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骨关节炎中素食氨基葡萄糖与甲壳类氨基葡萄糖的比较:临床实践中如何选择正确的一种。

Vegan Glucosamine versus Crustacean Glucosamine in Osteoarthritis: Choosing the Correct One During Clinical Practice.

作者信息

Verma Hitesh

机构信息

Biofern Life Sciences Pvt Ltd, Vemgal Industrial Area, Kolar District, Karnataka, India.

出版信息

Mediterr J Rheumatol. 2024 Apr 23;35(2):207-209. doi: 10.31138/mjr.201223.vgv. eCollection 2024 Jun.

Abstract

The present commentary critically evaluates the role of glucosamine in joint health, specifically exploring the potential of vegan glucosamine as an alternative of crustacean glucosamine. While acknowledging glucosamine's established benefits in managing osteoarthritis, this commentary underscores concern regarding the limited data supporting the clinical use of vegan glucosamine. Methodological flaws in the bioequivalence study, lax quality parameters, and the absence of safety data for E. coli-derived vegan glucosamine are highlighted. The commentary calls for caution in endorsing vegan glucosamine for osteoarthritis patients, stressing the need for further research and a thorough evaluation of its efficacy and safety before widespread clinical adoption.

摘要

本评论批判性地评估了氨基葡萄糖在关节健康中的作用,特别探讨了纯素氨基葡萄糖作为甲壳类氨基葡萄糖替代品的潜力。在承认氨基葡萄糖在治疗骨关节炎方面已有的益处的同时,本评论强调了对支持纯素氨基葡萄糖临床应用的数据有限的担忧。突出了生物等效性研究中的方法缺陷、宽松的质量参数以及大肠杆菌衍生的纯素氨基葡萄糖缺乏安全性数据的问题。该评论呼吁在向骨关节炎患者推荐纯素氨基葡萄糖时要谨慎,强调在广泛临床应用之前需要进一步研究并对其疗效和安全性进行全面评估。

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Glucosamine sulphate: an umbrella review of health outcomes.硫酸葡萄糖胺:健康结局的综合评价
Ther Adv Musculoskelet Dis. 2020 Dec 26;12:1759720X20975927. doi: 10.1177/1759720X20975927. eCollection 2020.
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Categories and biomanufacturing methods of glucosamine.氨基葡萄糖的分类和生物制造方法。
Appl Microbiol Biotechnol. 2019 Oct;103(19):7883-7889. doi: 10.1007/s00253-019-10084-x. Epub 2019 Aug 22.
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Review article: Glucosamine.综述文章:葡萄糖胺。
J Orthop Surg (Hong Kong). 2009 Apr;17(1):72-6. doi: 10.1177/230949900901700116.
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Do shrimp-allergic individuals tolerate shrimp-derived glucosamine?
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J Allergy Clin Immunol. 2004 Aug;114(2):459-60. doi: 10.1016/j.jaci.2004.05.050.

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