Epigenetic Therapies for Osteoarthritis.

Epigenetic Therapies for Osteoarthritis.
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DOI:
10.1016/j.tips.2020.05.008
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发表时间:
2020-08
影响因子:
13.8
通讯作者:
Bhutani, Nidhi
Bhutani, Nidhi
中科院分区:
医学1区
文献类型:
--
作者:
Grandi, Fiorella Carla;Bhutani, Nidhi

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骨关节炎(OA)是一种年龄相关性疾病,其特征在于由关节软骨降解、滑膜衬里炎症和软骨下骨变化引起的慢性关节疼痛。尽管广泛流行,但不存在食品和药物管理局(FDA)批准的疾病修饰药物。最近的证据表明,多个分子通路的表观遗传失调是OA发病机制的基础,提供了一个新的机制和治疗轴,具有同时靶向多个失调通路的优势。在这篇综述中,我们专注于表观遗传调节剂,已牵连在OA,他们的个人角色,和潜在的串扰。最后,我们讨论了可以调节其活性的药理学分子,并讨论了与基于表观基因组的OA治疗相关的潜在优势和挑战。
Osteoarthritis (OA) is an age-associated disease characterized by chronic joint pain resulting from degradation of articular cartilage, inflammation of the synovial lining, and changes to the subchondral bone. Despite the wide prevalence, no Food and Drug Administration (FDA) approved disease modifying drugs exist. Recent evidence has demonstrated that epigenetic dysregulation of multiple molecular pathways underlies OA pathogenesis, providing a new mechanistic and therapeutic axis with the advantage of targeting multiple deregulated pathways simultaneously. In this review, we focus on the epigenetic regulators that have been implicated in OA, their individual roles, and potential crosstalk. Finally, we discuss the pharmacological molecules that can modulate their activities and discuss the potential advantages and challenges associated with epigenome-based therapeutics for OA.
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