Joint Discomfort Research Articles

Role of Natural Products in Combatting Rheumatoid Arthritis: Phytochemical Strategies and Antioxidant Defences

Rheumatoid Arthritis (RA) is a persistent inflammatory autoimmune illness that damages bones by causing joint discomfort, edema, and stiffness. In RA, inflammatory cell infiltration and synovial hyperplasia lead to the generation of proinflammatory cytokines like TNF-α and IL-1. To find phytochemical substances utilised in RA treatment, SciELO, Virtual Health Library, and PubMed databases were searched for rheumatoid arthritis, herbal remedies, and medicinal plants. One of the predominant transcription factors is NF-κB, in regulating inflammatory response. Translocation of active NF-κB into the nucleus leads to gene transcription that produces proinflammatory cytokines. Oxidative stress changes transcription factors, which affects inflammatory gene expression. Phytochemicals have treated various diseases, blocking NF-κB translocation mitigates proinflammatory cascade activation (Withanolides, Gugglosterone, Epigallocatechin-3-gallate, O-glucosylcimifugin, Andrographolide, Curcuminoids, and Resveratrol), Flavonoids (Quercetin, Hesperidin, Kaempferol, Liquirin). Their therapeutic potential aids in creating safe and effective medicines for NF-κB-driven immune-inflammatory disorders like RA. This study emphasises the involvement of NF-κB in a series of events of inflammation, highlighting the role of phytochemicals in regulating its activity. It also discusses the effectiveness of polyphenols in relieving RA by blocking the signalling pathways and suggests a further study to support their usage.

Mast Cells Mediate Acute Inflammatory Responses After Glenoid Labral Tears and Can Be Inhibited With Cromolyn in a Rat Model

Background: Injuries to the glenoid labrum have been recognized as a source of joint pain and discomfort, which may be associated with the inflammatory responses that lead to the deterioration of labral tissue. However, it is unclear whether the torn labrum prompts mast cell (MC) activation, resulting in synovial inflammatory responses that lead to labral tissue degeneration. Purpose: To determine the potential influence of activated MC on synovial inflammatory responses and subsequent labral tissue degeneration and shoulder function deterioration in a rat model by monitoring MC behavior and sequential inflammatory responses within the synovial tissue and labral tissue after injury, suture repair, and MC stabilizer administration. Study Design: Controlled laboratory study. Methods: Anteroinferior glenoid labral tears were generated in the right shoulder of rats (n = 20) and repaired using a tunneled suture technique. Synovial tissue inflammatory responses were modulated in some rats with intraperitoneal administration of an MC stabilizer—cromolyn (n = 10). At weeks 1 and 3, MC activation, synovial inflammatory responses, and labral degeneration were histologically evaluated. Simultaneously, gait analysis was performed before and after surgical repair to assess the worsening of the shoulder function after the injury and treatment. Results: Resident MC degranulation after labral injury (50.48% ± 8.23% activated at week 1) contributed to the initiation of synovial tissue inflammatory cell recruitment, inflammatory product release, matrix metalloproteinase-13, and subsequent labral tissue extracellular matrix degeneration. The administration of cromolyn, an MC stabilizer, was found to significantly diminish injury-mediated inflammatory responses (inflammatory cell infiltration and subsequent proinflammatory product secretion) and improve shoulder functional recovery. Conclusion: MC activation is responsible for labral tear–associated synovial inflammation and labral degeneration. The administration of cromolyn can significantly diminish the cascade of inflammatory reactions after labral injury. Clinical Relevance: Our findings support the concept that MC stabilizers may be used as a complementary therapeutic option in the treatment and repair of labral tears.

Association between Socio-Demographic Factors and Quality of Life for Patients with Knee Osteoarthritis in Baaquba City

Background: Osteoarthritis is a degenerative joint condition causing joint dysfunction, discomfort, and limited range of motion; it may be affected by poor quality of life. Aim of the study: The study aims to investigate the association between socio-demographic factors and the quality of life for patients with knee osteoarthritis in Baquba City. Methods: A cross-sectional study at Baquba Teaching Hospital in Iraq analyzed 374 adult patients with kneeosteoarthritis, 18 or older, both sexes, and verbal consent. The researchers used a self-structured questionnaire and Dhafar M. et al.'s socioeconomic scale to assess patients' socio-demographic characteristics. Data collection involved direct interviews, and statistical significance was determined using IBM SPSS-29 software. Results: The study found that the majority of participants, particularly women, were married and lived in urban areas, with 53.2% having a family history of knee OA. A study shows that many patients with knee osteoarthritis have poor quality of life, with only 0.5% rating it as excellent. The study reveals significant differences in quality of life scores across age groups, with the 50-59 group reporting fair quality of life (40.0%) and the 60- 69 group (34.0%). The study found significant disparities in quality of life scores across different occupations, with housewives and retired individuals experiencing higher rates, while employees, married couples, and illiterate individuals reported fair quality of life. Conclusion: The study reveals that knee osteoarthritis patients are mostly overweight or obese, with retired individuals and housewives being the largest risk group. They often lack literacy and experience a low quality of life.

Influences of mechanical decompression using different forces on knee joint space, range of motion, and hamstring flexibility in asymptomatic subjects

INTRODUCTION: Knee joint decompression is one of the promising methods for the treatment of osteoarthritis. Yet, the most appropriate decompression force is not conclusive. OBJECTIVES: To compare the effect of different distraction force magnitudes on knee joint space, active range of motion (ROM), hamstring flexibility, and self-reported discomfort in asymptomatic subjects. METHODS AND MATERIALS: Twenty-five asymptomatic participants were recruited in this study. The dominant knee was distracted for 30 minutes in a 30° flexion position using three force magnitudes (10%, 20%, and 30% body weight (BW)). The traction forces were randomized with one week in between knee distractions. Joint space, range of motion (ROM), and hamstring flexibility were assessed before, immediately after, and 30 minutes after the distraction. The self-reported discomfort was assessed immediately after the distraction only. RESULTS: Medial joint space, ROM, and discomfort showed a significant difference between different force magnitudes post-distraction. The 20% and 30% BW force magnitudes significantly, but equally, increased joint space and ROM post distraction. The discomfort level was directly related to distraction force magnitude and the least comforting was the 30% BW force. Follow-up data was not significantly different than that for post-distraction. Hamstring muscle flexibility showed a significant. Yet, small increase after the 30% BW distraction force. CONCLUSION: Continued mechanical distraction of the knee joint using force magnitudes of 20% and 30% of body weight was effective in increasing medial joint space, active knee ROM, and hamstring flexibility in asymptomatic individuals. 20% force magnitude was more comfortable than the 30% percent.

Preclinical approaches to evaluate Uncaria tomentosa bark extract loaded FDOFs using osteoarthritis models

Osteoarthritis (OA) is one of the biggest global health issues, affecting two thirds of the population and cannot be fully treated to return normal function or relieve joint discomfort. Oral fast-dissolving films offer a high medication loading capacity, targeted distribution, and increasing bioavailability. The current research explores the in vitro and in vivo efficacy of oral fast-dissolving film formulations containing Uncaria tomentosa bark extract. A three-dimensional osteoarthritis (OA) model was created for in vitro assessment using first passage chrondrocytes cultured in a 1:1:3 ratio on trypsin-EDTA medium. C20A4 chondrocytes were cultured on agarose gel at 25± 5 °C in a phosphate buffer solution to create the OA agarose model. One milliliter of RPMI-1640 (10 % FBS) was used for chrondrocyte cultivation. On the third day of incubation, a 20 % (IL-1β) solution was applied, and the media was periodically changed. On the fifth day of incubation, the treated cell line received 5 μL of 0.5 % MTT reagent, and absorbance was examined at 570 nm. The effects of FDOFs on the cell lines were examined for 7, 13, 27, and 35 days (IL-1β, F5, F13 treated IL-1β injected types and Control). As a control, chondrocytes in agarose constructs were solely grown in RPMI-FBS medium without IL-1β. The arthritic effect of improved FDOFs, i.e., F5, was investigated using the GAG, HYP, and DNA quantitation assays in conjunction with a DNA content assay. Monoiodoacetate (MIA) produced arthritis models are well-established for understanding weight bearing and reaction to tactile stimuli in invivo research. Seven-week-old male wistar rats were used in the invivo technique, with celecoxib serving as the positive control and MIA as the negative control. Estimates of osteoarthritic potential were made based on the evaluation of knee thickness and discomfort. The study's findings demonstrated the effectiveness of the F5 formulation on OA models, which need for a clinical evaluation in human beings.

α9β1 integrin & its ligands as new potential biomarkers in FMF.

Background & objectives Familial Mediterranean Fever (FMF) manifests as a hereditary condition characterized by repeated bouts of fever, abdominal, chest, and joint discomfort, and swelling. Colchicine is the most common form of treatment, but it does not eliminate the disease. The underlying causes of the inflammatory mechanism are still not fully known. Methods A total of 20 healthy controls, 16 individuals with FMF in the attack period, and 14 in the remission period participated in the study. ITGA9, ITGB1, OPN, TNC, VEGF, VCAM-1, TGM2, TSP-1, Emilin-1, and vWF levels were measured by ELISA by obtaining serum from blood samples of individuals. In addition, gene expressions of α9β1 (ITGA9, ITGB1) and its best known ligands (TNC, SPP1) were analyzed by quantitative real-time PCR (qPCR). Results The findings of this study showed that serum levels of α9β1 and its ligands were higher in individuals with FMF in the attack period than in the healthy controls and the FMF group in the remission period (P<0.05). The marker levels of the healthy group were also higher than those in the remission period (p<0.05). In addition, when the gene expressions were compared between the healthy controls and FMF group, no significant difference was found for ITGA9, ITGB1, TNC, and SPP1 genes. Interpretation & conclusions The function of α9β1 and its ligands in FMF disease was investigated for the first time in this study as per our knowledge. Serum levels of these biomarkers may help identify potential new targets for FMF disease diagnosis and treatment approaches.

Formulation and Evaluation of Antibacterial and Anti-Inflammatory Emulgel Containing Eugenia caryophyllus Buds Extract

ABSTRACT: Background: Eugenia caryophyllus is a valuable aromatic spice used in household cooking. Traditional healers frequently employ the plant, which is said to have therapeutic qualities, in herbal concoctions to treat a variety of illnesses and conditions. Objective: Eugenia caryophyllus clove buds have antibacterial, analgesic, and anti-inflammatory properties. The formulation of clove emulgel and its assessment using a variety of evaluation criteria were the main objectives of the current study. Clove emulgel was evaluated for its anti-inflammatory and anti-microbial properties. Materials and Procedures: We extracted and assessed the oils from Eugenia caryophyllus buds for phytochemical testing using solvents such as methanol, ethanol, petroleum ether, and N-hexane. We prepare emulgel and test it for spreadability, pH, and other organoleptic characteristics. We used egg albumin denaturation as a protein to measure the in vitro anti-inflammatory efficacy. We tested the antibacterial susceptibility using the agar-well diffusion method. Results: Alkaloids, saponins, tannins, steroids, carbohydrates, and glycosides were the phytochemical components found in clove bud extract. Physical factors such as color, consistency, and state—such as semi-solid, smooth, and brownish-gummy—are included in this category of evaluation parameters. The emulgel's pH was 5.35, its spreadability ranged from 1.6 to 2.5 cm, and no phase separation was noticed while the emulgel was stored. An in vitro anti-inflammatory test (spectroscopy method) and an antimicrobial test (zone of inhibition) were used to evaluate the anti-inflammatory activity of emulgel. Comparing clove oil emulgel to a typical medication, these evaluations found that it demonstrates strong anti-inflammatory and antibacterial resistance. Conclusion: In conclusion, Clove Buds Emulgel has demonstrated antibacterial activity against both gram-positive and gram-negative bacterial strains. Emulgel demonstrated the inhibitory response percentage in relation to the standard. This validates the roles that E. caryophyllus has been shown to play in protecting human health. This innovative emulgel mixture was applied to arthritis to lessen microbial infection and joint discomfort. In addition, more preclinical and clinical trials will be needed for this research in order to successfully commercialize the emulgel formulation for the treatment of inflammation and antimicrobial activity.

Prevalence and Predictors of Musculoskeletal Disorders among Bus Drivers Engaged in Long- Distance Transportation in Port Harcourt, Nigeria

Background An increasing number of occupational injuries occur due to work-related musculoskeletal disorders (WRMSDs) in both developing and industrialized countries. These disorders have an impact on workers' health as well as society at large, posing medical, occupational, and economic challenges.  Objectives This research assessed work-related musculoskeletal disorders and its risk factors among Bus drivers for private long-distance Transport Companies in Port Harcourt, Nigeria.  Materials and Methods This study employed a cross-sectional study design. The multi-stage sampling technique was used to sample 338 long-distance bus drivers in the city of Port Harcourt. Participants' demographic data and information regarding work related musculoskeletal disorders were collected using a modified version of the Standardized Nordic Musculoskeletal Survey questionnaire. Descriptive statistics determined prevalence and inferential statistics was used to determine associated risk factors of WRMSD. The p-value of the test of statistical significance was set at ≤0.05. The participants were all male.  Result 58.6% of the research sample had WRMSDs, according to the findings. After logistic regression analysis, only marital status (AOR=5.714, 95% CI for AOR=3.046- 10.721; p=0.001), prolonged sitting of ≥8 hours, (AOR=0.350; 95% CI for AOR=0.166-0.741; p=0.006) and previous history of pain in a previous occupation (AOR=5.714, 95% CI for AOR=3.046-10.721; p=0.001), were significantly associated with the prevalence of WRMSD.  Conclusion WRMSDs are prevalent in private long-distance bus drivers and are strongly correlated with marrital status, prolonged sitting times (more than eight hours), and a history of muscle or joint discomfort in a prior job.

Managing Psoriatic Arthritis With Different Types of Physical Activity: A Literature Review

Up to 30% of people with psoriasis may develop psoriatic arthritis (PsA), a complicated inflammatory disease characterized by skin signs, joint discomfort, and swelling. Although pharmaceutical therapies have been the primary component of traditional PsA care, the advantages of physical activity are becoming more widely acknowledged. This review looks at how exercise can help manage PsA, with particular emphasis on several types of exercise, including resistance training, functional training, aerobic training, and high-intensity interval training (HIIT). Research indicates that resistance training increases muscle strength and functional ability while aerobic exercise lessens tiredness and musculoskeletal pain. Without escalating disease activity, HIIT reduces fatigue and enhances cardiorespiratory fitness. The review also looks at the relationship between physical activity and PsA symptoms including enthesitis and bone marrow edema (BME). Research shows that exercise does not worsen BME, and even if it can cause enthesitis, the advantages of exercise in terms of lowering overall disease activity and enhancing quality of life exceed the dangers. To sum up, customized exercise regimens are crucial for PsA management and have a major positive impact on patient well-being and disease control.

Gingerol nanoparticles attenuate complete Freund adjuvant-induced arthritis in rats via targeting the RANKL/OPG signaling pathway.

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 21days 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.

Clinical Effect of Personalized Adjustable Mandibular Advancement Device on Obstructive Sleep Apnea.

Aims/Background: Mandibular advancement devices are effective in treating mild or moderate obstructive sleep apnea (OSA), but such devices that are commonly used in clinical settings require further improvement. In this study, we evaluated the clinical effects of personalized adjustable mandibular advancement devices on mild or moderate OSA. Methods: Forty patients with mild or moderate OSA were randomly divided into experimental (personalized adjustable device) and control (traditional device) groups. Side effects, including increased salivation, dry mouth, muscle aches, and temporomandibular joint discomfort, were assessed. Respiratory markers during sleep, including the apnea-hypopnea index, mean blood oxygen saturation, lowest blood oxygen saturation and maximum apnea time, were evaluated using polysomnography. The upper airway cross-sectional area and temporomandibular joint morphology and motion trajectory were evaluated using cone beam computed tomography. Results: Side effects were significantly lower in the experimental group than in the control group. Respiratory marker levels were significantly restored post-treatment. Soft palate- and tongue-pharyngeal cross-sectional areas were significantly increased in both groups, but temporomandibular joint morphology or motion trajectory remained unchanged. Conclusion: The personalized adjustable mandibular advancement devices may reduce side effects and are effective in treating patients with OSA. Clinical Trial Registration: The study was registered and approved by the Chinese Clinical Trial Registry (ChiCTR2400080306). https://www.chictr.org.cn/showproj.html?proj=206538.

Effect of caffeine intake on self-reported and genetic prediction of osteoarthritis: an epidemiological study and Mendelian randomization analysis.

Osteoarthritis (OA) holds the distinction of being the most widespread musculoskeletal disorder. Any disruptions in the integrity of the articular cartilage can result in joint malfunction, discomfort, and impaired physical functioning. Increasing evidence indicates the negative impacts of caffeine intake on hyaline cartilage. The primary objective of this study was to delve deeper into understanding the potential link between the consumption of caffeine and the risk of developing OA. In this study, we constructed logistic regression models to evaluate the correlation between caffeine consumption and the risk of osteoarthritis using data from the National Health and Nutrition Examination Survey. Following that, we utilized genome-wide association studies to conduct a Mendelian randomization (MR) analysis investigating the association between coffee consumption and the likelihood of developing knee OA. We employed various statistical methods, including inverse variance weighting (IVW), weighted median, weighted mode, simple mode, and MR-Egger regression, to ensure comprehensive analysis and robust conclusions. To evaluate heterogeneity and the potential impact of pleiotropy, we conducted several statistical tests, including Cochran's Q test, MR-Egger intercept test, MR Pleiotropy RESidual Sum and Outlier test (MR-PRESSO), and MR Steiger test. The weighted multivariate logistic regression analysis showed that the relationship between high caffeine intake (95-206 and ≥206 mg/day) and OA prevalence remained significantly high even after adjusting for covariates using the lowest caffeine intake (< 11 mg/day) as reference: Model 1-OR (95% Cl) = 1.365 (1.18-1.58) and 1.59 (1.38-1.83); Model 2-OR (95% Cl) = 1.21 (1.04-1.42) and 1.44 (1.23-1.68); and Model 3-OR (95% Cl) = 1.19 (1.01-1.40) and 1.30 (1.10-1.52), respectively (p < 0.05). The findings from the fixed effects inverse variance weighted (IVW) analysis revealed a statistically significant link between coffee intake and the likelihood of developing knee osteoarthritis: OR = 1.94; 95% confidence interval (Cl) =1.471-2.517; (p < 0.001). Consistent findings were obtained across various other methods, including MR-Egger regression, weighted median, weighted mode, and simple mode analyses. Our study showed a positive correlation between OA prevalence and high caffeine intake (≥95 mg/day).

Comparative evaluation and correlation of variations in articular disc morphology as assessed by automated segmentation using deep learning on magnetic resonance imaging (MRI) images in Class II (vertical) TMD cases, Class II (horizontal) TMD cases and Class I non-TMD cases

Introduction: Temporomandibular disorder (TMD) encompasses several clinical manifestations, which are characterized by temporomandibular joint and masticatory muscle discomfort and dysfunction (TMJ). The best imaging technique for evaluating TMJ is magnetic resonance imaging (MRI), which makes it possible to see the anatomical and pathological characteristics of every joint component. In recent years, convolutional neural networks -based deep learning algorithms have been favoured because of their outstanding capability in recognizing objects in medical images. The objective of this study is to assess, compare and co-rrelate articular disc morphology by automated segmentation using deep learning on MRI images in skeletal Class II (vertical growth pattern) TMD cases as compared to skeletal Class II (horizontal growth pattern) TMD cases and Class I non-TMD cases Methods: Grading of skeletal Class II (vertical growth pattern) cases and skeletal Class II (horizontal growth pattern) cases based on severity of TMD will be carried out using diagnostic criteria for temporomandibular disorders. Bilateral sagittal as well as coronal MRI images will be obtained. A convolutional neural network (CNN) encoder-decoder named U-Net will be used to segment the articular disc on MRI. Understanding the nature of variations between Class I and both types of Class IIs will help orthodontists to better predict the potential risk for the development of TMDs and accordingly take precautions while doing treatment in such cases. Moreover, it can be used to automate TMD diagnosis and other smart applications. Conclusions: This study will aid in identifying articular disc morphology on MRI. The deep learning algorithms with effective data augmentation may perform better in MRI readings than human clinicians when using the same data, which will be advantageous for TMD diagnosis.

Untargeted metabolomic profiling of Prinsepia utilis Royle leaves by Ultra-Performance Liquid Chromatography-Quadrupole-Time of Flight-Mass Spectrometry.

Prinsepia utilis Royle, native to the Himalayas, is esteemed in Chinese and Indian folk medicine for its diverse medicinal benefits, targeting arthritis, pain relief, bone disorders, and joint discomfort. This study examined the 25% aqueous methanol extract of P.utilis leaves using UPLC-Q-TOF-MS/MS, identifying 78 metabolites, 76 of which were reported for the first time in P.utilis. These included 64 phenolics represented by 56 flavonoids, 5 phenolic acids, 3 phenolic glycosides, 4 terpenoids, 2 lignan glycosides, and 8 other compounds, expanding the knowledge of its chemical composition. These findings lay a foundation for further research, providing insights into potential bioactive compounds and opening avenues for applications in natural product drug discovery, traditional medicine, and nutraceutical development, leveraging the plant's established traditional uses.

Functions of Epimedin C in a zebrafish model of glucocorticoid-induced osteoporosis.

Epimedium is thought to enhance the integrity of tendons and bones, ease joint discomfort and rigidity and enhance kidney function. Although glucocorticoids are commonly used in clinical practice, the mechanism by which the active compound Epimedin C (EC) alleviates glucocorticoid-induced osteoporosis (GIOP) is not well understood. The therapeutic potential of EC in treating GIOP was evaluated using alizarin red S staining, calcein immersion and fluorescence imaging, and bone mineralization, bone mass accumulation and bone density in zebrafish larvae were determined. Using the Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis, the key signalling pathways related to bone development were identified. A protein-protein interaction network (PPIN) was constructed to identify osteoclast characteristic genes and the findings were verified using real-time quantitative PCR (RT-qPCR). The bone tissue damage caused by prednisolone was reduced by EC. It also altered physiological processes, improved bone density, boosted mineralization and increased bone mass and activity. Subsequent empirical investigations showed that EC impacted the major signalling pathways involved in bone development, such as osteoclast differentiation, oestrogen, MAPK, insulin resistance, PPAR and AMPK signalling pathways. It also decreased the expression of genes typical of osteoclasts. The results of our study uncover a previously unknown function of EC in controlling bone formation and emphasize the potential of EC as a therapeutic target. The osteoprotective effect of EC indicates its potential as a cost-effective strategy for treating GIOP.

Therapeutic Potential of Plant-Derived Compounds and Plant Extracts in Rheumatoid Arthritis-Comprehensive Review.

Rheumatoid arthritis (RA) is a persistent autoimmune disorder that is characterized by joint inflammation, discomfort, and impairment. Despite the existence of several therapeutic approaches, their effectiveness is often restricted and may be linked to unfavorable side effects. Consequently, there has been growing interest in investigating naturally derived compounds as plausible therapeutic agents for RA disease. The objective of this review is to summarize the existing preclinical and clinical evidence regarding the efficacy of naturally extracted compounds and plant extracts in the treatment of RA, focusing on their anti-inflammatory, anti-oxidative, and immunomodulatory properties. Some of the problems with using natural chemicals are the uneven quality of commercially available preparations and the poor bioavailability of these compounds. Future investigations should focus on improving the formulations, conducting thorough clinical trials, and exploring different techniques to fully utilize the intrinsic potential of naturally derived chemicals in treating RA.

Health benefits of exercise and dietary interventions for patients with psoriasis – a literature review

Introduction: Psoriasis is a prevalent chronic inflammatory systemic disease that can manifest in a variety of clinical manifestations. Psoriasis was thought to only affect the skin. Recent findings from dermatologic, rheumatologic, and cardiologic research indicate that it is a systemic disease, henceforth referred to as psoriatic disease. Purpose of work: Collecting information on the benefits of physical activity and diet modifications in patients with psoriasis on aspects such as metabolic syndrome, cardiovascular risk, mental health, and general well-being. Summary: Psoriasis is a disease that affects many areas of life. Physical activity improves the body weight, mental health, and cardiovascular risk of patients with psoriasis. Engaging in physical activity may reduce the probability of developing psoriasis and may also ameliorate its course. The Mediterranean diet, ketogenic diet, probiotics, and alcohol withdrawal may also alleviate the course of psoriasis. It is noteworthy to mention the potential limitations that may arise in the context of this disease, including embarrassment resulting from skin lesions and joint discomfort resulting from psoriatic arthritis. Sports training ought to be customized for each patient, taking into account their limitations and preferences.

A Novel Role for Protein Tyrosine Phosphatase 1B in Alleviating Chondrocyte Senescence.

Osteoarthritis (OA) is a kind of arthritis that impairs movement and causes joint discomfort. Recent research has demonstrated a connection between cellular senescence and the degenerative processes of OA chondrocytes. In yeast and human cells, protein tyrosine phosphatase 1B (PTP1B) knockdown prolongs longevity; however, the function of PTP1B in chondrocyte senescence has not been investigated. The goal of the current investigation was to evaluate PTP1B's contribution to human OA chondrocyte senescence. The function of PTP1B and cellular senescence in the onset of OA was investigated and confirmed by using a combination of bioinformatics techniques, clinical samples, and in vitro experimental procedures. The RNA sequencing data pertinent to the OA were obtained using the Gene Expression Omnibus database. Function enrichment analysis, protein-protein correlation analysis, the construction of the correlation regulatory network, and an investigation into possible connections between PTP1B and cellular senescence in OA were all carried out using various bioinformatic techniques. Compared with healthy cartilage, PTP1B expression was increased in OA cartilage. According to a Pearson correlation study, cellular senescence-related genes, including MAP2K1 and ABL1, were highly correlated with PTP1B expression levels in senescent chondrocytes. Furthermore, in vitro tests confirmed that PTP1B knockdown slowed cartilage degradation and prevented chondrocyte senescence in OA. In conclusion, we showed that PTP1B knockdown prevented the senescence of chondrocytes and prevented cartilage degradation in OA. These findings offer a fresh perspective on the pathophysiology of OA, opening up new avenues for OA clinical diagnosis and targeted treatment.

THE ANALYSIS STUDY OF ASSOCIATION OF PHARMACOLOGICAL TREATMENTS WITH LONG-TERM PAIN CONTROL IN PATIENTS WITH KNEE OSTEOARTHRITIS : A COMPREHENSIVE SYSTEMATIC REVIEW

Background: Knee osteoarthritis (KOA) is a degenerative joint disease affecting 10 of males and 13 of women aged 60 or older. It causes joint discomfort, weakened muscles, and physical limitations. Treatment consists of surgical and non-surgical approaches, with knee arthroplasty being the most successful. Non-regenerative therapies like ozone, corticosteroids, and prolotherapy are popular but short-lived. Chinese herbal medicine (CHM) is widely used to treat KOA, targeting specific biological processes associated with the disease. Methods: Following PRISMA 2020 guidelines, this systematic review concentrated on full-text English literature published between 2014 and 2024. Editorials and review articles that appeared in the same journal as the submission were not accepted without a DOI. A number of websites, including ScienceDirect, PubMed, and SagePub, were utilized to gather the literature. Result: The study looked at more than 200 publications using reputable sources including Science Direct, SagePub, and PubMed. After it was decided that eight publications needed greater investigation, a more extensive review of the entire literature was carried out. Conclusion: Knee osteoarthritis is a common disease affecting middle-aged and elderly individuals. Platelet-rich plasma (PRP) injections, combined with hyaluronic acid, can alleviate knee pain and improve function. However, the efficacy varies depending on the formulation. Traditional Chinese herbal medicine has shown potential in treating KOA, but its effectiveness and safety remain debatable due to limited clinical trials and methodological rigor

Attenuation of osteoarthritis progression via locoregional delivery of Klotho-expressing plasmid DNA and Tanshinon IIA through a stem cell-homing hydrogel

BackgroundOsteoarthritis (OA) is an aging-related degenerative joint disorder marked by joint discomfort and rigidity. Senescent chondrocytes release pro-inflammatory cytokines and extracellular matrix-degrading proteins, creating an inflammatory microenvironment that hinders chondrogenesis and accelerates matrix degradation. Targeting of senescent chondrocytes may be a promising approach for the treatment of OA. Herein, we describe the engineering of an injectable peptide-hydrogel conjugating a stem cell–homing peptide PFSSTKT for carrying plasmid DNA-laden nanoparticles and Tanshinon IIA (pPNP + TIIA@PFS) that was designed to attenuate OA progression by improving the senescent microenvironment and fostering cartilage regeneration.ResultsSpecifically, pPNP + TIIA@PFS elevates the concentration of the anti-aging protein Klotho and blocks the transmission of senescence signals to adjacent healthy chondrocytes, significantly mitigating chondrocyte senescence and enhancing cartilage integrity. Additionally, pPNP + TIIA@PFS recruit bone mesenchymal stem cells and directs their subsequent differentiation into chondrocytes, achieving satisfactory chondrogenesis. In surgically induced OA model rats, the application of pPNP + TIIA@PFS results in reduced osteophyte formation and attenuation of articular cartilage degeneration.ConclusionsOverall, this study introduces a novel approach for the alleviation of OA progression, offering a foundation for potential clinical translation in OA therapy.