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Glucosamine and Chondroitin Sulfate: Is There Any Scientific Evidence for Their Effectiveness as Disease-Modifying Drugs in Knee Osteoarthritis Preclinical Studies?-A Systematic Review from 2000 to 2021.

作者信息

Fernández-Martín Silvia, González-Cantalapiedra Antonio, Muñoz Fernando, García-González Mario, Permuy María, López-Peña Mónica

机构信息

Anatomy, Animal Production and Veterinary Clinical Sciences Department, Veterinary Faculty, Campus Universitario s/n, Universidade de Santiago de Compostela, 27002 Lugo, Spain.

Ibonelab S.L., Laboratory of Biomaterials, Avda. da Coruña, 500 (CEI-NODUS), 27003 Lugo, Spain.

出版信息

Animals (Basel). 2021 May 29;11(6):1608. doi: 10.3390/ani11061608.


DOI:10.3390/ani11061608
PMID:34072407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8228516/
Abstract

Glucosamine and chondroitin sulfate have been proposed due to their physiological and functional benefits in the management of osteoarthritis in companion animals. However, the scientific evidence for their use is still controversial. The purpose of this review was to critically elucidate the efficacy of these nutraceutical therapies in delaying the progression of osteoarthritis, evaluating their impact on the synovial knee joint tissues and biochemical markers in preclinical studies by systematically reviewing the last two decades of peer-reviewed publications on experimental osteoarthritis. Three databases (PubMed, Scopus and, Web of Science) were screened for eligible studies. Twenty-two articles were included in the review. Preclinical studies showed a great heterogeneity among the experimental designs and their outcomes. Generally, the evaluated nutraceuticals, alone or in combination, did not seem to prevent the subchondral bone changes, the synovial inflammation or the osteophyte formation. However, further experimental studies may be needed to evaluate their effect at those levels. Regarding the cartilage status and biomarkers, positive responses were identified in approximately half of the evaluated articles. Furthermore, beneficial effects were associated with the pre-emptive administrations, higher doses and, multimodality approaches with some combined therapies. However, additional studies in the long term and with good quality and systematic design are required.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/387bf1e67e5e/animals-11-01608-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/cedb05dbe2e8/animals-11-01608-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/b48daf69a51e/animals-11-01608-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/387bf1e67e5e/animals-11-01608-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/cedb05dbe2e8/animals-11-01608-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/b48daf69a51e/animals-11-01608-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8228516/387bf1e67e5e/animals-11-01608-g003.jpg

相似文献

[1]
Glucosamine and Chondroitin Sulfate: Is There Any Scientific Evidence for Their Effectiveness as Disease-Modifying Drugs in Knee Osteoarthritis Preclinical Studies?-A Systematic Review from 2000 to 2021.

Animals (Basel). 2021-5-29

[2]
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[3]
The combined therapy with chondroitin sulfate plus glucosamine sulfate or chondroitin sulfate plus glucosamine hydrochloride does not improve joint damage in an experimental model of knee osteoarthritis in rabbits.

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[4]
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[5]
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Curr Med Res Opin. 2013-1-31

[6]
What is the current status of chondroitin sulfate and glucosamine for the treatment of knee osteoarthritis?

Maturitas. 2014-7

[7]
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[8]
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引用本文的文献

[1]
Pharmacist-Driven Chondroprotection in Osteoarthritis: A Multifaceted Approach Using Patient Education, Information Visualization, and Lifestyle Integration.

Pharmacy (Basel). 2025-8-1

[2]
Targeted therapy for knee osteoarthritis: From basic to clinics.

Medicine (Baltimore). 2025-8-15

[3]
Thick or Thin? Implications of Cartilage Architecture for Osteoarthritis Risk in Sedentary Lifestyles.

Biomedicines. 2025-7-6

[4]
A Nutritional Supplement Containing Curcumin C3 Complex, Glucosamine, and Chondroitin Alleviates Osteoarthritis in Mice and Canines.

Vet Sci. 2025-5-12

[5]
The causal impact of bioavailable testosterone levels on osteoarthritis: a bidirectional Mendelian randomized study.

BMC Musculoskelet Disord. 2025-4-21

[6]
Cathepsin K Inhibitors as Potential Drugs for the Treatment of Osteoarthritis.

Int J Mol Sci. 2025-3-22

[7]
Rethinking Osteoarthritis Management: Synergistic Effects of Chronoexercise, Circadian Rhythm, and Chondroprotective Agents.

Biomedicines. 2025-3-1

[8]
Regulation of senescence-associated secretory phenotypes in osteoarthritis by cytosolic UDP-GlcNAc retention and O-GlcNAcylation.

Nat Commun. 2025-2-4

[9]
Effects of adding glucosamine or glucosamine combined with chondroitin to exercise on pain and physical function in adults with knee osteoarthritis: a systematic review and meta-analysis.

Eur J Transl Myol. 2023-11-23

[10]
A Review of Cyclic Phosphatidic Acid and Other Potential Therapeutic Targets for Treating Osteoarthritis.

Biomedicines. 2023-10-14

本文引用的文献

[1]
Bisphosphonates as disease-modifying drugs in osteoarthritis preclinical studies: a systematic review from 2000 to 2020.

Arthritis Res Ther. 2021-2-22

[2]
Radiological prevalence of osteoarthritis of the cervical region in 104 performing Warmblood jumpers.

Equine Vet J. 2021-9

[3]
The ARRIVE guidelines 2.0: Updated guidelines for reporting animal research.

PLoS Biol. 2020-7-14

[4]
Sex Specific Determinants in Osteoarthritis: A Systematic Review of Preclinical Studies.

Int J Mol Sci. 2020-5-24

[5]
Intra-Articular Hyaluronic Acid and Chondroitin Sulfate: Pharmacokinetic Investigation in Osteoarthritic Rat Models.

Curr Ther Res Clin Exp. 2019-12-9

[6]
Protective effect of glucosamine and risedronate (alone or in combination) against osteoarthritic changes in rat experimental model of immobilized knee.

Anat Cell Biol. 2019-12

[7]
Systemic drugs with impact on osteoarthritis.

Drug Metab Rev. 2019-11-15

[8]
Evaluation of Chondroprotective Activity of Channa striatus in Rabbit Osteoarthritis Model.

Biomed Res Int. 2019-7-3

[9]
The Effects of Glucosamine and Chondroitin Sulfate on Gut Microbial Composition: A Systematic Review of Evidence from Animal and Human Studies.

Nutrients. 2019-1-30

[10]
Expression level of proteoglycan, collagen and type II collagen in osteoarthritis rat model is promoted and degradation of cartilage is prevented by glucosamine methyl ester.

Eur Rev Med Pharmacol Sci. 2018-6

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