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姜黄素治疗骨关节炎的疗效与机制:一项范围综述

Efficacy and mechanisms of curcumin in the treatment of osteoarthritis: A scoping review.

作者信息

Ma Xiaodong, Zhao Wenjian, Yang Fan, Chin Kok-Yong

机构信息

Department of Traditional Chinese Medicine, Universiti Tunku Abdul Rahman, Kajang, Malaysia.

Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Malaysia; Department of Pathology, College of Basic Medicine, Xiangnan University, Chenzhou City, China.

出版信息

Biomol Biomed. 2025 Mar 7;25(4):761-785. doi: 10.17305/bb.2024.11045.

DOI:10.17305/bb.2024.11045
PMID:39720988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11959387/
Abstract

Osteoarthritis (OA) is a degenerative joint disease that primarily affects the elderly worldwide. It is characterized by local inflammation, which can be targeted therapeutically using natural anti-inflammatory compounds such as curcumin. This scoping review explores the therapeutic effects and mechanisms of curcumin in OA management. A total of 50 relevant original studies published in English were selected from PubMed, Web of Science, and Scopus using specific search strings, regardless of study type. These studies demonstrated curcumin's anti-inflammatory, protective, and anti-apoptotic effects on chondrocytes. Curcumin has been shown to stimulate chondrocyte proliferation and collagen production while inhibiting matrix metalloproteinase activity. These mechanisms contribute to curcumin's ability to alleviate pain and improve joint function in OA patients. While the findings highlight curcumin's potential in OA management, further research is needed to enhance its bioavailability and determine optimal formulations, dosages, and administration routes.

摘要

骨关节炎(OA)是一种退行性关节疾病,主要影响全球的老年人。其特征是局部炎症,可以使用姜黄素等天然抗炎化合物进行靶向治疗。本综述探讨了姜黄素在骨关节炎管理中的治疗效果和机制。使用特定检索词从PubMed、Web of Science和Scopus中总共筛选出50项以英文发表的相关原始研究,不考虑研究类型。这些研究证明了姜黄素对软骨细胞具有抗炎、保护和抗凋亡作用。姜黄素已被证明可以刺激软骨细胞增殖和胶原蛋白生成,同时抑制基质金属蛋白酶活性。这些机制有助于姜黄素减轻骨关节炎患者的疼痛并改善关节功能。虽然研究结果突出了姜黄素在骨关节炎管理中的潜力,但仍需要进一步研究以提高其生物利用度,并确定最佳配方、剂量和给药途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/f7fd5ce4febb/bb-2024-11045f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/d391b24896ae/bb-2024-11045f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/7eeef55eb357/bb-2024-11045f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/f7fd5ce4febb/bb-2024-11045f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/d391b24896ae/bb-2024-11045f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/7eeef55eb357/bb-2024-11045f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cba/11959387/f7fd5ce4febb/bb-2024-11045f3.jpg

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本文引用的文献

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Curcumin alleviates osteoarthritis in mice by suppressing osteoclastogenesis in subchondral bone via inhibiting NF-κB/JNK signaling pathway.姜黄素通过抑制 NF-κB/JNK 信号通路抑制软骨下骨破骨细胞生成缓解骨关节炎。
PLoS One. 2024 Sep 5;19(9):e0309807. doi: 10.1371/journal.pone.0309807. eCollection 2024.
2
Curcumin Alleviates Osteoarthritis Through the p38MAPK Pathway: Network Pharmacological Prediction and Experimental Confirmation.姜黄素通过p38丝裂原活化蛋白激酶途径减轻骨关节炎:网络药理学预测与实验验证
J Inflamm Res. 2024 Jul 26;17:5039-5056. doi: 10.2147/JIR.S459867. eCollection 2024.
3
Curcumin regulates autophagy through SIRT3-SOD2-ROS signaling pathway to improve quadriceps femoris muscle atrophy in KOA rat model.
姜黄素通过 SIRT3-SOD2-ROS 信号通路调节自噬以改善膝骨关节炎大鼠模型股四头肌萎缩。
Sci Rep. 2024 Apr 8;14(1):8176. doi: 10.1038/s41598-024-58375-2.
4
Association between traditional Chinese Medicine and osteoarthritis outcome: A 5-year matched cohort study.中医与骨关节炎结局之间的关联:一项为期5年的匹配队列研究。
Heliyon. 2024 Feb 12;10(4):e26289. doi: 10.1016/j.heliyon.2024.e26289. eCollection 2024 Feb 29.
5
Review of the Protective Mechanism of Curcumin on Cardiovascular Disease.姜黄素对心血管疾病保护机制的综述
Drug Des Devel Ther. 2024 Jan 30;18:165-192. doi: 10.2147/DDDT.S445555. eCollection 2024.
6
Sakuranetin reduces inflammation and chondrocyte dysfunction in osteoarthritis by inhibiting the PI3K/AKT/NF-κB pathway.樱花素通过抑制 PI3K/AKT/NF-κB 通路减轻骨关节炎的炎症和软骨细胞功能障碍。
Biomed Pharmacother. 2024 Feb;171:116194. doi: 10.1016/j.biopha.2024.116194. Epub 2024 Jan 22.
7
Antioxidant, anti-inflammatory and epigenetic potential of curcumin in Alzheimer's disease.姜黄素在阿尔茨海默病中的抗氧化、抗炎和表观遗传潜力。
Biofactors. 2024 Jul-Aug;50(4):693-708. doi: 10.1002/biof.2039. Epub 2024 Jan 16.
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Efficacy and safety of curcumin therapy for knee osteoarthritis: A Bayesian network meta-analysis.姜黄素治疗膝骨关节炎的疗效和安全性:贝叶斯网状荟萃分析。
J Ethnopharmacol. 2024 Mar 1;321:117493. doi: 10.1016/j.jep.2023.117493. Epub 2023 Nov 28.
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Targeting signalling pathways as new therapeutic strategies for osteoarthritis.靶向信号通路作为骨关节炎的新治疗策略。
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