Table 3.
Strategies for the treatment of OA pain targeting neuroimmunity.
Targets | Promising Therapeutic Measures | |
---|---|---|
Immune Cells | Macrophages | Inhibition of M1 polarization and induction of M2 polarization within the joint and DRG [35,27]. |
Neutrophils | Neutralizing NE in the joint [81]. | |
T cells | Inhibition of Th17 cell differentiation [82]. Induction of Treg cell differentiation [83]. |
|
Neuronal Surface Receptors | TrkA | Blocking the binding of NGF to TrkA [84]. |
TLRs | Inhibition of TLRs activation [71]. | |
TRPV1 | Injection of high-purity synthetic trans-capsaicin into the joint [85]. |
OA, osteoarthritis; TrkA, tropomyosin receptor kinase A; TLRs, toll-like receptors; TRPV1, transient receptor potential vanilloid 1; DRG, dorsal root ganglion; NE, neutrophil elastase; Th17, T-helper 17; Treg cell, regulatory T cell; NGF, nerve growth factor.