Molecular basis for new approaches to therapy of osteoarthritis (part I)

Osteoarthritis (OA) is the most common disease of the elderly, which is accompanied by pain and damages all tissues of the joint. OA is associated with progressive loss of articular cartilage, sclerotic changes in the subchondral bone and the formation of osteophytes. Cartilage destruction is caused...

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Main Authors: E. V. Chetina, G. A. Markova, A. M. Lila
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2021-08-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/1165
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author E. V. Chetina
G. A. Markova
A. M. Lila
author_facet E. V. Chetina
G. A. Markova
A. M. Lila
author_sort E. V. Chetina
collection DOAJ
description Osteoarthritis (OA) is the most common disease of the elderly, which is accompanied by pain and damages all tissues of the joint. OA is associated with progressive loss of articular cartilage, sclerotic changes in the subchondral bone and the formation of osteophytes. Cartilage destruction is caused by resorption of the extracellular matrix, which consists mainly of type II collagen and aggrecan proteoglycan. Excessive cleavage of type II collagen in OA is associated with increased synthesis and activity of metalloproteinases and the expression of pro-inflammatory cytokines of interleukin 1β and tumor necrosis factor α. Currently, OA therapy is symptomatic, often ineffective, and in some cases is accompanied by adverse side effects. Therefore, the search for new therapeutic approaches to the treatment of the disease, using modern technological capabilities and knowledge of the metabolic disorders that cause the disease. The review presents new promising methods in the treatment of OA using stem cells and subcellular structures, based on modern knowledge of molecular and cellular mechanisms that are disrupted during development and disease progression.
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spelling doaj-art-85cacb19bac14127a34c215ec7a758132025-08-20T03:20:59ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2021-08-0115471210.14412/1996-7012-2021-4-7-122375Molecular basis for new approaches to therapy of osteoarthritis (part I)E. V. Chetina0G. A. Markova1A. M. Lila2V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional EducationOsteoarthritis (OA) is the most common disease of the elderly, which is accompanied by pain and damages all tissues of the joint. OA is associated with progressive loss of articular cartilage, sclerotic changes in the subchondral bone and the formation of osteophytes. Cartilage destruction is caused by resorption of the extracellular matrix, which consists mainly of type II collagen and aggrecan proteoglycan. Excessive cleavage of type II collagen in OA is associated with increased synthesis and activity of metalloproteinases and the expression of pro-inflammatory cytokines of interleukin 1β and tumor necrosis factor α. Currently, OA therapy is symptomatic, often ineffective, and in some cases is accompanied by adverse side effects. Therefore, the search for new therapeutic approaches to the treatment of the disease, using modern technological capabilities and knowledge of the metabolic disorders that cause the disease. The review presents new promising methods in the treatment of OA using stem cells and subcellular structures, based on modern knowledge of molecular and cellular mechanisms that are disrupted during development and disease progression.https://mrj.ima-press.net/mrj/article/view/1165osteoarthritistherapymolecular mechanismsstem cellsmimetics
spellingShingle E. V. Chetina
G. A. Markova
A. M. Lila
Molecular basis for new approaches to therapy of osteoarthritis (part I)
Современная ревматология
osteoarthritis
therapy
molecular mechanisms
stem cells
mimetics
title Molecular basis for new approaches to therapy of osteoarthritis (part I)
title_full Molecular basis for new approaches to therapy of osteoarthritis (part I)
title_fullStr Molecular basis for new approaches to therapy of osteoarthritis (part I)
title_full_unstemmed Molecular basis for new approaches to therapy of osteoarthritis (part I)
title_short Molecular basis for new approaches to therapy of osteoarthritis (part I)
title_sort molecular basis for new approaches to therapy of osteoarthritis part i
topic osteoarthritis
therapy
molecular mechanisms
stem cells
mimetics
url https://mrj.ima-press.net/mrj/article/view/1165
work_keys_str_mv AT evchetina molecularbasisfornewapproachestotherapyofosteoarthritisparti
AT gamarkova molecularbasisfornewapproachestotherapyofosteoarthritisparti
AT amlila molecularbasisfornewapproachestotherapyofosteoarthritisparti