Targeting Ubiquitin-Proteasome system (UPS) in treating osteoarthritis

Wong, Pooi-Fong and Kamarul, Tunku (2025) Targeting Ubiquitin-Proteasome system (UPS) in treating osteoarthritis. European Journal of Pharmacology, 989. p. 177237. ISSN 0014-2999, DOI https://doi.org/10.1016/j.ejphar.2024.177237.

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Official URL: https://doi.org/10.1016/j.ejphar.2024.177237

Abstract

Despite osteoarthritis (OA) being recognised for over a century as a debilitating disease that affects millions, there are huge gaps in our understanding of the underlying pathophysiology that drives this disease. Present day studies that focussed on ubiquitination (Ub) and ubiquitylation-like (Ubl) modification related mechanisms have brought light into the possibility of attenuating OA development by targeting these specific proteins in chondrocytes. In the present review, we discuss recent advances in studies involving Ub ligases and deubiquitinating enzymes (DUBs) which are of importance in the development of OA, and may offer potential therapeutic strategies for OA. Such targets may involve attenuating proteases such as matrix metalloproteinases (MMP) 1, 8, 13, 4 and several A Disintegrin and Metalloproteinase with Thrombospondin Motifs (ADAMTS) that are well known for their roles in cartilage breakdown. Ligases such as ubiquitin-conjugating enzymes (E2) and ubiquitin-ligating enzymes (E3) that are involved in extracellular matrix (ECM) degradation in OA and of their pathogenesis would be discussed. In addition to catabolic and degenerative downstream effects of Ub and DUBs in OA, inflammatory mechanisms most notably involving nuclear factor-kappa B (NF-kappa B) signalling pathways regulated through Ub and using various targeting molecules would also be highlighted. Challenges, gaps and insights from clinical trials will provide valuable guidance for future investigations on targeting ubiquitin-proteosome system (UPS) as a therapeutic option for OA.

Item Type: Article
Funders: Fundamental Research Grant Scheme of The Ministry of Higher Education Malaysia (FRGS/1/2022/SKK06/UM/01/2) ; (FP009-2022)
Uncontrolled Keywords: Cartilage degeneration; Deubiquitination; Ligases; Proteostasis; Ubiquitin; Therapeutics
Subjects: R Medicine > RM Therapeutics. Pharmacology
R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Medicine
Faculty of Medicine > Orthopaedic Surgery Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Mar 2025 07:51
Last Modified: 14 Mar 2025 01:01
URI: http://eprints.um.edu.my/id/eprint/47722

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