骨膜蛋白在创伤性关节炎软骨损伤中的作用机制研究进展
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1.兰州大学第二临床医学院;2.中国人民解放军联勤保障部队第九四〇医院

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骨折内固定术后慢性骨髓炎中耐甲氧西林金黄色葡萄球菌感染毒力因子的研究


Progress in the mechanism of the role of periostin in cartilage damage in traumatic arthritis
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1.The Second Clinical Medical College of Lanzhou University;2.940th Hospital of the PLA Joint Logistic Support Force

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    摘要:

    骨关节炎是以关节软骨退变、软骨下骨骨重塑、骨赘形成、滑膜炎症为主要特征的退行性疾病。而创伤性关节炎是最常见和最典型的继发性关节炎。目前多项体外及体内实验发现,骨膜蛋白在损伤后软骨基质中的表达增加,并导致创伤性关节炎的发展和进展。骨膜蛋白作为一种细胞外基质蛋白,可以与软骨细胞外基质相互作用,作为多条信号通路的上游因子影响软骨细胞外基质的代谢。与原发性骨关节炎相比,创伤性关节炎的性质和时间通常是已知的,因此提供了一个独特的窗口,对疾病进行干预。但目前手术治疗并未降低创伤性关节炎的发病率。因此通过对骨膜蛋白在创伤性关节炎发生发展中的作用机制深入研究,有助于为创伤性关节炎的治疗提供新的方法。

    Abstract:

    Osteoarthritis is a degenerative disease characterized by degeneration of articular cartilage, subchondral bone remodeling, bone flab formation, and synovial inflammation. In contrast, traumatic arthritis is the most common and typical secondary arthritis. Several in vitro and in vivo experiments have now found that periosteal protein expression is increased in the cartilage matrix after injury and leads to the development and progression of traumatic arthritis. As an extracellular matrix protein, periostin can interact with the cartilage extracellular matrix and act as an upstream factor of multiple signaling pathways affecting the metabolism of the cartilage extracellular matrix. In contrast to primary osteoarthritis, the nature and timing of traumatic arthritis is usually known, thus providing a unique window to intervene in the disease. However, current surgical treatment has not reduced the incidence of traumatic arthritis. Therefore, an in-depth study of the mechanisms of the role of periosteal proteins in the development of traumatic arthritis could help provide new approaches to the treatment of traumatic arthritis.

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  • 收稿日期:2023-03-01
  • 最后修改日期:2023-03-01
  • 录用日期:2023-03-06
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