Mariano Alessia, Bigioni Irene, Misiti Francesco, Fattorini Luigi, Scotto D'Abusco Anna, Rodio Angelo
Department of Biochemical Sciences, Sapienza University of Rome, 00185 Rome, Italy.
Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy.
Curr Issues Mol Biol. 2022 Aug 5;44(8):3481-3495. doi: 10.3390/cimb44080240.
Osteoarthritis (OA), the most common joint disease, shows an increasing prevalence in the aging population in industrialized countries. OA is characterized by low-grade chronic inflammation, which causes degeneration of all joint tissues, such as articular cartilage, subchondral bone, and synovial membrane, leading to pain and loss of functionality. Erythrocytes, the most abundant blood cells, have as their primary function oxygen transport, which induces reactive oxygen species (ROS) production. For this reason, the erythrocytes have several mechanisms to counteract ROS injuries, which cause damage to lipids and proteins of the cell membrane. Oxidative stress and inflammation are highly correlated and are both causes of joint disorders. In the synovial fluid and blood of osteoarthritis patients, erythrocyte antioxidant enzyme expression is decreased. To date, OA is a non-curable disease, treated mainly with non-steroidal anti-inflammatory drugs and corticosteroids for a prolonged period of time, which cause several side effects; thus, the search for natural remedies with anti-inflammatory and antioxidant activities is always ongoing. In this review, we analyze several manuscripts describing the effect of traditional remedies, such as , and extracts, in the treatments of OA for their anti-inflammatory, analgesic, and antioxidant activity. The effects of such remedies have been studied both in in vitro and in vivo models, considering both joint cells and erythrocytes.
骨关节炎(OA)是最常见的关节疾病,在工业化国家的老年人口中患病率呈上升趋势。OA的特征是低度慢性炎症,可导致所有关节组织退化,如关节软骨、软骨下骨和滑膜,进而引起疼痛和功能丧失。红细胞是血液中数量最多的血细胞,其主要功能是运输氧气,这会诱导活性氧(ROS)的产生。因此,红细胞有多种机制来对抗ROS损伤,ROS会对细胞膜的脂质和蛋白质造成损害。氧化应激和炎症高度相关,且都是关节疾病的病因。在骨关节炎患者的滑液和血液中,红细胞抗氧化酶的表达会降低。迄今为止,OA是一种无法治愈的疾病,主要长期使用非甾体抗炎药和皮质类固醇进行治疗,这些药物会引发多种副作用;因此,人们一直在寻找具有抗炎和抗氧化活性的天然药物。在本综述中,我们分析了几篇描述传统药物(如[此处原文缺失具体药物名称]、[此处原文缺失具体药物名称]和[此处原文缺失具体药物名称]提取物)对OA治疗的抗炎、镇痛和抗氧化活性的手稿。这些药物的效果已在体外和体内模型中进行了研究,研究对象包括关节细胞和红细胞。