Sirše Mateja
Department of Orthopaedics, University Medical Centre Maribor, Ljubljanska Street 5, 2000 Maribor, Slovenia.
Life (Basel). 2022 Mar 16;12(3):436. doi: 10.3390/life12030436.
Osteoarthritis is a common crippling and degenerative disease resulting in irreversible functional changes due to damage of the cartilage and other tissues of the joint. With limited safe and effective pharmaceutical treatments, the demand and use for alternative therapeutic approaches with symptomatic relief for OA patients have increased. Clinical, pre-clinical, and in vitro studies have demonstrated that polyphenols can exert pain-relieving symptoms coupled with increased functional capacity in OA models. This review will highlight studies carried out in the last five years to define the efficacies and underlying mechanisms in polyphenols such as quercetin, resveratrol, curcumin, epigallocatechin-3-gallate, rosmarinic acid, genistein, ginger, berries, silver fir, pine bark, and . Most of these studies indicate that polyphenols exhibit their beneficial roles through regulating changes at the biochemical and molecular levels, inducing or inhibiting various signaling pathways related to inflammation and oxidative stress. Polyphenols have also been implicated in modulating microRNA at the posttranscriptional level to counteract OA pathogenesis.
骨关节炎是一种常见的致残性退行性疾病,由于关节软骨和其他组织受损,会导致不可逆转的功能变化。由于安全有效的药物治疗有限,对骨关节炎患者有症状缓解作用的替代治疗方法的需求和使用有所增加。临床、临床前和体外研究表明,多酚类物质在骨关节炎模型中可发挥缓解疼痛的症状,并提高功能能力。本综述将重点介绍过去五年开展的研究,以确定槲皮素、白藜芦醇、姜黄素、表没食子儿没食子酸酯、迷迭香酸、染料木黄酮、生姜、浆果、银冷杉、松树皮等多酚类物质的功效及潜在机制。这些研究大多表明,多酚类物质通过调节生化和分子水平的变化、诱导或抑制与炎症和氧化应激相关的各种信号通路来发挥其有益作用。多酚类物质还被认为在转录后水平调节微小RNA,以对抗骨关节炎的发病机制。