Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective

Charcot neuroarthropathy (CN) is a chronic, destructive, and painless damage of the skeletal system that affects the life quality of patients. CN, with an unclear mechanism, is characterized with invasive destruction of bones and a serious abnormality of bone metabolism. Unfortunately, development o...

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Main Authors: Liang Liu, Qiong Wang, Yan Zhang, Jingqi Liang, Peilong Liu, Hongmou Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1160278/full
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author Liang Liu
Qiong Wang
Yan Zhang
Jingqi Liang
Peilong Liu
Hongmou Zhao
author_facet Liang Liu
Qiong Wang
Yan Zhang
Jingqi Liang
Peilong Liu
Hongmou Zhao
author_sort Liang Liu
collection DOAJ
description Charcot neuroarthropathy (CN) is a chronic, destructive, and painless damage of the skeletal system that affects the life quality of patients. CN, with an unclear mechanism, is characterized with invasive destruction of bones and a serious abnormality of bone metabolism. Unfortunately, development of an effective prevention and treatment strategy for CN is still a great challenge. Of note, recent studies providing an insight into the molecular mechanisms of bone metabolism and homeostasis have propelled development of novel CN therapeutic strategies. Therefore, this review aims to shed light on the pathogenesis, diagnosis, and treatment of CN. In particular, we highlight the eminent role of the osteoprotegerin (OPG)-receptor activator of nuclear factor-κB (RANK)-RANK ligand (RANKL) system in the development of CN. Furthermore, we summarize and discuss the diagnostic biomarkers of CN as well as the potential pharmacological mechanisms of current treatment regimens from the perspective of bone metabolism. We believe that this review will enhance the current state of knowledge on the diagnosis, prevention, and therapeutic efficacy of CN.
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spelling doaj.art-43048aae87d044a882b73429d35c97172023-04-12T07:52:16ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-04-011410.3389/fphar.2023.11602781160278Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspectiveLiang LiuQiong WangYan ZhangJingqi LiangPeilong LiuHongmou ZhaoCharcot neuroarthropathy (CN) is a chronic, destructive, and painless damage of the skeletal system that affects the life quality of patients. CN, with an unclear mechanism, is characterized with invasive destruction of bones and a serious abnormality of bone metabolism. Unfortunately, development of an effective prevention and treatment strategy for CN is still a great challenge. Of note, recent studies providing an insight into the molecular mechanisms of bone metabolism and homeostasis have propelled development of novel CN therapeutic strategies. Therefore, this review aims to shed light on the pathogenesis, diagnosis, and treatment of CN. In particular, we highlight the eminent role of the osteoprotegerin (OPG)-receptor activator of nuclear factor-κB (RANK)-RANK ligand (RANKL) system in the development of CN. Furthermore, we summarize and discuss the diagnostic biomarkers of CN as well as the potential pharmacological mechanisms of current treatment regimens from the perspective of bone metabolism. We believe that this review will enhance the current state of knowledge on the diagnosis, prevention, and therapeutic efficacy of CN.https://www.frontiersin.org/articles/10.3389/fphar.2023.1160278/fullbone metabolismCharcot neuroarthropathypharmacologyRANKLtherapeutics
spellingShingle Liang Liu
Qiong Wang
Yan Zhang
Jingqi Liang
Peilong Liu
Hongmou Zhao
Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective
Frontiers in Pharmacology
bone metabolism
Charcot neuroarthropathy
pharmacology
RANKL
therapeutics
title Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective
title_full Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective
title_fullStr Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective
title_full_unstemmed Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective
title_short Therapeutics of Charcot neuroarthropathy and pharmacological mechanisms: A bone metabolism perspective
title_sort therapeutics of charcot neuroarthropathy and pharmacological mechanisms a bone metabolism perspective
topic bone metabolism
Charcot neuroarthropathy
pharmacology
RANKL
therapeutics
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1160278/full
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