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软骨-骨交互作用的病理机制:动物实验研究骨关节炎的新视角

Pathology of Cartilage-to-Bone Crosstalk: A New Angle for Animal Experimental Studies on Osteoarthritis

  • 摘要: 骨关节炎(osteoarthritis, OA)是一种以关节及其周围组织的退行性病变为特征的老年性慢性疾病。传统上,OA研究主要集中于关节软骨本身的病理变化及其修复,但随着近年来动物疾病模型的发展,尤其是时空特异性转基因小鼠模型的广泛应用,学者们逐渐意识到软骨下骨在OA发生发展中同样扮演着重要角色,即关节软骨与骨病变相互影响、相互促进,共同推动OA的进程,涉及血管侵入、异位钙化、神经生长及疼痛发生等病理过程。由于软骨-骨交互作用病理关系的复杂性,临床样本难以深入到软骨下骨病变,而体外细胞实验无法模拟OA过程,故动物模型在OA病理机制研究及临床药物开发中占据不可替代的地位。本文在梳理OA动物模型的基础上,综述了近年来关于OA的最新动物实验研究进展,强调了软骨-骨交互作用病理关系在OA进程中的主动作用。这些新发现为今后深入研究提供参考,也为实现OA根本性防治策略提供理论依据。

     

    Abstract: Osteoarthritis (OA), a common age-related chronic disease, is characterized by degenerative changes in the joints and surrounding tissues. Traditionally, research on OA has primarily focused on the pathological changes in articular cartilage and its repair. However, with the advancements in animal disease modeling in recent years, especially the widespread use of spatiotemporally specific transgenic mouse models, scholars have gradually come to realize that the subchondral bone also plays an important role in the occurrence and development of OA. That is, the pathological changes in articular cartilage and bone mutually affect and promote each other, jointly driving the progression of OA, involving such pathological processes as vascular invasion, ectopic calcification, nerve growth, and the occurrence of pain. Given the complexity of cartilage-bone pathological relationship, it is difficult to conduct in-depth research on subchondral bone pathology using clinical human samples, or to simulate the pathological processes of OA through in vitro cell experiments. Therefore, animal models play an irreplaceable role in investigating the pathological mechanisms of OA and developing clinical drugs. This review, in addition to providing an overview of OA animal models, synthesizes the latest progress in animal experimental research on OA, highlighting the active role of the cartilage-bone pathological relationship in OA progression. These new findings provide references for future in-depth investigations and also provide a theoretical basis for developing fundamental strategies for OA prevention and treatment.

     

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