Promoting Articular Cartilage Regeneration through Microenvironmental Regulation

In recent years, as the aging population continues to grow, osteoarthritis (OA) has emerged as a leading cause of disability, with its incidence rising annually. Current treatments of OA include exercise and medications in the early stages and total joint replacement in the late stages. These approa...

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Main Authors: Kai Liu, Bingjun Zhang, Xiaoling Zhang
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2024/4751168
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author Kai Liu
Bingjun Zhang
Xiaoling Zhang
author_facet Kai Liu
Bingjun Zhang
Xiaoling Zhang
author_sort Kai Liu
collection DOAJ
description In recent years, as the aging population continues to grow, osteoarthritis (OA) has emerged as a leading cause of disability, with its incidence rising annually. Current treatments of OA include exercise and medications in the early stages and total joint replacement in the late stages. These approaches only relieve pain and reduce inflammation; however, they have significant side effects and high costs. Therefore, there is an urgent need to identify effective treatment methods that can delay the pathological progression of this condition. The changes in the articular cartilage microenvironment, which are complex and diverse, can aggravate the pathological progression into a vicious cycle, inhibiting the repair and regeneration of articular cartilage. Understanding these intricate changes in the microenvironment is crucial for devising effective treatment modalities. By searching relevant research articles and clinical trials in PubMed according to the keywords of articular cartilage, microenvironment, OA, mechanical force, hypoxia, cytokine, and cell senescence. This study first summarizes the factors affecting articular cartilage regeneration, then proposes corresponding treatment strategies, and finally points out the future research direction. We find that regulating the opening of mechanosensitive ion channels, regulating the expression of HIF-1, delivering growth factors, and clearing senescent cells can promote the formation of articular cartilage regeneration microenvironment. This study provides a new idea for the treatment of OA in the future, which can promote the regeneration of articular cartilage through the regulation of the microenvironment so as to achieve the purpose of treating OA.
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spelling doaj-art-f632ce1b77574930a126659fd30e04f42025-02-03T01:32:42ZengWileyJournal of Immunology Research2314-71562024-01-01202410.1155/2024/4751168Promoting Articular Cartilage Regeneration through Microenvironmental RegulationKai Liu0Bingjun Zhang1Xiaoling Zhang2Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryIn recent years, as the aging population continues to grow, osteoarthritis (OA) has emerged as a leading cause of disability, with its incidence rising annually. Current treatments of OA include exercise and medications in the early stages and total joint replacement in the late stages. These approaches only relieve pain and reduce inflammation; however, they have significant side effects and high costs. Therefore, there is an urgent need to identify effective treatment methods that can delay the pathological progression of this condition. The changes in the articular cartilage microenvironment, which are complex and diverse, can aggravate the pathological progression into a vicious cycle, inhibiting the repair and regeneration of articular cartilage. Understanding these intricate changes in the microenvironment is crucial for devising effective treatment modalities. By searching relevant research articles and clinical trials in PubMed according to the keywords of articular cartilage, microenvironment, OA, mechanical force, hypoxia, cytokine, and cell senescence. This study first summarizes the factors affecting articular cartilage regeneration, then proposes corresponding treatment strategies, and finally points out the future research direction. We find that regulating the opening of mechanosensitive ion channels, regulating the expression of HIF-1, delivering growth factors, and clearing senescent cells can promote the formation of articular cartilage regeneration microenvironment. This study provides a new idea for the treatment of OA in the future, which can promote the regeneration of articular cartilage through the regulation of the microenvironment so as to achieve the purpose of treating OA.http://dx.doi.org/10.1155/2024/4751168
spellingShingle Kai Liu
Bingjun Zhang
Xiaoling Zhang
Promoting Articular Cartilage Regeneration through Microenvironmental Regulation
Journal of Immunology Research
title Promoting Articular Cartilage Regeneration through Microenvironmental Regulation
title_full Promoting Articular Cartilage Regeneration through Microenvironmental Regulation
title_fullStr Promoting Articular Cartilage Regeneration through Microenvironmental Regulation
title_full_unstemmed Promoting Articular Cartilage Regeneration through Microenvironmental Regulation
title_short Promoting Articular Cartilage Regeneration through Microenvironmental Regulation
title_sort promoting articular cartilage regeneration through microenvironmental regulation
url http://dx.doi.org/10.1155/2024/4751168
work_keys_str_mv AT kailiu promotingarticularcartilageregenerationthroughmicroenvironmentalregulation
AT bingjunzhang promotingarticularcartilageregenerationthroughmicroenvironmentalregulation
AT xiaolingzhang promotingarticularcartilageregenerationthroughmicroenvironmentalregulation