An overview of molecular signaling pathways implicated in the progression of osteoarthritis
Keywords:
Osteoarthritis, angiogenesis, Matrix Metalloproteinases, Sclerostin, Fibroblast Growth Factors, TGF-β, Bone Morphogenetic Proteins, Notch signaling.Abstract
Background. Osteoarthritis (OA) is the most prevalent joint disease worldwide, causing chronic disability in older people. Various factors are associated with its pathogenesis, including aging, obesity, joint instability, and joint inflammation.
Objectives. Since the establishment of experimental murine models with surgically induced knee joint instability many studies have revealed the major molecules or signaling pathways responsible for OA. The aim of our study is to summarize the most important molecular pathways and the growth factors that are implicated in the pathophysiology of OA.
Results. Several in vitro and in vivo studies demonstrated that neovascularization, Matrix Metalloproteinases (MMPs) secretion, sclerostin as well as TGF-β -Bone Morphogenetic Proteins (BMPs), Fibroblast Growth Factors (FGFs) and Notch signaling pathways play important role in chondrocyte and osteochondral unit homeostasis and in the development and progression of OA.
Conclusions. However, more in vitro and in vivo studies focusing on the investigation of interactions between the growth factors and cytokines involved into the specific molecular networks that regulate the homeostasis of articular cartilage and OA pathogenesis is deemed necessary.
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