巨噬细胞胞葬在骨关节炎中作用的研究进展OA
Research progress on macrophage efferocytosis in osteoarthritis
骨关节炎(OA)是一种以关节退行性病变为主要特征的慢性疾病,其发病机制复杂,与衰老、肥胖等多种因素密切相关.近年来,巨噬细胞介导的胞葬作用在维持组织稳态及调控炎症反应中的关键机制逐渐被揭示.本文系统综述了胞葬作用的基本过程及其分子机制,重点探讨肥胖、衰老等OA风险因素导致的胞葬作用缺陷,以及其在OA病理进展中对软骨退化、滑膜炎、软骨下骨损伤及骨赘形成的影响.此外,本文还总结了目前针对胞葬作用的干预策略包括小分子药物、电针疗法、靶向递送系统及干细胞疗法等在OA治疗中的潜在应用价值.通过深入理解胞葬作用在OA发生发展中的作用机制,有望为OA的早期干预与靶向治疗提供新思路.
Osteoarthritis(OA)is a chronic disease primarily characterized by degenerative joint changes,with a complex pathogenesis closely associated with factors such as aging and obesity.In recent years,the key mechanisms by which macrophage-mediated efferocytosismaintains tissue homeostasis and regulates inflammatory responses have been gradually elucidated.This article systematically reviews the fundamental processes and molecular mechanisms of efferocytosis,with a focus on efferocytosis dysfunction induced by obesity and aging,and its impact on the pathological progression of OA,including cartilage degradation,synovitis,subchondral bone damage,and osteophyte formation.Additionally,this article summarizes therapeutic strategies targeting efferocytosis,including the potential applications of small-molecule drugs,electroacupuncture,targeted delivery systems,and stem cell therapy in OA treatment.A deeper understanding of the role of efferocytosis in the onset and progression of OA may provide new insights for early intervention and targeted therapy in OA.
于文博;刘德仁;魏义保;胡恩睿;龚子健;王培民;廖太阳
南京中医药大学附属医院/江苏省中医院骨伤科,南京 210029南京中医药大学附属医院/江苏省中医院骨伤科,南京 210029南京中医药大学附属医院/江苏省中医院骨伤科,南京 210029南京中医药大学附属医院/江苏省中医院骨伤科,南京 210029南京中医药大学附属医院/江苏省中医院骨伤科,南京 210029南京中医药大学附属医院/江苏省中医院骨伤科,南京 210029南京中医药大学第二附属医院/江苏省第二中医院骨伤科,南京 210017
医药卫生
骨关节炎胞葬巨噬细胞
osteoarthritisefferocytosismacrophages
《中国比较医学杂志》 2026 (13)
120-129,10
江苏省医学重点学科和医学重点实验室建设项目(JSDW202252)江苏省中医院临床医学创新中心发展项目(Y2023zx05)南京中医药大学膝骨关节炎临床专病研究院(LCZBYJYZZ2024-003).
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