Abstract

Osteoarthritis (OA) is a disease that currently has no cure. There are numerous studies showing that carnosine and hyaluronic acid (HA) have a positive pharmacological action during joint inflammation. For this reason, the goal of this research was to discover the protective effect of a new carnosine conjugate with hyaluronic acid (FidHycarn) on the inflammatory response and on the cartilage degradation in an in vivo experimental model of OA. This model was induced by a single intra-articular (i.ar.) injection of 25 µL of normal saline with 1 mg of monosodium iodoacetate solution (MIA) in the knee joint of rats. MIA injection caused histological alterations and degradation of the cartilage, as well as behavioral changes. Oral treatment with FidHycarn ameliorated the macroscopic signs, improved thermal hyperalgesia and the weight distribution of the hind paw, and decreased histological and radiographic alterations. The oxidative damage was analyzed by evaluating the levels of nitrotyrosine and inducible nitric oxide synthase (iNOS) that were significantly reduced in FidHycarn rats. Moreover, the levels of pro-inflammatory cytokines and chemokines were also significantly reduced by FidHycarn. Therefore, for the first time, the effectiveness of oral administration of FidHycarn has been demonstrated in an osteoarthritis model. In conclusion, the new FidHycarn could represent an interesting therapeutic strategy to combat osteoarthritis.

Highlights

  • Osteoarthritis (OA) is one of the most common arthropathies and is the leading cause of disability, with a large socioeconomic cost

  • Increased thermal hyperalgesia measured at different time points, as evidenced by a significant were observed in all monosodium iodoacetate solution (MIA) injected rats compared to the sham subjects

  • We found that 21 days after the i.ar. injection of MIA, the knee sections showed an important macroscopic and radiographic alteration in rats treated with the vehicle

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Summary

Introduction

Osteoarthritis (OA) is one of the most common arthropathies and is the leading cause of disability, with a large socioeconomic cost. OA is a condition which can affect any joint in the body. Sci. 2020, 10, 1324 affects the joints that support most of the weight (such as the knees and feet) and the joints we use the most (e.g., hand joints). The cartilage shelters the surface of the bones and supports the bones to move liberally against each other. When a joint develops OA, part of the cartilage tapers and the surface becomes coarser. This means the articulation does not move as as it should

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