Department of Pharmacology, Faculty of Pharmaceutical Sciences, Government College University, Faisalabad, Pakistan.
Department of Bio-Sciences, Faculty of Veterinary Sciences, Bahauddin Zakariya University, Multan, Pakistan.
Inflammopharmacology. 2024 Oct;32(5):3311-3326. doi: 10.1007/s10787-024-01537-5. Epub 2024 Aug 29.
Rheumatoid arthritis (RA) is characterized by inflammatory joint pathology leading to the degradation of articular bone and cartilage, primarily triggered by synovial inflammation, resulting in joint discomfort. The metacarpophalangeal and proximal interphalangeal joints are predominantly affected. Treatment typically involves a combination of biological and synthetic disease-modifying antirheumatic drugs (DAMARDs) alongside steroid therapy. The application of nanomedicine has been instrumental in enhancing treatment efficacy by facilitating controlled release of pharmacologically active compounds, thus augmenting bioavailability and enabling targeted drug delivery. Gingerol, a constituent of ginger, possesses multifaceted properties. including anti-inflammatory, anti-oxidant, antidiabetic, and antipyretic effects. In this study, gingerol-loaded poly(lactic-co-glycolic acid) (PLGA) nanoparticles (NPs), coated with chitosan, were administered orally to rats over a period of 21 days to address RA induced by complete Freund adjuvant (CFA). The rats were segregated into four experimental groups. Upon completion of the treatment regimen, blood samples were collected for the assessment of cyclooxygenase-2 (COX-2), RA factor, interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α). Subsequent gene expression analysis was conducted to evaluate the levels of interleukin-4 (IL-4), interleukin-17a (IL-17a), IL-6, interferon-gamma (INF-γ), TNF-α, interleukin-1 beta (IL-1β), osteoprotegerin (OPG), and receptor activator of nuclear factor kappa-B ligand (RANKL). Statistical analyses utilizing one-way ANOVA followed by Tukey tests were applied to the data. The gene expression profiling revealed significant disparities in mRNA levels of IL-1β, IL-6, IL-4, IL-17a, RANKL, INF-γ, and TNF-α between the CFA-induced arthritis group and the control group. Consequently, it was inferred that gingerol-loaded PLGA NPs coated with chitosan exhibited heightened therapeutic efficacy in addressing CFA-induced arthritis in rats.
类风湿性关节炎(RA)的特征是炎症性关节病理导致关节骨和软骨降解,主要由滑膜炎症引发,导致关节不适。掌指和近指间关节是主要受影响的关节。治疗通常包括生物和合成的疾病修饰抗风湿药物(DAMARDs)与类固醇治疗的联合应用。纳米医学的应用通过促进药理活性化合物的控制释放,从而提高生物利用度并实现靶向药物递送,在增强治疗效果方面发挥了重要作用。姜辣素是姜的一种成分,具有多方面的特性,包括抗炎、抗氧化、抗糖尿病和退热作用。在这项研究中,负载姜辣素的聚(乳酸-共-羟基乙酸)(PLGA)纳米颗粒(NPs),用壳聚糖包被,通过口服给予完全弗氏佐剂(CFA)诱导 RA 的大鼠,持续 21 天。将大鼠分为四个实验组。治疗方案完成后,采集血液样本以评估环氧化酶-2(COX-2)、RA 因子、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)。随后进行基因表达分析,以评估白细胞介素-4(IL-4)、白细胞介素-17a(IL-17a)、IL-6、干扰素-γ(INF-γ)、TNF-α、白细胞介素-1β(IL-1β)、骨保护素(OPG)和核因子 kappa-B 配体受体激活剂(RANKL)的水平。利用单因素方差分析(ANOVA)和 Tukey 检验对数据进行了统计分析。基因表达谱分析显示,CFA 诱导关节炎组和对照组之间的 IL-1β、IL-6、IL-4、IL-17a、RANKL、INF-γ和 TNF-α 的 mRNA 水平存在显著差异。因此,可以推断负载姜辣素的 PLGA NPs 用壳聚糖包被在治疗 CFA 诱导的大鼠关节炎方面具有更高的治疗效果。
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