TY - JOUR
T1 - Which elements are involved in reversible and irreversible cartilage degradation in osteoarthritis?
AU - Bay-Jensen, Anne-Christine
AU - Hoegh-Madsen, Suzi
AU - Dam, Erik
AU - Henriksen, Kim
AU - Sondergaard, Bodil Cecillie
AU - Pastoureau, Philippe
AU - Qvist, Per
AU - Karsdal, Morten A
PY - 2010/2
Y1 - 2010/2
N2 - Osteoarthritis (OA) is a disease of the entire joint. Different treatment strategies for OA have been proposed and tested clinically without the desired efficacy. One reason for the scarcity of current chondroprotective agents may be the insufficient understanding of the patho-physiology of the joint and whether the joint damage is reversible or irreversible. In this review, we compile emerging data on cellular and pathological aspects of OA, and ask whether these data could give clue to when cartilage degradation is reversible and whether a point-of-no-return exists. We highlight different stages of OA, and speculate whether different intervention strategies (e.g. DMOAD vs. SMOADs) may only be efficacious at distinct stages of OA.
AB - Osteoarthritis (OA) is a disease of the entire joint. Different treatment strategies for OA have been proposed and tested clinically without the desired efficacy. One reason for the scarcity of current chondroprotective agents may be the insufficient understanding of the patho-physiology of the joint and whether the joint damage is reversible or irreversible. In this review, we compile emerging data on cellular and pathological aspects of OA, and ask whether these data could give clue to when cartilage degradation is reversible and whether a point-of-no-return exists. We highlight different stages of OA, and speculate whether different intervention strategies (e.g. DMOAD vs. SMOADs) may only be efficacious at distinct stages of OA.
KW - Antirheumatic Agents
KW - Cartilage, Articular
KW - Disease Progression
KW - Humans
KW - Joints
KW - Osteoarthritis
KW - Recovery of Function
KW - Journal Article
KW - Review
U2 - 10.1007/s00296-009-1183-1
DO - 10.1007/s00296-009-1183-1
M3 - Review
C2 - 19816688
SN - 0172-8172
VL - 30
SP - 435
EP - 442
JO - Rheumatology International
JF - Rheumatology International
IS - 4
ER -