Regenerative methods in osteoarthritis

IF 4.5 2区 医学 Q1 RHEUMATOLOGY Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI:10.1016/j.berh.2023.101824
Nilay Sahin , Hilal Yesil
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Abstract

Osteoarthritis (OA) is the most common type of arthritis that can affect all joint structures. The primary goals of osteoarthritis treatment are to alleviate pain, reduce functional limitations, and improve quality of life. Despite its high prevalence, treatment options for osteoarthritis are limited, with most therapeutic approaches focusing on symptom management. Tissue engineering and regenerative strategies based on biomaterials, cells, and other bioactive molecules have emerged as viable options for osteoarthritis cartilage repair. Platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) are the most commonly used regenerative therapies today to protect, restore, or increase the function of damaged tissues. Despite promising results, there is conflicting evidence regarding the efficacy of regenerative therapies, and their efficacy remains unknown. The data suggest that more research and standardization are required for the use of these therapies in osteoarthritis. This article provides an overview of the application of MSCs and PRP applications.

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骨关节炎的再生方法。
骨关节炎(OA)是最常见的关节炎类型,可影响所有关节结构。骨关节炎治疗的主要目标是减轻疼痛、减少功能限制和提高生活质量。尽管骨关节炎的发病率很高,但治疗方法却很有限,大多数治疗方法都侧重于症状控制。基于生物材料、细胞和其他生物活性分子的组织工程和再生策略已成为骨关节炎软骨修复的可行方案。富血小板血浆(PRP)和间充质干细胞(MSCs)是目前最常用的再生疗法,用于保护、恢复或增强受损组织的功能。尽管结果令人鼓舞,但有关再生疗法疗效的证据相互矛盾,其疗效仍然未知。这些数据表明,在骨关节炎中使用这些疗法需要更多的研究和标准化。本文概述了间充质干细胞和 PRP 的应用。
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来源期刊
CiteScore
9.40
自引率
0.00%
发文量
43
审稿时长
27 days
期刊介绍: Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.
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