Progress of researches on acupuncture-moxibustion treatment of cartilage damage of osteoarthritis

Cartilage damage is the key pathological mechanism in the progressive development of osteoarthritis(OA). Slowing down cartilage damage and accelerating cartilage repair are strategies for effective treatment of OA. Acupuncture and moxibustion therapies are widely used in relieving symptoms of OA and have a protective effect on cartilage. In this paper, we reviewed the mechanisms of acupuncture and moxibustion underlying relieving cartilage damage from three aspects: 1) promoting chondrocyte homeostasis by inhibiting apoptosis and improving cellular autophagy, 2) regulating extracellular matrix (ECM) metabolism (inhibiting decomposition and promoting synthesis) by suppressing the release of inflammatory factors and the activity of proteolytic enzymes, and 3) improving OA microenvironment by reducing the number of macrophagocyte 1 (M1) and increasing the ratio of M2/M1 in the local inflammatory locus. In addition, most studies on the mechanisms of acupuncture and moxibustion underlying remission of OA focus on the improvement of pathological changes, such as joint histopathology, cartilage morphology, synovial inflammatory reaction and infiltration, subchondral bone remodeling, etc., thus, the exact functions of acupuncture and moxibustion in ameliorating cartilage injury remain unknown. In view of the important role of mitochondrial dysfunction in promoting OA development and cartilage damage and the current use of tissue engineering methods of chondrocytes and mesenchymal stem cells to repair articular cartilage injury, it is highly recommended that future studies should pay more attention to these aspects.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

Zhen ci yan jiu = Acupuncture research - 47(2022), 9 vom: 25. Sept., Seite 837-42

Sprache:

Chinesisch

Beteiligte Personen:

Li, Yuan [VerfasserIn]
Xu, Yuan [VerfasserIn]
Chen, Bo [VerfasserIn]
Xu, Zhi-Fang [VerfasserIn]
Wang, Shen-Jun [VerfasserIn]
Fang, Yu-Xin [VerfasserIn]
Liu, Yang-Yang [VerfasserIn]
Chen, Ze-Lin [VerfasserIn]
Guo, Yong-Ming [VerfasserIn]
Guo, Yi [VerfasserIn]

Links:

Volltext

Themen:

Acupuncture and moxibustion
Cartilage damage
EC 3.4.-
Journal Article
Microenvironment of osteoarthritis
Mitochondrial dysfunction
Osteoarthritis
Peptide Hydrolases
Review

Anmerkungen:

Date Completed 28.09.2022

Date Revised 28.09.2022

published: Print

Citation Status MEDLINE

doi:

10.13702/j.1000-0607.20210750

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346697352