Unraveling the Molecular Mechanisms of Osteoarthritis: The Potential of Polyphenols as Therapeutic Agents

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Hauptverfasser: Syed Nasar Rahaman, Murugesan Lishadevi, Suresh Kumar Anandasadagopan
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Veröffentlicht: Wiley 2025
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author Syed Nasar Rahaman
Murugesan Lishadevi
Suresh Kumar Anandasadagopan
author_facet Syed Nasar Rahaman
Murugesan Lishadevi
Suresh Kumar Anandasadagopan
Syed Nasar Rahaman
Murugesan Lishadevi
Suresh Kumar Anandasadagopan
collection Wiley Open Access
contents Unraveling the Molecular Mechanisms of Osteoarthritis: The Potential of Polyphenols as Therapeutic Agents Syed Nasar Rahaman Murugesan Lishadevi Suresh Kumar Anandasadagopan Phytotherapy Research ABSTRACTThe complex nature of osteoarthritis (OA), driven by the intricate interplay of genetic, environmental, and lifestyle factors, necessitates the development of a single treatment method, which is highly challenging. The long‐term use of non‐steroidal anti‐inflammatory drugs (NSAIDs) and corticosteroids often leads to adverse side effects like kidney damage and stomach ulcers. Major health threats like obesity and aging create a milieu of chronic low‐grade inflammation and increased mechanical stress on the joints resulting in cartilage deterioration. Additionally, postmenopausal women with lower circulating 17β‐estradiol levels experience accelerated joint deterioration due to increased immune activity resulting in the increased production of pro‐inflammatory cytokines, with elevated MMP expression and decreased type II collagen synthesis. Polyphenols are nature's gifted magic molecules, which possess diverse biological properties like anti‐oxidant, anti‐bacterial, anti‐inflammatory, estrogenic, and insulin‐sensitizing effects, which can manage and treat all the multi‐factorial contributing factors of OA effectively. Certain polyphenols can act as phytoestrogens and mimic the effects of natural estrogen by binding to ERα and ERβ and can act as SERMs and prevent degradation of the articular cartilage thereby alleviating osteoarthritic conditions. These molecules downregulate the expression of various pro‐inflammatory cytokines, apoptotic genes, and matrix‐degrading proteases (MMPs) while upregulating major ECM proteins like type II collagen, aggrecan, and proteoglycans in various osteoarthritic animal models. This review provides a comprehensive overview of the molecular mechanisms involved in OA development and also explores the therapeutic potential of different polyphenols in mitigating joint inflammation and their protective effect in inhibiting the degradation of cartilage extracellular matrix (ECM) and enhancing joint homeostasis. 10.1002/ptr.8455 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Unraveling the Molecular Mechanisms of Osteoarthritis: The Potential of Polyphenols as Therapeutic Agents
Syed Nasar Rahaman
Murugesan Lishadevi
Suresh Kumar Anandasadagopan
Phytotherapy Research
Unraveling the Molecular Mechanisms of Osteoarthritis: The Potential of Polyphenols as Therapeutic Agents Syed Nasar Rahaman Murugesan Lishadevi Suresh Kumar Anandasadagopan Phytotherapy Research ABSTRACTThe complex nature of osteoarthritis (OA), driven by the intricate interplay of genetic, environmental, and lifestyle factors, necessitates the development of a single treatment method, which is highly challenging. The long‐term use of non‐steroidal anti‐inflammatory drugs (NSAIDs) and corticosteroids often leads to adverse side effects like kidney damage and stomach ulcers. Major health threats like obesity and aging create a milieu of chronic low‐grade inflammation and increased mechanical stress on the joints resulting in cartilage deterioration. Additionally, postmenopausal women with lower circulating 17β‐estradiol levels experience accelerated joint deterioration due to increased immune activity resulting in the increased production of pro‐inflammatory cytokines, with elevated MMP expression and decreased type II collagen synthesis. Polyphenols are nature's gifted magic molecules, which possess diverse biological properties like anti‐oxidant, anti‐bacterial, anti‐inflammatory, estrogenic, and insulin‐sensitizing effects, which can manage and treat all the multi‐factorial contributing factors of OA effectively. Certain polyphenols can act as phytoestrogens and mimic the effects of natural estrogen by binding to ERα and ERβ and can act as SERMs and prevent degradation of the articular cartilage thereby alleviating osteoarthritic conditions. These molecules downregulate the expression of various pro‐inflammatory cytokines, apoptotic genes, and matrix‐degrading proteases (MMPs) while upregulating major ECM proteins like type II collagen, aggrecan, and proteoglycans in various osteoarthritic animal models. This review provides a comprehensive overview of the molecular mechanisms involved in OA development and also explores the therapeutic potential of different polyphenols in mitigating joint inflammation and their protective effect in inhibiting the degradation of cartilage extracellular matrix (ECM) and enhancing joint homeostasis. 10.1002/ptr.8455 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Unraveling the Molecular Mechanisms of Osteoarthritis: The Potential of Polyphenols as Therapeutic Agents
topic Phytotherapy Research
url https://onlinelibrary.wiley.com/doi/10.1002/ptr.8455