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Peroxisome proliferator-activated receptor gamma in osteoarthritis.

机译:骨关节炎中过氧化物酶体增殖物激活的受体γ。

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摘要

Osteoarthritis (OA) is among the most prevalent chronic human health disorders and the most common form of arthritis. It is a leading cause of disability in developed countries. This disease is characterized by cartilage deterioration, synovitis, and remodeling of the subchondral bone. There is not yet a satisfactory treatment to stop or arrest this disease process. Although several candidates for therapeutic approaches have been put forward, recent studies suggest that activation of the transcription factor peroxisome proliferator-activated receptor gamma (PPARgamma) is an interesting target for this disease. PPARgamma is a ligand-activated transcription factor and member of the nuclear receptor superfamily. Agonists of PPARgamma inhibit inflammation and reduce synthesis of cartilage degradation products both in vitro and in vivo, and reduce the development/progression of cartilage lesions in OA animal models. This review will highlight the recent experimental studies on the presence of PPARgamma in articular tissues and its effect on inflammatory and catabolic responses in chondrocytes and synovial fibroblasts, as well as the protective effects of PPARgamma ligands in arthritis experimental models. Finally, the role of PPARgamma polymorphism in the pathogenesis of OA and related musculoskeletal diseases will also be discussed.
机译:骨关节炎(OA)是最普遍的慢性人类健康疾病之一,也是最常见的关节炎形式。它是发达国家致残的主要原因。这种疾病的特征是软骨恶化,滑膜炎和软骨下骨重塑。尚没有令人满意的疗法来停止或阻止这种疾病的进程。尽管已经提出了几种治疗方法的候选方案,但是最近的研究表明,转录因子过氧化物酶体增殖物激活受体γ(PPARgamma)的激活是该疾病的重要靶标。 PPARγ是配体激活的转录因子,是核受体超家族的成员。在OA动物模型中,PPARγ激动剂在体外和体内均抑制炎症并减少软骨降解产物的合成,并减少软骨损伤的发展/进程。这篇综述将重点介绍关节组织中PPARgamma的存在及其对软骨细胞和滑膜成纤维细胞中炎症和分解代谢反应的影响以及关节炎实验模型中PPARgamma配体的保护作用的最新实验研究。最后,还将讨论PPARgamma多态性在OA和相关的骨骼肌疾病的发病机理中的作用。

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