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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.
Abstract:
Osteoarthritis (OA) is the most prevalent joint disease in older people and is characterized by the progressive destruction of articular cartilage, synovial inflammation, changes in subchondral bone and peri-articular muscle, and pain. Because our understanding of the aetiopathogenesis of OA remains incomplete, we haven't discovered a cure for OA yet. This review appraises novel therapeutics based on recent progress in our understanding of the molecular pathogenesis of OA, including pro-inflammatory and pro-catabolic mediators and the relevant signalling mechanisms. The changes in subchondral bone and peri-articular muscle accompanying cartilage damage are also reviewed.
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.
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