Joint injury and osteoarthritis: soluble mediators in the course and treatment of cartilage pathology.

Abstract:

:Osteoarthritis is a disabling disease of the aging generation, which results in loss of quality of life and increased healthcare costs. Cytokines appear to play an important role in the cartilaginous degeneration characterizing the pathological process. Increasing experience is being gained with cytokine-modulating therapies aimed at interfering with effects of chondrodegradative cytokines in the synovial fluid. Although in vitro and in vivo effectiveness of several of these therapies has been demonstrated, clinical effectiveness remains disputable, which may be related to the low levels of inflammatory cytokines found in osteoarthritic joints. By contrast, directly after joint trauma, which has been shown to predispose to early osteoarthritis, synovial fluid cytokine levels are strongly increased. Cytokine-modulating therapies, however, have hardly been considered for this indication. Increased knowledge of intra-articular soluble mediators correlating with cartilage pathology will lead to further development of cytokine-modulating products and, eventually, to effective inhibition of cartilage degeneration, in both the osteoarthritic as well as injured joints.

journal_name

Immunotherapy

journal_title

Immunotherapy

authors

Rutgers M,Saris DB,Yang KG,Dhert WJ,Creemers LB

doi

10.2217/imt.09.14

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

435-45

issue

3

eissn

1750-743X

issn

1750-7448

journal_volume

1

pub_type

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