Therapeutics in Osteoarthritis Based on an Understanding of Its Molecular Pathogenesis

Int J Mol Sci. 2018 Feb 27;19(3):674. doi: 10.3390/ijms19030674.

Abstract

Osteoarthritis (OA) is the most prevalent joint disease in older people and is characterized by the progressive destruction of articular cartilage, synovial inflammation, changes in subchondral bone and peri-articular muscle, and pain. Because our understanding of the aetiopathogenesis of OA remains incomplete, we haven't discovered a cure for OA yet. This review appraises novel therapeutics based on recent progress in our understanding of the molecular pathogenesis of OA, including pro-inflammatory and pro-catabolic mediators and the relevant signalling mechanisms. The changes in subchondral bone and peri-articular muscle accompanying cartilage damage are also reviewed.

Keywords: articular cartilage; molecular pathology; osteoarthritis (OA); therapeutics.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Biomarkers
  • Bone Remodeling
  • Bone and Bones / drug effects
  • Bone and Bones / metabolism
  • Bone and Bones / pathology
  • Cartilage, Articular / drug effects
  • Cartilage, Articular / metabolism
  • Cartilage, Articular / pathology
  • Gene Expression Regulation / drug effects
  • Humans
  • Molecular Targeted Therapy
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / physiopathology
  • Osteoarthritis / etiology*
  • Osteoarthritis / metabolism
  • Osteoarthritis / pathology
  • Osteoarthritis / therapy*
  • Signal Transduction / drug effects

Substances

  • Anti-Inflammatory Agents
  • Biomarkers