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蜂蜜中生物活性化合物治疗骨关节炎的潜力

Therapeutic Potential of Bioactive Compounds in Honey for Treating Osteoarthritis.

作者信息

Martinez-Armenta Carlos, Camacho-Rea María Carmen, Martínez-Nava Gabriela Angélica, Espinosa-Velázquez Rocio, Pineda Carlos, Gomez-Quiroz Luis Enrique, López-Reyes Alberto

机构信息

Posgrado en Biología Experimental, Dirección de Ciencias Biológicas y de La Salud (DCBS), Universidad Autónoma Metropolitana Iztapalapa, Ciudad de México, Mexico.

Departamento de Nutrición Animal, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico.

出版信息

Front Pharmacol. 2021 Apr 21;12:642836. doi: 10.3389/fphar.2021.642836. eCollection 2021.

Abstract

Dysregulation of joint tissue homeostasis induces articular degenerative changes and musculoskeletal diseases such as osteoarthritis. This pathology represents the first cause of motor disability in individuals over 60 years of age, impacting their quality of life and the costs of health systems. Nowadays, pharmacological treatments for cartilage disease have failed to achieve full tissue regeneration, resulting in a functional loss of the joint; therefore, joint arthroplasty is the gold standard procedure to cure this pathology in severe cases of Osteoarthritis. A different treatment is the use of anti-inflammatory drugs which mitigate pain and inflammation in some degree, but without significant inhibition of disease progression. In this sense, new therapeutic alternatives based on natural compounds have been proposed to delay osteoarthritis progression, particularly those agents that regulate articular homeostasis. Preclinical studies have shown a therapeutic application of honey and its bioactive compounds, ranging from treating wounds, coughs, skin infections, and are also used as a biological stimulant by exerting antioxidant and anti-inflammatory properties. In this article, we reviewed the current medicinal applications of honey with particular emphasis on its use regulating articular homeostasis by inhibiting inflammation and oxidative stress.

摘要

关节组织稳态失调会引发关节退行性变化以及肌肉骨骼疾病,如骨关节炎。这种病理状况是60岁以上人群运动功能障碍的首要原因,影响着他们的生活质量以及卫生系统的成本。如今,针对软骨疾病的药物治疗未能实现完全的组织再生,导致关节功能丧失;因此,关节置换术是治疗严重骨关节炎病例的金标准手术。另一种治疗方法是使用抗炎药物,这类药物在一定程度上可减轻疼痛和炎症,但对疾病进展的抑制作用并不显著。从这个意义上讲,基于天然化合物的新治疗方案已被提出,以延缓骨关节炎的进展,特别是那些调节关节稳态的药物。临床前研究表明,蜂蜜及其生物活性化合物具有治疗作用,范围涵盖治疗伤口、咳嗽、皮肤感染,还因其具有抗氧化和抗炎特性而被用作生物刺激剂。在本文中,我们综述了蜂蜜目前的药用应用,特别强调其通过抑制炎症和氧化应激来调节关节稳态的用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b17a/8097136/9d6062b21df9/fphar-12-642836-g001.jpg

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