Osteoarthritis: Role of Peroxisome Proliferator-Activated Receptors

Int J Mol Sci. 2023 Aug 24;24(17):13137. doi: 10.3390/ijms241713137.

Abstract

Osteoarthritis (OA) represents the foremost degenerative joint disease observed in a clinical context. The escalating issue of population aging significantly exacerbates the prevalence of OA, thereby imposing an immense annual economic burden on societies worldwide. The current therapeutic landscape falls short in offering reliable pharmaceutical interventions and efficient treatment methodologies to tackle this growing problem. However, the scientific community continues to dedicate significant efforts towards advancing OA treatment research. Contemporary studies have discovered that the progression of OA may be slowed through the strategic influence on peroxisome proliferator-activated receptors (PPARs). PPARs are ligand-activated receptors within the nuclear hormone receptor family. The three distinctive subtypes-PPARα, PPARβ/δ, and PPARγ-find expression across a broad range of cellular terminals, thus managing a multitude of intracellular metabolic operations. The activation of PPARγ and PPARα has been shown to efficaciously modulate the NF-κB signaling pathway, AP-1, and other oxidative stress-responsive signaling conduits, leading to the inhibition of inflammatory responses. Furthermore, the activation of PPARγ and PPARα may confer protection to chondrocytes by exerting control over its autophagic behavior. In summation, both PPARγ and PPARα have emerged as promising potential targets for the development of effective OA treatments.

Keywords: PPAR; chondrocytes; osteoarthritis; peroxisome proliferator-activated receptors.

Publication types

  • Review

MeSH terms

  • Humans
  • Osteoarthritis* / drug therapy
  • PPAR alpha
  • PPAR delta*
  • PPAR gamma / genetics
  • PPAR-beta*

Substances

  • PPAR gamma
  • PPAR alpha
  • PPAR-beta
  • PPAR delta

Grants and funding

This research was continuously funded by the National Natural Science Foundation of China (No. 82172432; 82001319 and 82102568), the National & Local Joint Engineering Research Center of Orthopaedic Biomaterials (XMHT20190204007), the Shenzhen Key Laboratory of Orthopedic Diseases and Biomaterials Research (ZDSYS20220606100602005), the Shenzhen Key Medical Discipline Construction Fund (No. SZXK023), the Shenzhen “San-Ming” Project of Medicine (No. SZSM201612092), the Research and Development Projects of Shenzhen (No. Z2021N054), and the Shenzhen Science and Technology Program (No. JCYJ20210324110214040 and JCYJ20190809152409606).