Osteoarthritis joint pain: the cytokine connection.

Osteoarthritis joint pain: the cytokine connection.
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DOI:
10.1016/j.cyto.2014.06.019
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发表时间:
2014-12
期刊:
影响因子:
3.8
通讯作者:
Malfait, Anne-Marie
Malfait, Anne-Marie
中科院分区:
医学3区
文献类型:
--
作者:
Miller, Rachel E.;Miller, Richard J.;Malfait, Anne-Marie

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骨关节炎是一种慢性、疼痛性滑膜关节疾病。关节内的软骨细胞、滑膜细胞等细胞可以表达和响应细胞因子和趋化因子,这些分子也可以在骨关节炎患者的滑膜液中检测到。骨关节炎关节中炎症细胞因子的存在提出了一个问题,即它们是否通过作用于神经支配的关节伤害感受器直接参与疼痛的产生。在这里,我们首先对已知的骨关节炎关节中检测到的细胞因子和趋化因子(包括TNF-α、IL-1、IL-6、IL-15、IL-10以及趋化因子MCP-1和fractalkine)的促藻作用进行了系统的讨论。随后,我们根据动物模型的研究讨论了它们对关节疼痛的贡献。最后,我们简要讨论从人类骨关节炎临床研究中获得的有限数据。
Osteoarthritis is a chronic and painful disease of synovial joints. Chondrocytes, synovial cells and other cells in the joint can express and respond to cytokines and chemokines, and all of these molecules can also be detected in synovial fluid of patients with osteoarthritis. The presence of inflammatory cytokines in the osteoarthritic joint raises the question whether they may directly participate in pain generation by acting on innervating joint nociceptors. Here, we first provide a systematic discussion of the known proalgesic effects of cytokines and chemokines that have been detected in osteoarthritic joints, including TNF-α, IL-1, IL-6, IL-15, IL-10, and the chemokines, MCP-1 and fractalkine. Subsequently, we discuss what is known about their contribution to joint pain based on studies in animal models. Finally, we briefly discuss limited data available from clinical studies in human osteoarthritis.
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