Generic placeholder image

Recent Advances in Inflammation & Allergy Drug Discovery

Editor-in-Chief

ISSN (Print): 2772-2708
ISSN (Online): 2772-2716

Review Article

Natural Approach in Osteoarthritis Therapy

Author(s): Alice Grigore* and Virginia Vulturescu

Volume 16, Issue 1, 2022

Published on: 10 May, 2022

Page: [26 - 31] Pages: 6

DOI: 10.2174/2772270816666220331163707

Price: $65

Abstract

Osteoarthritis (OA) is the most common joint disease worldwide, and its rising prevalence is supported by factors such as obesity and sedentariness. At the molecular level, it is considered an inflammatory disease that leads to the destruction of articular cartilage. Effective therapy to end the degenerative process of arthritis remains elusive, and most therapeutic tools prevent the progress or alleviate the symptoms. By now, medicines for OA are available for oral, topical, or intra-articular (IA) therapy and include analgesics, nonsteroidal anti-inflammatory drugs, corticosteroids, and hyaluronic acid. Compared with conventional oral administration, IA therapy has multiple advantages in terms of bioavailability, efficacy, and toxicity. This review aims to study the underlying beneficial effects of herbal medicine in OA therapy and to open new research perspectives. Herbal medicine administered orally or topically exhibits pharmacological properties that could be relevant for their beneficial effect in OA, mainly anti-inflammatory and antioxidant effects. There are few studies regarding IA injections of plant extracts/ compounds and none related to any combination with agents already used in the clinic. Designing natural pharmaceutical formulations with increased bioavailability that are safe, lack side effects, and are specifically tested, would be a plus for research on medicinal plants and a novelty for the clinic.

Keywords: Intra-articular hyaluronic acid, inflammation, antioxidant degeneration, osteoarthritis, joint disease, arthritis.

[1]
Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis: Estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014; 73(7): 1323-30.
[http://dx.doi.org/10.1136/annrheumdis-2013-204763] [PMID: 24553908]
[2]
Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT. Increasing prevalence of knee pain and symptomatic knee osteoarthritis: Survey and cohort data. Ann Intern Med 2011; 155(11): 725-32.
[http://dx.doi.org/10.7326/0003-4819-155-11-201112060-00004] [PMID: 22147711]
[3]
Chevalier X, Kemta-Lepka F. Are biologics a treatment option in osteoarthritis? Therapy 2010; 6(6): 675-83.
[http://dx.doi.org/10.2217/thy.10.66]
[4]
Mobasheri A, Henrotin Y. Identification, validation and qualification of biomarkers for osteoarthritis in humans and companion animals: Mission for the next decade. Vet J 2010; 185(2): 95-7.
[http://dx.doi.org/10.1016/j.tvjl.2010.05.026] [PMID: 20554463]
[5]
Lavigne P, Benderdour M, Lajeunesse D, Shi Q, Fernandes JC. Expression of ICAM-1 by osteoblasts in healthy individuals and in patients suffering from osteoarthritis and osteoporosis. Bone 2004; 35(2): 463-70.
[http://dx.doi.org/10.1016/j.bone.2003.12.030] [PMID: 15268898]
[6]
Lepetsos P, Papavassiliou AG. ROS/oxidative stress signaling in osteoarthritis. Biochim Biophys Acta 2016; 1862(4): 576-91.
[http://dx.doi.org/10.1016/j.bbadis.2016.01.003] [PMID: 26769361]
[7]
Cheuk Y, Fu S, Wing S, et al. Intra-articular injection of an antioxidant formulation did not improve structural degeneration in a rat model of post-traumatic osteoarthritis. J Ort Transl 20178: 25e31.
[8]
Nguyen C, Rannou F. The safety of intra-articular injections for the treatment of knee osteoarthritis: A critical narrative review. Expert Opin Drug Saf 2017; 16(8): 897-902.
[http://dx.doi.org/10.1080/14740338.2017.1344211] [PMID: 28627937]
[9]
Wehling P, Evans C, Wehling J, Maixner W. Effectiveness of intra-articular therapies in osteoarthritis: A literature review. Ther Adv Musculoskelet Dis 2017; 9(8): 183-96.
[http://dx.doi.org/10.1177/1759720X17712695] [PMID: 28835778]
[10]
Chen T, Weng W, Liu Y, Aspera-Werz RH, Nüssler AK, Xu J. Update on novel non-operative treatment for osteoarthritis: Current status and future trends. Front Pharmacol 2021; 12: 755230.
[http://dx.doi.org/10.3389/fphar.2021.755230] [PMID: 34603064]
[11]
Neustadt D. Intra-articular therapy. (3rd ed.). Osteoarthritis 2001; pp. 393-409.
[12]
Godwin M, Dawes M. Intra-articular steroid injections for painful knees. Systematic review with meta-analysis. Can Fam Physician 2004; 50: 241-8.
[PMID: 15000335]
[13]
Zhao Z, Ma JX, Ma XL. Different intra-articular injections as therapy for hip osteoarthritis: A systematic review and network meta-analysis. Arthroscopy 2020; 36(5): 1452-1464.e2.
[http://dx.doi.org/10.1016/j.arthro.2019.09.043] [PMID: 31919027]
[14]
Michin M, Sellam J, Berenbaum F. Management of Osteoarthritis: Pharmacotherapy.In: Targeted Treatment of the Rheumatic Diseases. 2010; pp. 303-16.
[15]
Tamura T, Higuchi Y, Kitamura H, et al. Novel hyaluronic acid-methotrexate conjugate suppresses joint inflammation in the rat knee: Efficacy and safety evaluation in two rat arthritis models. Arthritis Res Ther 2016; 18(1): 79.
[http://dx.doi.org/10.1186/s13075-016-0971-8] [PMID: 27039182]
[16]
Ishikawa M, Yoshioka K, Urano K, Tanaka Y, Hatanaka T, Nii A. Biocompatibility of cross-linked hyaluronate (Gel-200) for the treatment of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22(11): 1902-9.
[http://dx.doi.org/10.1016/j.joca.2014.08.002] [PMID: 25153804]
[17]
Bowman S, Awad ME, Hamrick MW, Hunter M, Fulzele S. Recent advances in hyaluronic acid based therapy for osteoarthritis. Clin Transl Med 2018; 7(1): 6.
[http://dx.doi.org/10.1186/s40169-017-0180-3] [PMID: 29450666]
[18]
Dragos D, Gilca M, Gaman L, et al. Phytomedicine in joint disorders. Nutrients 2017; 9(1): 70.
[http://dx.doi.org/10.3390/nu9010070] [PMID: 28275210]
[19]
Karami S, Shamshiri S, Abdollahi M, Rahimi R. An evidence-based review of medicinal plants used in traditional persian medicine for treatment of osteoarthritis. Curr Drug Discov Technol 2021; 18(2): 244-71.
[http://dx.doi.org/10.2174/1570163817666200316105658] [PMID: 32178613]
[20]
Del Grossi Moura M, Lopes LC, Biavatti MW, et al. Oral herbal medicines marketed in Brazil for the treatment of osteoarthritis: A systematic review and meta-analysis. Phytother Res 2017; 31(11): 1676-85.
[http://dx.doi.org/10.1002/ptr.5910] [PMID: 28872719]
[21]
Lee YM, Son E, Kim SH, Kim OS, Kim DS. Anti-inflammatory and anti-osteoarthritis effect of Mollugo pentaphylla extract. Pharm Biol 2019; 57(1): 74-81.
[http://dx.doi.org/10.1080/13880209.2018.1557700] [PMID: 30707846]
[22]
Takuma M, Haruka K, Mutsuto W, et al. Olive leaf extract prevents cartilage degeneration in osteoarthritis of STR/ort mice. Biosci Biotechnol Biochem 2018; 82(7): 1101-6.
[http://dx.doi.org/10.1080/09168451.2018.1451741] [PMID: 29587623]
[23]
Aborehab NM, El Bishbishy MH, Refaiy A, Waly NE. A putative Chondroprotective role for IL-1β and MPO in herbal treatment of experimental osteoarthritis. BMC Complement Altern Med 2017; 17(1): 495.
[http://dx.doi.org/10.1186/s12906-017-2002-y] [PMID: 29166937]
[24]
Choudhary D, Kothari P, Tripathi AK, et al. Spinacia oleracea extract attenuates disease progression and sub-chondral bone changes in monosodium iodoacetate-induced osteoarthritis in rats. BMC Complement Altern Med 2018; 18(1): 69.
[http://dx.doi.org/10.1186/s12906-018-2117-9] [PMID: 29463254]
[25]
Patel DV, Sawant MG, Kaur G. Evaluation of anti-osteoarthritic activity of Vigna mungo in papain induced osteoarthritis model. Indian J Pharmacol 2015; 47(1): 59-64.
[http://dx.doi.org/10.4103/0253-7613.150340] [PMID: 25821313]
[26]
Chen IJ, Wong CS. Shea nut oil extracts enhance the intra-articular sodium hyaluronate effectiveness on surgically induced oa progression in rats. Nutrients 2020; 12(4): 957.
[http://dx.doi.org/10.3390/nu12040957] [PMID: 32235555]
[27]
Mohammadifar M, Aarabi MH, Aghighi F, et al. Anti-osteoarthritis potential of peppermint and rosemary essential oils in a nanoemulsion form: Behavioral, biochemical, and histopathological evidence. BMC Complement Med Ther 2021; 21(1): 57.
[http://dx.doi.org/10.1186/s12906-021-03236-y] [PMID: 33563269]
[28]
Xu Q, Zhang ZF, Sun WX. Effect of naringin on monosodium iodoacetate-induced osteoarthritis pain in rats. Med Sci Monit 2017; 23: 3746-51.
[http://dx.doi.org/10.12659/MSM.902396] [PMID: 28765519]
[29]
Singh D, Aggarwal A, Maurya R, Naik S. Withania somnifera inhibits NF-kappaB and AP-1 transcription factors in human peripheral blood and synovial fluid mononuclear cells. Phytother Res 2007; 21(10): 905-13.
[http://dx.doi.org/10.1002/ptr.2180] [PMID: 17562568]
[30]
Schmid B, Lüdtke R, Selbmann HK, et al. Efficacy and tolerability of a standardized willow bark extract in patients with osteoarthritis: Randomized placebo-controlled, double blind clinical trial. Phytother Res 2001; 15(4): 344-50.
[http://dx.doi.org/10.1002/ptr.981] [PMID: 11406860]
[31]
Wegener T, Lüpke NP. Treatment of patients with arthrosis of hip or knee with an aqueous extract of devil’s claw (Harpagophytum procumbens DC.). Phytother Res 2003; 17(10): 1165-72.
[http://dx.doi.org/10.1002/ptr.1322] [PMID: 14669250]
[32]
Tantowi NACA, Mohamed S, Lau SF, Hussin P. Comparison of diclofenac with apigenin-glycosides rich Clinacanthus nutans extract for amending inflammation and catabolic protease regulations in osteoporotic-osteoarthritis rat model. Daru 2020; 28(2): 443-53.
[http://dx.doi.org/10.1007/s40199-020-00343-y] [PMID: 32388789]
[33]
Bitto A, Squadrito F, Irrera N, et al. Flavocoxid, a nutraceutical approach to blunt inflammatory conditions. Med Inflam 2014.
[http://dx.doi.org/10.1155/2014/790851]
[34]
Kizhakkedath R. Clinical evaluation of a formulation containing Curcuma longa and Boswellia serrata extracts in the management of knee osteoarthritis. Mol Med Rep 2013; 8(5): 1542-8.
[http://dx.doi.org/10.3892/mmr.2013.1661] [PMID: 24002213]
[35]
Widrig R, Suter A, Saller R, Melzer J. Choosing between NSAID and arnica for topical treatment of hand osteoarthritis in a randomised, double-blind study. Rheumatol Int 2007; 27(6): 585-91.
[http://dx.doi.org/10.1007/s00296-007-0304-y] [PMID: 17318618]
[36]
Laslett LL, Quinn SJ, Darian-Smith E, et al. Treatment with 4Jointz reduces knee pain over 12 weeks of treatment in patients with clinical knee osteoarthritis: A randomised controlled trial. Osteoarthritis Cartilage 2012; 20(11): 1209-16.
[http://dx.doi.org/10.1016/j.joca.2012.07.019] [PMID: 22863612]
[37]
Yan B, Zhou L, Wang C, et al. Intra-Articular Injection of Fructus Ligustri Lucidi Extract Attenuates Pain Behavior and Cartilage Degeneration in Mono-Iodoacetate Induced Osteoarthritic Rats. Front Pharmacol 2018; 9: 1360.
[http://dx.doi.org/10.3389/fphar.2018.01360] [PMID: 30532708]
[38]
Shivnath N, Siddiqui S, Rawat V, Khan MS, Arshad M. Solanum xanthocarpum fruit extract promotes chondrocyte proliferation in vitro and protects cartilage damage in collagenase induced osteoarthritic rats (article reference number: JEP 114028). J Ethnopharmacol 2021; 274: 114028.
[http://dx.doi.org/10.1016/j.jep.2021.114028] [PMID: 33775807]
[39]
Wang J, Guo J, Li S, Zhang M, He B. Protective effect of ethyl acetate fraction from Semen sojae germinatum, the processed sprout of Chinese black soybean, on rat experimental osteoarthritis. BMC complementary medicine and therapie 2020; 20(1): 117.
[40]
Micheli L, Di Cesare Mannelli L, Mattoli L, et al. Intra-articular route for the system of molecules 14G1862 from Centella Asiatica: Pain relieving and protective effects in a rat model of osteoarthritis. Nutrients 2020; 12(6): 1618.
[http://dx.doi.org/10.3390/nu12061618] [PMID: 32486519]
[41]
Turhan Y, Arıcan M, Karaduman ZO, et al. Chondroprotective effect of Nigella sativa oil in the early stages of osteoarthritis: An experimental study in rabbits. J Musculoskelet Neuronal Interact 2019; 19(3): 362-9.
[PMID: 31475944]
[42]
Kim WK, Chung HJ, Pyee Y, et al. Effects of intra-articular SHINBARO treatment on monosodium iodoacetate-induced osteoarthritis in rats. Chin Med 2016; 11(1): 17.
[http://dx.doi.org/10.1186/s13020-016-0089-6] [PMID: 27069504]
[43]
Zhang X, Shi Y, Zhang Z, Yang Z, Huang G. Intra-articular delivery of tetramethylpyrazine microspheres with enhanced articular cavity retention for treating osteoarthritis. Asian J Pharm Sci 2018; 13(3): 229-38.
[http://dx.doi.org/10.1016/j.ajps.2017.12.007] [PMID: 32104396]
[44]
Robinson R. Intra-articular injection of traumeel and zeel reduce knee pain in double-blind trial. Annual meeting of the American College of Rheumatology. 14-19 november; Boston, Massachusetts. 2014.
[45]
Lima MVV, Freire AO, Sousa ELF, et al. Therapeutic Use of Scoparia dulcis Reduces the Progression of Experimental Osteoarthritis. Molecules 2019; 24(19): 3474.
[http://dx.doi.org/10.3390/molecules24193474] [PMID: 31557835]
[46]
Bokhari RA, Tantowi NACA, Lau SF, Mohamed S. Java Tea (Orthosiphon stamineus) protected against osteoarthritis by mitigating inflammation and cartilage degradation: A preclinical study. Inflammopharmacol 2018; 26(4): 939-49.
[http://dx.doi.org/10.1007/s10787-017-0432-2] [PMID: 29380171]
[47]
Wan Osman WN, Che Ahmad Tantowi NA, Lau SF, Mohamed S. Epicatechin and scopoletin rich Morinda citrifolia (Noni) leaf extract supplementation, mitigated Osteoarthritis via anti-inflammatory, anti-oxidative, and anti-protease pathways. J Food Biochem 2019; 43(3): e12755.
[http://dx.doi.org/10.1111/jfbc.12755] [PMID: 31353568]
[48]
Li W, Cai L, Zhang Y, Cui L, Shen G. Intra-articular resveratrol injection prevents osteoarthritis progression in a mouse model by activating SIRT1 and thereby silencing HIF-2α. J Orthop Res 2015; 33(7): 1061-70.
[http://dx.doi.org/10.1002/jor.22859] [PMID: 25737402]
[49]
Natarajan V, Madhan B, Tiku ML. Intra-articular injections of polyphenols protect articular cartilage from inflammation-induced degradation: Suggesting a potential role in cartilage therapeutics. PLoS One 2015; 10(6): e0127165.
[http://dx.doi.org/10.1371/journal.pone.0127165] [PMID: 26046639]
[50]
Charlton AJ, Baxter NJ, Khan ML, et al. Polyphenol/peptide binding and precipitation. J Agric Food Chem 2002; 50(6): 1593-601.
[http://dx.doi.org/10.1021/jf010897z] [PMID: 11879042]
[51]
Li H, Zhuo H, Yin D, et al. Intra-articular injection of a nanosuspension of tetramethylpyrazine dihydroxynaphthalenate for stronger and longer-lasting effects against osteoarthritis. J Biomed Nanotechnol 2021; 17(6): 1199-207.
[http://dx.doi.org/10.1166/jbn.2021.3094] [PMID: 34167632]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy