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酪氨酸激酶调控软骨细胞肥大:骨关节炎有前途的药物靶点。

Tyrosine kinases regulate chondrocyte hypertrophy: promising drug targets for Osteoarthritis.

机构信息

Department of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.

Université de Paris, INSERM U1163, Institut Imagine, Paris, France.

出版信息

Osteoarthritis Cartilage. 2021 Oct;29(10):1389-1398. doi: 10.1016/j.joca.2021.07.003. Epub 2021 Jul 17.

Abstract

Osteoarthritis (OA) is a major health problem worldwide that affects the joints and causes severe disability. It is characterized by pain and low-grade inflammation. However, the exact pathogenesis remains unknown and the therapeutic options are limited. In OA articular chondrocytes undergo a phenotypic transition becoming hypertrophic, which leads to cartilage damage, aggravating the disease. Therefore, a therapeutic agent inhibiting hypertrophy would be a promising disease-modifying drug. The therapeutic use of tyrosine kinase inhibitors has been mainly focused on oncology, but the Food and Drug Administration (FDA) approval of the Janus kinase inhibitor Tofacitinib in Rheumatoid Arthritis has broadened the applicability of these compounds to other diseases. Interestingly, tyrosine kinases have been associated with chondrocyte hypertrophy. In this review, we discuss the experimental evidence that implicates specific tyrosine kinases in signaling pathways promoting chondrocyte hypertrophy, highlighting their potential as therapeutic targets for OA.

摘要

骨关节炎(OA)是全球范围内的一个主要健康问题,影响关节并导致严重残疾。它的特点是疼痛和低度炎症。然而,确切的发病机制仍不清楚,治疗选择有限。在 OA 中,关节软骨细胞经历表型转变,变得肥大,导致软骨损伤,使疾病恶化。因此,抑制肥大的治疗剂将是一种有前途的疾病修饰药物。酪氨酸激酶抑制剂的治疗用途主要集中在肿瘤学上,但食品和药物管理局(FDA)批准 Janus 激酶抑制剂托法替尼(Tofacitinib)用于类风湿关节炎,拓宽了这些化合物在其他疾病中的适用性。有趣的是,酪氨酸激酶与软骨细胞肥大有关。在这篇综述中,我们讨论了实验证据,表明特定的酪氨酸激酶参与了促进软骨细胞肥大的信号通路,强调了它们作为 OA 治疗靶点的潜力。

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