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双醋瑞因作为骨关节炎的病情缓解剂

Diacerein as a disease-modulating agent in osteoarthritis.

作者信息

Falgarone G, Dougados M

机构信息

René Descartes University, Cochin Hospital, Rheumatology B Department, 27 rue du Faubourg Saint Jacques, 75014 Paris, France.

出版信息

Curr Rheumatol Rep. 2001 Dec;3(6):479-83. doi: 10.1007/s11926-001-0061-y.

DOI:10.1007/s11926-001-0061-y
PMID:11709109
Abstract

This paper reviews the most recent clinical and experimental studies on diacerein, both of which are under investigation. Diacerein could be a disease-modulating agent in osteoarthritis because structural benefits have been reported in recent trials. Moreover, after an empirical use, studies return to the experimental field to understand the mechanism of action of this molecule. However, clinical trials using new sets of criteria could be conducted to estimate the structural modulating effect of diacerein; experimental studies must be performed to understand this effect.

摘要

本文综述了关于双醋瑞因的最新临床和实验研究,这两项研究均在进行中。双醋瑞因可能是骨关节炎的一种病情缓解剂,因为近期试验已报道其具有结构改善作用。此外,在经验性应用之后,研究又回到实验领域以了解该分子的作用机制。然而,可以采用新的标准进行临床试验来评估双醋瑞因的结构调节作用;必须开展实验研究以了解这种作用。

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本文引用的文献

1
Relevant change in radiological progression in patients with hip osteoarthritis. I. Determination using predictive validity for total hip arthroplasty.髋关节骨关节炎患者放射学进展的相关变化。I. 使用全髋关节置换术的预测效度进行测定。
Rheumatology (Oxford). 2002 Feb;41(2):142-7. doi: 10.1093/rheumatology/41.2.142.
2
Evaluation of the structure-modifying effects of diacerein in hip osteoarthritis: ECHODIAH, a three-year, placebo-controlled trial. Evaluation of the Chondromodulating Effect of Diacerein in OA of the Hip.双醋瑞因对髋骨关节炎结构改变作用的评估:ECHODIAH,一项为期三年的安慰剂对照试验。双醋瑞因对髋骨关节炎软骨调节作用的评估。
Arthritis Rheum. 2001 Nov;44(11):2539-47. doi: 10.1002/1529-0131(200111)44:11<2539::aid-art434>3.0.co;2-t.
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Clinical relevance of the plasminogen activator inhibitor type 1--a multifaceted proteolytic factor.1型纤溶酶原激活物抑制剂的临床相关性——一种多面性的蛋白水解因子。
Onkologie. 2001 Jun;24(3):238-44. doi: 10.1159/000055086.
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Diacerein suppresses the increase in plasma nitric oxide in rat adjuvant-induced arthritis.
Eur J Pharmacol. 2001 May 11;419(2-3):269-74. doi: 10.1016/s0014-2999(01)00990-6.
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Minimal clinically important difference in plain films in RA: group discussions, conclusions, and recommendations. OMERACT Imaging Task Force.
J Rheumatol. 2001 Apr;28(4):914-7.
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The effects of orally administered diacerein on cartilage and subchondral bone in an ovine model of osteoarthritis.口服双醋瑞因对绵羊骨关节炎模型软骨和软骨下骨的影响。
J Rheumatol. 2001 Apr;28(4):825-34.
7
Diacerein reduces the excess synthesis of bone remodeling factors by human osteoblast cells from osteoarthritic subchondral bone.双醋瑞因可减少骨关节炎软骨下骨的人成骨细胞过度合成骨重塑因子。
J Rheumatol. 2001 Apr;28(4):814-24.
8
Rhein, an active metabolite of diacerein, down-regulates the production of pro-matrix metalloproteinases-1, -3, -9 and -13 and up-regulates the production of tissue inhibitor of metalloproteinase-1 in cultured rabbit articular chondrocytes.大黄酸是双醋瑞因的活性代谢产物,在培养的兔关节软骨细胞中,它可下调基质金属蛋白酶-1、-3、-9和-13的生成,并上调金属蛋白酶组织抑制剂-1的生成。
Osteoarthritis Cartilage. 2001 Apr;9(3):257-63. doi: 10.1053/joca.2000.0383.
9
A novel microassay for the quantitation of the sulfated glycosaminoglycan content of histological sections: its application to determine the effects of Diacerhein on cartilage in an ovine model of osteoarthritis.一种用于定量组织学切片中硫酸化糖胺聚糖含量的新型微量测定法:其在确定双醋瑞因对骨关节炎绵羊模型软骨影响中的应用。
Osteoarthritis Cartilage. 2001 Apr;9(3):238-47. doi: 10.1053/joca.2000.0381.
10
Rhein, an active metabolite of diacerein, suppresses the interleukin-1alpha-induced proteoglycan degradation in cultured rabbit articular chondrocytes.大黄酸是双醋瑞因的一种活性代谢产物,可抑制白细胞介素-1α诱导的培养兔关节软骨细胞中蛋白聚糖的降解。
Jpn J Pharmacol. 2001 Jan;85(1):101-4. doi: 10.1254/jjp.85.101.