Factors in Deception DetectionDespite its prevalence, accurately detecting...
175
Pulmonary Hypertension: Classification and Pathogenesis01:30

Pulmonary Hypertension: Classification and Pathogenesis

Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
671
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
4.3K
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
1.4K