针对骨关节炎的线粒体向疗法:从基础研究到临床翻译的挑战和机遇
Song-Ou Zhang1, Zhi-Qian Gu1,2, Jian Ruan2
1School of medicine, Ningbo University, Ningbo, Zhejiang, China.
Frontiers in immunology
|March 9, 2026
概括
线粒体功能障碍驱动骨关节炎 (OA) 的进展. 用抗氧化剂或移植等疗法向线粒体在临床前OA研究中显示出希望,但临床翻译面临重大障碍.
科学领域:
- 线粒体生物学 线粒体生物学
- 退行性关节疾病 退行性关节疾病
- 药理干预措施 药理干预措施
背景情况:
- 骨关节炎 (OA) 是导致残疾的主要原因,目前的治疗只能提供症状缓解.
- 线粒体功能障碍是OA病变的一个关键因素,涉及氧化应激,改变动态和代谢受损.
- 现有的OA疗法没有解决由线粒体驱动的潜在疾病机制.
研究的目的:
- 对骨关节炎的线粒体向治疗策略进行审查.
- 突出了OA软骨退化的线粒体功能障碍的机制.
- 讨论这些疗法临床转化方面的挑战和未来方向.
主要方法:
- 对OA中线粒体功能障碍的临床前和临床研究的综述.
- 针对线粒体通路的治疗方法的分析.
- 确定阻碍OA治疗的临床转化障碍.
主要成果:
- 线粒体功能障碍,包括ROS的产生,改变的动态和代谢变化,加快了OA.
- 针对线粒体的策略 (抗氧化剂,动态调节剂,自激活剂,生物发生增强剂,移植) 显示了临床前的疗效.
- 这些OA疗法的临床转化受到交付问题,疾病异质性和模型约束的限制.
结论:
- 以线粒体为向的疗法为阻止OA进展提供了一个有希望的途径.
- 克服药物输送,患者分层和模型开发方面的挑战对于临床成功至关重要.
- 未来的研究应该专注于开发先进的传递系统和OA治疗的人性化模型.
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