Therapeutic targets in aging-related osteoarthritis: A focus on the extracellular matrix homeostasis

IF 5.1 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Life sciences Pub Date : 2025-05-01 Epub Date: 2025-02-18 DOI:10.1016/j.lfs.2025.123487
Wan Hao , Minnan Chang , Di Shi , Chenxi Yun , Jun Li , Haitao Guo , Xiao Lin
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Abstract

Osteoarthritis (OA) represents a globally prevalent degenerative bone diseases and is the primary contributors to pain and disability among middle-aged and elderly people, thereby imposing significant social and economic burdens. When articular cartilage is in the aging environment, epigenetic modifications, DNA damage and mitochondrial dysfunction lead to cell senescence. Chondrocyte senescence has been identified as a pivotal event in this metabolic dysregulation of the extracellular matrix (ECM). It can affect the composition and structure of ECM, and the mechanical and biological signals transmitted by ECM to senescent chondrocytes affect their physiology and pathology. Over the past few decades, the role of ECM in aging-related OA has received increasing attention. In this review, we summarize the changes of cartilage's major ECM (type II collagen and aggrecan) and the interaction between aging and ECM in OA, and explore therapeutic strategies targeting cartilagae ECM, such as noncoding RNAs, small-molecule drugs, and mesenchymal stem cell (MSC)-derived extracellular vesicles for OA. The aim of this study was to elucidate the potential benefits of ECM-based therapies as novel strategies for the management of OA diseases.

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衰老相关性骨关节炎的治疗靶点:关注细胞外基质稳态。
骨关节炎(OA)是一种全球普遍存在的退行性骨病,是造成中老年人疼痛和残疾的主要原因,从而造成重大的社会和经济负担。当关节软骨处于衰老环境时,表观遗传修饰、DNA损伤和线粒体功能障碍导致细胞衰老。软骨细胞衰老被认为是细胞外基质(ECM)代谢失调的关键事件。它可以影响ECM的组成和结构,并通过ECM传递给衰老软骨细胞的机械和生物信号影响其生理病理。在过去的几十年里,ECM在老年OA中的作用越来越受到关注。本文综述了骨性关节炎中软骨主要ECM (II型胶原和聚集蛋白)的变化以及衰老与ECM的相互作用,并探讨了针对软骨ECM的治疗策略,如非编码rna、小分子药物和间充质干细胞(MSC)来源的细胞外囊泡治疗骨性关节炎。本研究的目的是阐明基于ecm的治疗方法作为OA疾病管理的新策略的潜在益处。
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来源期刊
Life sciences
Life sciences 医学-药学
CiteScore
12.20
自引率
1.60%
发文量
841
审稿时长
6 months
期刊介绍: Life Sciences is an international journal publishing articles that emphasize the molecular, cellular, and functional basis of therapy. The journal emphasizes the understanding of mechanism that is relevant to all aspects of human disease and translation to patients. All articles are rigorously reviewed. The Journal favors publication of full-length papers where modern scientific technologies are used to explain molecular, cellular and physiological mechanisms. Articles that merely report observations are rarely accepted. Recommendations from the Declaration of Helsinki or NIH guidelines for care and use of laboratory animals must be adhered to. Articles should be written at a level accessible to readers who are non-specialists in the topic of the article themselves, but who are interested in the research. The Journal welcomes reviews on topics of wide interest to investigators in the life sciences. We particularly encourage submission of brief, focused reviews containing high-quality artwork and require the use of mechanistic summary diagrams.
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