Academic Journal
Endocrine‑metabolic imbalance drives osteoarthritis: From whole‑joint pathobiology to precision therapy (Review).
| Τίτλος: | Endocrine‑metabolic imbalance drives osteoarthritis: From whole‑joint pathobiology to precision therapy (Review). |
|---|---|
| Συγγραφείς: | Yang R; Department of Rehabilitation Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P.R. China., Zeng H; Department of Rehabilitation Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P.R. China., Xiao Q; Department of Rehabilitation Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P.R. China., Xie Y; Department of Rehabilitation Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P.R. China., Long Y; Department of Rehabilitation Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P.R. China., Chen X; Department of Rehabilitation Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, P.R. China. |
| Πηγή: | International journal of molecular medicine [Int J Mol Med] 2026 Sep; Vol. 58 (3). Date of Electronic Publication: 2026 Jul 10. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: D.A. Spandidos Country of Publication: Greece NLM ID: 9810955 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1791-244X (Electronic) Linking ISSN: 11073756 NLM ISO Abbreviation: Int J Mol Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Athens, Greece : D.A. Spandidos, [1998- |
| Ιατρικοί όροι (MeSH): | Osteoarthritis*/metabolism , Osteoarthritis*/pathology , Osteoarthritis*/therapy , Joints*/pathology , Joints*/metabolism , Precision Medicine*, Humans ; Animals |
| Περίληψη: | Osteoarthritis (OA) is a chronic degenerative joint disease closely associated with aging and metabolic dysfunction, characterized by cartilage degeneration, synovial inflammation, aberrant subchondral bone remodeling, pain and progressive functional impairment. Beyond mechanical loading, accumulating evidence indicates that OA is increasingly recognized as a whole‑joint disorder shaped by the interplay between local tissue damage and systemic endocrine‑metabolic imbalance. Endocrine factors, including sex hormones, thyroid hormone, melatonin, parathyroid hormone and vitamin D, together with metabolic disturbances, such as obesity, insulin resistance, dysregulated glucose and lipid metabolism and gut microbiota imbalances, can cooperatively remodel the joint microenvironment. Mechanistically, these alterations converge on immuno‑inflammatory amplification, mitochondrial dysfunction, oxidative stress, cellular senescence, metabolic reprogramming and regulated cell death, thereby promoting extracellular matrix degradation, persistent synovitis and uncoupled bone‑cartilage remodeling. The present review systematically summarizes the molecular basis of endocrine‑metabolic crosstalk in OA and discusses emerging therapeutic opportunities targeting hormonal signaling, metabolic pathways, circadian regulation, nutritional support and lifestyle interventions. Nevertheless, the reciprocal interactions among endocrine signals, systemic metabolic abnormalities and local joint pathology remain incompletely understood, and their translation into mechanism‑based clinical stratification remains at an early stage. Thus, targeting endocrine‑metabolic crosstalk may support mechanism‑based phenotyping and subtype‑informed precision therapy for OA, provided that candidate biomarkers and interventions are validated in prospective clinical studies. |
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| Contributed Indexing: | Keywords: endocrine‑metabolic crosstalk; hormonal regulation; joint microenvironment; metabolic dysfunction; osteoarthritis; precision medicine |
| Entry Date(s): | Date Created: 20260710 Date Completed: 20260710 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13378586 |
| DOI: | 10.3892/ijmm.2026.5923 |
| PMID: | 42429052 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1791-244X |
|---|---|
| DOI: | 10.3892/ijmm.2026.5923 |