广东医科大学学报2024,Vol.42Issue(6) :636-643.

预处理方法提高外泌体治疗骨关节炎疗效的研究进展

Advances in pretreatment methods to improve the efficacy of exosomes in the treatment of osteoarthritis

李景志 王业杨 郑晓宇 罗涵 杨振宇 周晓忠
广东医科大学学报2024,Vol.42Issue(6) :636-643.

预处理方法提高外泌体治疗骨关节炎疗效的研究进展

Advances in pretreatment methods to improve the efficacy of exosomes in the treatment of osteoarthritis

李景志 1王业杨 2郑晓宇 3罗涵 1杨振宇 4周晓忠1
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作者信息

  • 1. 广东医科大学第一临床医学院,广东 湛江 524023
  • 2. 广东省第二人民医院脊柱骨科,广东 广州 510317
  • 3. 中山火炬开发区人民医院骨科,广东 中山 528436
  • 4. 南方医科大学第二临床医学院,广东 广州 510515
  • 折叠

摘要

骨关节炎(Osteoarthritis,OA)是一种严重危害人类健康的慢性关节病,其主要特点是关节软骨的进行性破坏.但因其自身软骨修复能力有限,至今仍缺乏有效的治疗手段.细胞旁分泌的外泌体(Exosomes,Exo),可参与多种细胞活动,对OA具有较好的疗效,然而单独使用天然外泌体治疗OA,面临着器官靶向性差、半衰期短、疗效不佳等问题.合理的预处理方式可增强外泌体的靶向、稳定及体内半衰期,从而达到治疗OA的目的.该文通过对提高外泌体OA疗效的预处理方法进行综述,以期为临床应用外泌体治疗OA提供参考.

Abstract

Osteoarthritis(OA)is a chronic joint disease that seriously jeopardizes human health,primarily characterized by progressive degradation of articular cartilage.However,there is still a lack of effective treatment due to its limited ability to repair cartilage.Paracellularly secreted exosomes,which can participate in a variety of cellular activities,have good therapeutic efficacy in OA.However,the use of natural exosomes alone in the treatment of OA faces problems such as poor joint targeting,short half-life,and poor therapeutic efficacy.A rational pretreatment approach can enhance the targeting,stabilization and in vivo half-life of exosomes for the treatment of OA.In this paper,we review the pre-treatment strategies aimed at enhancing the efficacy of exosomes for OA,in order to provide a scientific basis for the clinical application of exosomes in the treatment of OA.

关键词

外泌体/骨关节炎/预处理

Key words

exosomes/osteoarthritis/pretreatment

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出版年

2024
广东医科大学学报
广东医学院

广东医科大学学报

影响因子:0.828
ISSN:1005-4057
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