期刊
WORLD JOURNAL OF ORTHOPEDICS
卷 5, 期 3, 页码 319-327出版社
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.5312/wjo.v5.i3.319
关键词
Osteoarthritis; Adipokines; Biomarker; Obesity; Adipose tissue
类别
资金
- Ratchadaphiseksomphot Endowment Fund
- Chulalongkorn University, Ratchadapiseksompotch Fund
- Faculty of Medicine, Chulalongkorn University, Thailand Research Fund
- Commission of Higher Education
Osteoarthritis (OA) is one of the most common degenerative joint diseases in aging population. Obesity is an important risk factor for initiation and progression of OA. It is accepted that excess body weight may lead to cartilage degeneration by increasing the mechanical forces across weight-bearing joints. However, emerging data suggest that additional metabolic factors released mainly by white adipose tissue may also be responsible for the high prevalence of OA among obese people. Adipocyte-derived molecules ''adipokines'' have prompt much interest in OA pathophysiological research over the past decade since they play an important role in cartilage and bone homeostasis. Therefore, the aim of this review is to summarize the current knowledge on the role of adipokines including leptin, adiponectin, visfatin and resistin in OA and their potential to be used as biomarkers for earlier diagnosis, classifying disease severity, monitoring disease progression, and testing pharmacological interventions for OA. In OA patients, leptin, visfatin and resistin showed increased production whereas adiponectin showed decreased production. Leptin and adiponectin are far more studied than visfatin and resistin. Importantly, altered adipokine levels also contribute to a wide range of diseases. Further experiments are still crucial for understanding the relationship between adipokines and OA. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
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