Cell Interplay in Osteoarthritis

Osteoarthritis (OA) is a common chronic disease and a significant health concern that needs to be urgently solved. OA affects the cartilage and entire joint tissues, including the subchondral bone, synovium, and infrapatellar fat pads. The physiological and pathological changes in these tissues affe...

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Main Authors: Zihao Li, Ziyu Huang, Lunhao Bai
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2021.720477/full
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author Zihao Li
Ziyu Huang
Lunhao Bai
author_facet Zihao Li
Ziyu Huang
Lunhao Bai
author_sort Zihao Li
collection DOAJ
description Osteoarthritis (OA) is a common chronic disease and a significant health concern that needs to be urgently solved. OA affects the cartilage and entire joint tissues, including the subchondral bone, synovium, and infrapatellar fat pads. The physiological and pathological changes in these tissues affect the occurrence and development of OA. Understanding complex crosstalk among different joint tissues and their roles in OA initiation and progression is critical in elucidating the pathogenic mechanism of OA. In this review, we begin with an overview of the role of chondrocytes, synovial cells (synovial fibroblasts and macrophages), mast cells, osteoblasts, osteoclasts, various stem cells, and engineered cells (induced pluripotent stem cells) in OA pathogenesis. Then, we discuss the various mechanisms by which these cells communicate, including paracrine signaling, local microenvironment, co-culture, extracellular vesicles (exosomes), and cell tissue engineering. We particularly focus on the therapeutic potential and clinical applications of stem cell-derived extracellular vesicles, which serve as modulators of cell-to-cell communication, in the field of regenerative medicine, such as cartilage repair. Finally, the challenges and limitations related to exosome-based treatment for OA are discussed. This article provides a comprehensive summary of key cells that might be targets of future therapies for OA.
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spelling doaj.art-43864a5a6c13433e976b0c8cfbcc388c2022-12-21T23:32:08ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2021-08-01910.3389/fcell.2021.720477720477Cell Interplay in OsteoarthritisZihao Li0Ziyu Huang1Lunhao Bai2Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, ChinaForeign Languages College, Shanghai Normal University, Shanghai, ChinaDepartment of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, ChinaOsteoarthritis (OA) is a common chronic disease and a significant health concern that needs to be urgently solved. OA affects the cartilage and entire joint tissues, including the subchondral bone, synovium, and infrapatellar fat pads. The physiological and pathological changes in these tissues affect the occurrence and development of OA. Understanding complex crosstalk among different joint tissues and their roles in OA initiation and progression is critical in elucidating the pathogenic mechanism of OA. In this review, we begin with an overview of the role of chondrocytes, synovial cells (synovial fibroblasts and macrophages), mast cells, osteoblasts, osteoclasts, various stem cells, and engineered cells (induced pluripotent stem cells) in OA pathogenesis. Then, we discuss the various mechanisms by which these cells communicate, including paracrine signaling, local microenvironment, co-culture, extracellular vesicles (exosomes), and cell tissue engineering. We particularly focus on the therapeutic potential and clinical applications of stem cell-derived extracellular vesicles, which serve as modulators of cell-to-cell communication, in the field of regenerative medicine, such as cartilage repair. Finally, the challenges and limitations related to exosome-based treatment for OA are discussed. This article provides a comprehensive summary of key cells that might be targets of future therapies for OA.https://www.frontiersin.org/articles/10.3389/fcell.2021.720477/fullcartilagesubchondral bonesynoviuminfrapatellar fat padstem cellexosome
spellingShingle Zihao Li
Ziyu Huang
Lunhao Bai
Cell Interplay in Osteoarthritis
Frontiers in Cell and Developmental Biology
cartilage
subchondral bone
synovium
infrapatellar fat pad
stem cell
exosome
title Cell Interplay in Osteoarthritis
title_full Cell Interplay in Osteoarthritis
title_fullStr Cell Interplay in Osteoarthritis
title_full_unstemmed Cell Interplay in Osteoarthritis
title_short Cell Interplay in Osteoarthritis
title_sort cell interplay in osteoarthritis
topic cartilage
subchondral bone
synovium
infrapatellar fat pad
stem cell
exosome
url https://www.frontiersin.org/articles/10.3389/fcell.2021.720477/full
work_keys_str_mv AT zihaoli cellinterplayinosteoarthritis
AT ziyuhuang cellinterplayinosteoarthritis
AT lunhaobai cellinterplayinosteoarthritis