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Published on: January 12, 2024
The PI3K/AKT/mTOR signaling pathway in osteoarthritis: a narrative review
1Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China.
Abstract:
Osteoarthritis (OA) is a complicated degenerative disease that affects whole joint tissue. Currently, apart from surgical approaches to treat late stage OA, effective treatments to reverse OA are not available. Thus, the mechanisms leading to OA, and more effective approaches to treat OA should be investigated. According to available evidence, the PI3K/AKT/mTOR signaling pathway is essential for normal metabolism of joint tissues, but is also involved in development of OA. To provide a wide viewpoint to roles of PI3K/AKT/mTOR signaling pathway in osteoarthritis, a comprehensive literature search was performed using PubMed terms 'PI3K OR AKT OR mTOR' and 'osteoarthritis'. This review highlights the role of PI3K/AKT/mTOR signaling in cartilage degradation, subchondral bone dysfunction, and synovial inflammation, and discusses how this signaling pathway affects development of the disease. We also summarize recent evidences of therapeutic approaches to treat OA by targeting the PI3K/AKT/mTOR pathway, and discuss potential challenges in developing these strategies for clinical treatment of OA.
Insights
Osteoarthritis (OA) involves joint tissue degeneration. Targeting the PI3K/AKT/mTOR pathway shows promise for novel OA treatments by addressing cartilage and bone issues.
Area of Science:
- Biomedical Science
- Molecular Biology
- Rheumatology
Background:
- Osteoarthritis (OA) is a degenerative joint disease with limited effective treatments beyond surgery.
- The PI3K/AKT/mTOR signaling pathway plays a crucial role in joint tissue metabolism and OA development.
Purpose of the Study:
- To comprehensively review the roles of the PI3K/AKT/mTOR pathway in osteoarthritis.
- To explore therapeutic strategies targeting this pathway for OA treatment.
Main Methods:
- A comprehensive literature search was conducted using PubMed.
- Keywords included 'PI3K OR AKT OR mTOR' and 'osteoarthritis'.
Main Results:
- The PI3K/AKT/mTOR pathway is implicated in cartilage degradation, subchondral bone dysfunction, and synovial inflammation in OA.
- Emerging evidence suggests targeting this pathway offers potential therapeutic benefits for OA.
Conclusions:
- The PI3K/AKT/mTOR pathway is a key factor in OA pathogenesis.
- Targeting this pathway presents a promising avenue for developing new OA treatments, though clinical challenges remain.
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