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E-raamat: Arthritis: Pathophysiology, Prevention, and Therapeutics

Edited by , Edited by (University of Houston College of Pharmacy, Houston, TX), Edited by (Researcher at Faculty of Pharma-Science, Laboratory of Drug and Gene Delivery Research, Teikyo University, Tokyo, Japan)
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  • Ilmumisaeg: 19-Apr-2016
  • Kirjastus: CRC Press Inc
  • Keel: eng
  • ISBN-13: 9781040069387
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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 19-Apr-2016
  • Kirjastus: CRC Press Inc
  • Keel: eng
  • ISBN-13: 9781040069387

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A debilitating disease of pain, inflammation, and loss of mobility and quality of life, arthritis takes victims of all ages, from young children to seniors. Usually chronic, the broad term arthritis refers to nearly 100 distinct manifestations, each with their own etiology, pathophysiology, and treatment. With medical research getting so much attention, it is no wonder there have been recent leaps in the investigation into arthritis treatment. It is important to have a high quality, trusted compendium to capture the breadth and depth of new information in the field.





Covering cutting-edge information on arthritic diseases and their treatment, Arthritis: Pathophysiology, Prevention, and Therapeutics details the intricacies of arthritis and inflammatory responses, their consequences, their economic burden, and their impact on society. Offering a mechanistic approach to pathophysiology and treatment, the book begins with an overview of rheumatoid arthritis, osteoarthritis, and psoriatic arthritis.





Section Two highlights the consequences of arthritis and the link between arthritis and obesity, diabetes, and cardiovascular disease, as well as other related disabilities. The third section focuses on antiarthritic drugs, including an overview and update on antiarthritic drug development by Dr. Micheal G. Lyon from Stanford University School of Medicine, and a chapter on nonsteroidal anti-inflammatory drugs. Other chapters cover biologics in arthritis treatment, topical applications, and the use of hyaluronan and hyaluronic acid in osteoarthritis and rheumatoid arthritis.





Sections Four and Five are devoted to natural therapeutic and orthopedic interventions such as glucosamine and chondroitin, MSM, capsaicin, shark cartilage, and fish oil, while Section Six discusses nonpharmacological approaches including physical exercise and acupuncture. The final section provides a commentary on the correlation between a
Preface xiii
Editors xv
Contributors xvii
SECTION I Overview and Pathophysiology
Chapter 1 An Overview on Rheumatologic Disorders
3(20)
S. Kumar
Rajiva Gupta
Introduction
3(1)
Rheumatoid Arthritis
4(2)
Epidemiology of RA
4(2)
QOL Measures in RA
6(1)
Cost of Treatment
6(1)
Osteoarthritis
7(2)
Epidemiology
7(1)
Disease Burden and Economic Cost
8(1)
Juvenile Inflammatory Arthritis
9(1)
Health Outcome
9(1)
Economic Burden
9(1)
Ankylosing Spondylitis
10(1)
Health Burden and Economic Cost
10(1)
Gout
11(1)
Epidemiology
11(1)
Health Outcome
11(1)
Economic Burden
12(1)
Osteoporosis
12(2)
Epidemiology
12(1)
Incidence
13(1)
Hip Fracture
13(1)
Vertebral Fractures
13(1)
Distal Forearm Fracture
14(1)
Health Outcome of Osteoporotic Fracture
14(1)
Economic Cost
14(1)
Fibromyalgia
14(2)
Epidemiology
15(1)
Health Outcome
15(1)
Economic Cost
15(1)
Repetitive Strain Injury
16(1)
References
16(7)
Chapter 2 Pathogenesis of Osteoarthritis
23(16)
Allen P. Anandarajah
Introduction
23(1)
Risk Factors for OA
24(2)
Age
25(1)
Gender
25(1)
Genetic Predisposition
25(1)
Obesity
26(1)
Joint Malalignment
26(1)
Injury
26(1)
Structural Pathology in OA
26(7)
Cartilage
26(1)
Inflammation and Molecular Mechanisms of Cartilage Destruction
27(2)
Age and Cartilage Loss
29(1)
Obesity and Cartilage Loss
29(1)
Mechanical Stress and Cartilage Loss
29(1)
Genetics and Cartilage Loss
29(1)
Gender and Cartilage Loss
30(1)
Bone
30(1)
Role of Remodeling and Modeling of Bone in Pathogenesis of OA
30(1)
Osteophytes
30(2)
Subchondral Sclerosis
32(1)
BME-like Lesions
32(1)
Synovium
32(1)
Muscles, Ligaments, and Nerves
33(1)
Conclusions
34(1)
References
34(5)
Chapter 3 Biomarkers in Osteoarthritis
39(16)
Muneaki Ishijima
Hisashi Kurosawa
Haruka Kaneko
Kazuo Kaneko
Introduction
39(3)
Osteoarthritis
39(1)
Pathophysiology of OA
40(1)
Clinical Manifestations of OA
40(1)
Problems to be Overcome for the Management of OA
40(1)
Candidates: Magnetic Resonance Imaging and Biomarkers
41(1)
Biomarkers in OA
42(8)
Validity of Biomarkers: Lessons from the Management of Osteoporosis
42(1)
A Classification of OA Biomarkers: BIPED
42(1)
Candidates for Biomarkers in OA
42(2)
Markers of Cartilage Metabolism
44(1)
Markers of Bone Metabolism
45(1)
Markers of Synovial Metabolism
46(1)
Potential Usage of Biomarkers for the Management of OA
46(1)
Diagnostic Markers
46(1)
Burden of Disease Markers
47(1)
Prognostic Markers
47(1)
Efficacy of Intervention
48(1)
Investigative Marker
49(1)
Combination of Biomarkers
49(1)
The Confronting Limitations and Their Solutions for the Development of Biomarkers for OA
50(1)
Conclusions
50(1)
Acknowledgments
51(1)
References
51(4)
Chapter 4 Rheumatoid Arthritis: Disease Pathophysiology
55(20)
Ankit Saxena
Smriti K. Raychaudhuri
Siba P. Raychaudhuri
Introduction
55(1)
T Cells in RA
56(4)
B Cells and Autoantibody
60(2)
Cytokines in RA
62(2)
Proinflammatory Cytokines
62(2)
Anti-inflammatory Cytokines
64(1)
Chemokines (Chemotactic Cytokines)
64(1)
Innate Immunity and Toll-Like Receptors
64(2)
Growth Factors
66(1)
Cartilage/Bone Destruction
66(1)
Conclusions
67(1)
References
67(8)
Chapter 5 Osteoclasts and Interleukin-17-Producing Helper T Cells in Rheumatoid Arthritis
75(16)
Kazuo Okamoto
Hiroshi Takayanagi
Introduction
75(1)
Osteoclasts and Bone Destruction
76(3)
The Role of Rankl/Rank in Osteoclastogenesis
76(1)
Rankl Signaling
77(1)
Nuclear Factor of Activated T Cells Cytoplasmic 1: The Master Transcription Factor for Osteoclastogenesis
77(1)
Calcium Signaling and Immunoreceptors in Osteoclastogenesis
78(1)
Crosstalk between RANKL and Other Cytokine Signaling
79(1)
Mechanism of Bone Destruction in RA
79(2)
The Essential Role of Osteoclasts in Bone Destruction in RA
79(1)
Effect of T Cells on Osteoclastogenesis
80(1)
Th17 Cells Function as the Osteoclastogenic Th Cells
80(1)
Novel Insights into the Mechanisms of Th17 Induction in Autoimmunity
81(3)
A Novel Role of Cathepsin K in Autoimmunity
82(1)
The Essential Role of IkBζ in Th17 Development
83(1)
Conclusions
84(1)
Acknowledgments
85(1)
References
85(6)
Chapter 6 WNT/β-Catenin Signaling Modulating Osteoarthritis
91(12)
Maripat Corr
WNT Signaling Pathways
91(2)
Genetic Evidence for the Role of WNT Signaling in OA
93(2)
WNT-Associated Gene Expression Profiling in OA Tissues
95(1)
WNT in Cartilage and Bone Biology
95(1)
WNT in Genetic Mouse Models of OA
96(1)
Conclusion
97(1)
References
97(6)
Chapter 7 Psoriatic Arthritis: Epidemiology, Risk Factors, and Quality of Life
103(12)
Arathi R. Setty
Introduction
103(1)
Association between Psoriasis and Inflammatory Arthritis
104(1)
Prevalence
104(2)
Incidence Rate
106(1)
Potential Risk Factors for PsA
107(2)
Demographic Factors
107(1)
Sex
107(1)
Infection
107(1)
Features of Psoriasis
108(1)
Features of PsA
108(1)
Other Risk Factors
109(1)
Quality of Life
109(1)
Morbidity and Mortality
109(1)
Conclusions
110(1)
References
110(5)
SECTION II Consequences
Chapter 8 Arthritis, Obesity, Increased Cardiovascular Risk, and Disability
115(10)
Shampa Chatterjee
Introduction
115(1)
Obesity and Arthritis
116(1)
Obesity and Cardiovascular Dysfunction
116(1)
Systemic Inflammatory Conditions
117(1)
Atherosclerotic Cardiovascular Disease in RA
117(1)
Adipocytokines and Insulin Resistance in RA
118(1)
References
118(7)
SECTION III Antiarthritic Drugs
Chapter 9 An Overview: Use of Traditional Antiarthritic Drugs and Update on Drug Development
125(14)
Gabriela Schmajuk
Michael G. Lyon
Introduction
126(1)
Pain Control in Arthritis
126(5)
Nonsteroidal Anti-inflammatory Drugs
126(1)
Mechanism of Action
126(1)
Administration
127(1)
Adverse Effects
127(1)
Monitoring and Patient Education
128(1)
Acetaminophen
129(1)
Mechanism of Action
129(1)
Administration
129(1)
Adverse Effects
129(1)
Monitoring and Patient Education
129(1)
Opioid Analgesics
129(1)
Mechanism of Action
129(1)
Administration
129(2)
Adverse Effects
131(1)
Monitoring and Patient Education
131(1)
Disease Modification in Arthritis
131(3)
Methotrexate
131(1)
Mechanism of Action
131(1)
Administration
131(1)
Adverse Effects
132(1)
Monitoring and Patient Education
132(1)
Leflunomide
132(1)
Mechanism of Action
132(1)
Administration
132(1)
Adverse Effects
132(1)
Monitoring and Patient Education
132(1)
Sulfasalazine
133(1)
Mechanism of Action
133(1)
Administration
133(1)
Adverse Effects
133(1)
Monitoring and Patient Education
133(1)
Hydroxychloroquine
133(1)
Mechanism of Action
133(1)
Administration
133(1)
Adverse Effects
134(1)
Monitoring and Patient Education
134(1)
Other Nonbiologic DMARDs
134(1)
Update on Drug Development: A New Generation of Disease-Modifying Agents
134(2)
References
136(3)
Chapter 10 Nonsteroidal Anti-Inflammatory Drugs
139(8)
Anand Lal
Seeta Sharma
Introduction
139(1)
History
139(1)
Mechanism of Action
140(1)
Pharmacology
140(1)
Classification of NSAIDs
140(1)
Indications for the Use of NSAIDs
140(1)
Drug Interactions
141(1)
Adverse Effects
141(3)
Groups at Increased Risk for Adverse Effects
141(1)
GI System
141(1)
Renal System
142(1)
CV Risks
143(1)
Central Nervous System
143(1)
Hematologic System
143(1)
Hepatic System
143(1)
Dermatologic System
143(1)
Summary of Strategies to Reduce the Toxicity of NSAIDs
143(1)
Conclusions
144(1)
References
144(3)
Chapter 11 Biologics: Target-Specific Treatment of Systemic and Cutaneous Autoimmune Diseases
147(18)
Siba P. Raychaudhuri
Smriti K. Raychaudhuri
Introduction
147(1)
Anticytokine Therapy
148(1)
TNF-α, A Unique Target Molecule for the Treatment of Inflammatory Diseases
149(3)
IL-1 Inhibitors
152(1)
IL-6 Inhibitor
152(1)
Other IL Antagonists
153(1)
T-Cell-Targeted Therapies in the Treatment of Systemic and Cutaneous Autoimmune Diseases
153(2)
Targeting the Effector Memory T Cells
154(1)
K+ Channels in the Immune System
155(1)
B-Cell-Targeted Therapies in the Treatment of Systemic and Cutaneous Autoimmune Diseases
155(1)
B-Cell-Depleting Agents
156(1)
Angiogenesis Factor
156(1)
Drugs that Inhibit Leukocyte Adhesion
156(1)
New Generations of Biologics
157(1)
Golimumab and Certolizumab
157(1)
Therapeutic Efficacy Noticed in Clinical Trials
157(3)
Therapeutic Efficacy of Golimumab (Simponi)
157(1)
Certolizumab Pegol (CIMZIA)
158(2)
Conclusions
160(1)
References
160(5)
Chapter 12 Topical Applications for Pain and Arthritic Diseases
165(18)
Norifumi Tanida
Kotaro Maekawa
Masaru Nakanishi
Introduction
165(1)
History of External Preparations
166(1)
Characteristics of Topical Preparations
167(1)
Percutaneous Absorption and Pharmacological Activities of NSAIDs
168(1)
Percutaneous Absorption of NSAIDs
168(1)
Pharmacological Activities of NSAIDs
168(1)
Pharmacokinetic Characteristics, Efficacy, and Safety of TopicalNSAIDs
169(11)
Diclofenac
169(1)
Absorption and Distribution of Topical Diclofenac
169(1)
Efficacy and Safety of Topical Diclofenac
170(4)
Ketoprofen
174(1)
Absorption and Distribution of Topical Ketoprofen
174(2)
Efficacy and Safety of Topical Ketoprofen
176(4)
Future Considerations
180(1)
References
181(2)
Chapter 13 Hyaluronic Acid and Arthritis: A Review
183(16)
Michele Abate
Introduction
183(1)
Characteristics of HA
184(1)
Indications to Treatment
185(1)
Infiltration Techniques
185(3)
General Considerations
185(1)
Glenohumeral Joint
186(1)
Carpometacarpal Joint
186(1)
Hip Joint
186(1)
Knee Joint
187(1)
Ankle Joint
187(1)
Clinical Results
188(2)
Knee OA
188(1)
Hip OA
188(1)
Ankle OA
189(1)
Glenohumeral OA
189(1)
CMC OA
190(1)
Other Joints
190(1)
Side Effects
190(1)
HA versus Corticosteroids
190(1)
Conclusions
191(1)
References
192(7)
Chapter 14 Hyaluronan for the Treatment of Osteoarthritis and Rheumatoid Arthritis
199(20)
Toshiaki Nakano
Yasufumi Takahashi
Introduction
199(1)
History of the Research and Development of the 2700-kDa HA in Japan
200(1)
Therapeutic Positioning of Intra-Articular HA for OA in Europe, the United States, and Japan
201(1)
Oarsi Recommendation for the Management of Hip and Knee OA
201(2)
Strength of Recommendation
202(1)
Level of Evidence
202(1)
Intra-articular Corticosteroid Injections
203(1)
Intra-articular HA Injections
203(1)
Viscoelasticity and Lubricating Effects of HA
203(2)
Effect of HA on Joint Pain
205(1)
Anti-inflammatory Effects of HA
206(3)
Effects of HA on Articular Cartilage
209(2)
Effects of HA on the Subchondral Bone
211(1)
Effects of HA on the Properties of Joint Fluid
211(1)
Clinical Effectiveness of HA
212(1)
Conclusions
212(2)
References
214(5)
SECTION IV Natural Therapeutic Interventions
Chapter 15 Immunomodulatory Activities of Japanese Traditional Medicines in Rheumatoid Arthritis
219(12)
Toshiaki Kogure
Introduction
219(1)
Traditional Herbal (Kampo) Medicine in Japan
219(1)
Characteristics of Japanese Traditional Herbal (Kampo) Medicines
220(1)
Immunomodulatory Activities
220(3)
In a Mouse Arthritis Model
220(1)
Collagen-induced Arthritis
220(1)
Immunomodulatory Activities of Hochu-ekki-to
220(1)
Suppressive Effect of HET on the Development of CIA in Mouse
220(1)
The Suppression of B-Cell Activation in CIA by HET
221(1)
Lymphocyte Subset Partition Change in Lymphatic Tissues
222(1)
Antirheumatic Drug: Fun-boi, Single Herb Medicine
222(1)
The Immunomodulatory Effects of Fun-boi, a Herbal Medicine, on CIA In Vivo
223(1)
In Human RA Patients
223(1)
Immunomodulatory Activities of Fun-boi, a Herbal Medicine, in RA
223(1)
Efficacy and Adverse Reactions
223(1)
Clinical Efficacy for RA
223(1)
Case Study: Responder to Kampo Therapy in RA
223(1)
Representative Kampo Formula for RA: Keishinieppiitto-ka-Ryojutsubu
224(1)
Case Report
224(3)
Case 1
224(1)
Case 2
225(1)
Case Series Study
226(1)
Clinical Efficacy of KER for RA
226(1)
Serum Levels of anti-CCP in Patients with a Beneficial Response to Kampo Medicine
226(1)
Conclusions
227(1)
References
228(3)
Chapter 16 An Overview on Natural Therapeutic Interventions
231(6)
Stanley Naguwa
Introduction
231(1)
Epidemiology
231(1)
The Challenge
232(1)
Osteoarthritis
232(1)
Rheumatoid Arthritis
233(1)
Low Back Pain
234(1)
Fibromyalgia
234(1)
The Future
234(1)
Useful Sources of CAM Therapy
235(1)
References
235(2)
Chapter 17 Potential Health Benefits from Nutrition and Dietary Supplements in the Prevention of Osteoarthritis and Rheumatoid Arthritis
237(8)
Cathy Creger Rosenbaum
Introduction
237(1)
Osteoarthritis
238(3)
Nutrition
238(1)
Dietary Supplements
238(1)
Vitamin C
238(1)
Green Tea
239(1)
Vitamin D
239(1)
Glucosamine and Chondroitin
239(1)
Chondroitin
240(1)
S-Adenosyl-l-Methionine
240(1)
Avocado Oil/Soybean Unsaponifiable Residues
241(1)
Cat's Claw
241(1)
Rheumatoid Arthritis
241(1)
Dietary Supplements for RA
242(1)
Fish Oil Dietary Supplements
242(1)
Conclusions
242(1)
References
243(2)
Chapter 18 Antiarthritic Potential of Glucosamine and Chondroitin An Overview
245(10)
Michael W. Orth
Pooi-See Chan
Introduction
245(1)
Glucosamine
245(1)
Chondroitin Sulfate
246(1)
Suggested Mechanisms of Action
246(1)
Glucosamine
246(1)
Chondroitin Sulfate
247(1)
Human Trials
247(2)
Glucosamine
247(1)
Chondroitin Sulfate
248(1)
Combination
248(1)
Issues
249(1)
Study Designs
249(1)
Absorption and Bioavailability
249(1)
Regulation of Products
249(1)
Conclusions
250(1)
References
250(5)
Chapter 19 An Overview on N-Acetylglucosamine and Arthritis
255(6)
Daiki Kubomura
Uzuka Naoaki
Yoshiharu Matahira
What Is N-Acetylglucosamine?
255(1)
Absorption, Distribution, Metabolization, and Excretion of NAG
255(2)
Effect of NAG on Osteoarthritis
257(1)
Safety of NAG
258(1)
Other Physiological Functions and Applications of NAG
258(1)
References
259(2)
Chapter 20 Hexosamine Flux and the Efficacy and Safety of Glucosamine in the Treatment of Osteoarthritis
261(22)
Akhtar Afshan Ali
William Salminen
Julian E. Leakey
Introduction
261(3)
Structure and Maintenance of Cartilage
262(2)
Glucosamine
264(5)
Chemical Properties
264(1)
Pharmacokinetics and Metabolism
265(2)
Toxicity
267(1)
Biological Effects In Vitro
268(1)
Effects on Hexosamine Flux
268(1)
Chondroitin Sulfate
269(2)
Chemical Properties
270(1)
Biosynthesis, Pharmacokinetics, and Metabolism
270(1)
Toxicity and Biological Activity
271(1)
Efficacy of Glucosamine and Chondroitin Sulfate
271(2)
Evidence that Oral Glucosamine Increases Hexosamine Flux In Vivo
273(3)
Conclusions
276(1)
Acknowledgments
276(1)
References
277(6)
Chapter 21 Safety and Efficacy of a Unique Undenatured Type II Collagen in the Treatment of Arthritis
283(12)
Siba P. Raychaudhuri
Ramesh C. Gupta
Hiroyoshi Moriyama
Manashi Bagchi
Francis C. Lau
Debasis Bagchi
Introduction
283(1)
Undenatured CII in the Treatment of RA
284(2)
UC-II versus Other CII
286(1)
UC-II in the Treatment of OA in Animals
286(4)
UC-II Human Clinical Trial
290(1)
UC-II Safety and Toxicological Studies
291(1)
Conclusions
292(1)
References
293(2)
Chapter 22 Targeting Inflammatory Pathways by Nutraceuticals for Prevention and Treatment of Arthritis
295(30)
Bokyung Sung
Gautam Sethi
Kwang Seok Ahn
Manoj K. Pandey
Ajaikumar B. Kunnumakkara
Bharat B. Aggarwal
Introduction
295(3)
Potential of Natural Agents Against Arthritis
298(6)
Inhibitors of TNF-α Expression
298(1)
Inhibitors of COX-2 Expression and Activity
298(1)
Inhibitors of 5-LOX Expression and Activity
298(1)
Inhibitors of Adhesion Molecules
298(4)
Inhibitors of NF-κB Activation
302(2)
Preclinical and Clinical Studies of Natural Products Against Arthritis
304(7)
Conclusions
311(1)
Acknowledgments
311(1)
References
311(14)
Chapter 23 Boswellia serrata for Arthritis Relief: A Journey from Frankincense to Aflapin and 5-Loxin
325(16)
Alluri Venkata Krishnaraju
Krishanu Sengupta
Siba P. Raychaudhuri
Golakoti Trimurtulu
Introduction
326(1)
Alternative Medicine
326(1)
Indian Ayurvedic Medicine
327(1)
Boswellia serrata
327(1)
Chemical Constituents
327(3)
Mechanisms of Action
330(1)
Pharmacological Activities
330(2)
Analgesic and Psychopharmacological Effects
330(1)
Anti-inflammatory
330(1)
Antiarthritic Activities
330(1)
Anticolitis Efficacy
331(1)
Effects on Leukocytes Migration
331(1)
Antiulcer Activity
331(1)
Modulation of Immune Response
331(1)
Anticancer Activity
331(1)
Cholesterol Lowering and Hypolipidemic Activities
332(1)
Antiatherogenic Activity
332(1)
Hepatoprotective Activity
332(1)
Inflammatory Bowel Disease
332(1)
Antimicrobial Activity
332(1)
Bioavailability and Metabolism
332(1)
Toxicity Studies
333(1)
Clinical Studies
333(1)
Development of AKBA-Enriched Extracts
334(1)
In Vitro Efficacy Studies
334(1)
In Vivo Efficacy Studies
334(1)
Mechanism of Action
335(1)
Toxicity Studies
335(1)
Clinical Studies
336(1)
Conclusions
336(1)
Acknowledgments
337(1)
References
337(4)
Chapter 24 Utilization of Marine Products in the Treatment and Prevention of Osteoarthritis
341(8)
Tadakazu Tamai
Ayako Honmura
Hisashi Yoshioka
Tatsuya Konishi
Shisei Kuninaga
Hiroshi Oda
Akinori Sakamoto
Tsuyoshi Okada
Introduction
341(1)
Method for Production of Shark Cartilage Extract
342(1)
Chondroitin Sulfate in the Shark Cartilage Extract
342(1)
Collagen Peptide in the Shark Cartilage Extract
343(1)
Preventive Effect of Shark Cartilage Extract in Arthritis Model Rats
344(1)
Combination of Shark Cartilage Extract and Other Materials Expected to Have Stronger Effect
345(1)
Anti-inflammatory Effect of Fish Oil Containing Omega-3 Fatty Acids
345(1)
Improvement of Arthritis by Combining Shark Cartilage Extract and Fish Oil
346(1)
Conclusions
347(1)
References
347(2)
Chapter 25 Benefits of Fish Oil for Rheumatoid Arthritis: A Review
349(36)
Christine Dawczynski
Gerhard Jahreis
Chemical Structure of N-3 Polyunsaturated Fatty Acids
349(1)
Anti-inflammatory Effects of N-3 LC-PUFA
349(12)
Effects on Eicosanoid Metabolism
349(3)
Effects on Gene Expression
352(2)
Effects on Production of Cytokines
354(2)
Effects on the Production of "Proresolving" Mediators (Resolvins, Protectins, and Maresins)
356(2)
Effects on Bone Metabolism and Cartilage Integrity
358(3)
Effects of Fish Oil-Derived N-3 LC-PUFA on Therapy of RA (Human Intervention Trials)
361(15)
Limitations of Human Intervention Studies with n-3 PUFA in RA Patients
375(1)
Effect of Fish Oil on Inflammation Parameters Depend on Genotype
375(1)
Effects of N-3 LC-PUFA on the Risk for Coronary Heart Diseases
376(2)
References
378(7)
Chapter 26 Potential Health Benefits of n-3 and -6 Fatty Acids in Selected Plant Seed Oils in Rheumatoid Arthritis
385(18)
Hiroyuki Takeuchi
Hiroyoshi Moriyama
Debasis Bagchi
Siba P. Raychaudhuri
Introduction
385(1)
Plant Seed Oils
386(1)
History of Plant Seed Oils
386(1)
Production Methodology
386(1)
Compositions of Plant Oils
387(1)
FAs and Metabolism
387(2)
Classifications of FAs
387(2)
Ingested FAs
389(1)
FAs and Eicosanoids
389(1)
PUFA-Derived Eicosanoids in RA
389(2)
Different Eicosanoids
389(1)
RA-linked Eicosanoids
389(1)
PUFA and Eicosanoids
390(1)
PUFAs and Inflammatory Diseases: RA
391(6)
α-Linolenic Acid
391(1)
Flaxseed Oil
392(1)
γ-Linolenic Acid
393(1)
Borage Seed Oil
394(1)
Blackcurrant Seed Oil
395(1)
Evening Primrose Seed Oil
396(1)
Perspectives
397(1)
Conclusions
397(1)
References
398(5)
Chapter 27 Antiarthritic Potential of Bromelain from Ananas comosus and Its Combination
403(6)
Dilip Ghosh
Introduction
403(1)
Complementary and Alternative Medicine in Arthritis Management
403(1)
Ananas Comosus and Bromelain: Part of CAM Treatments
404(2)
Mechanism of Action
404(1)
In Vitro Studies
404(1)
In Vivo Animal Studies
405(1)
Clinical Evidence
405(1)
Commentary
406(1)
References
406(3)
Chapter 28 Anti-Inflammatory Properties of Zingiber officinale var. Rubra (Red Ginger Extract)
409(10)
Hiroshi Shimoda
Introduction
409(1)
Profile of Red Ginger Extract and its Constituents
409(1)
Anti-Inflammatory Effects in Animal Models
410(3)
Anti-Inflammatory Mechanism
413(4)
Conclusions
417(1)
References
417(2)
Chapter 29 Benefits of Radix Tripterygium wilfordii for Rheumatoid Arthritis
419(14)
Xiaojuan He
Shaohua Xu
Miao Jiang
Na Lin
Aiping Lu
Mechanism of TWHF on Therapy of RA
420(5)
Immunoregulatory Effect of TWHF
420(1)
Effect on Immune Cells
420(1)
Effect on Enteric Mucosal Immune System
421(1)
Effect on Joint Cells
422(1)
Effect on Vascular Endothelial Cells
422(1)
Anti-inflammatory Effect of TWHF
422(1)
Inhibit the Production of Cytokine and Chemokine
422(1)
Inhibit the MMPs
423(1)
Inhibit the NO
424(1)
Inhibit the PGE2
424(1)
Effect on Apoptosis
424(1)
Clinical Application of TWHF in the Treatment of RA
425(1)
Randomized, Controlled Clinical Studies
425(1)
Therapeutic Effect of TWHF Combined with Other Drugs in RA
426(1)
Conclusions
426(1)
References
426(7)
Chapter 30 Dehydroepiandrosterone (DHEA): A Review of Its Preclinical Use in the Management of Osteoarthritis
433(10)
Kai Huang
Hai-Li-Cai
Chun Zhang
Xiao-Wen Zhang
Li-Dong Wu
Li-Feng Shen
Qiao-Feng Guo
Introduction
433(5)
The Novel Protective Mechanisms of DHEA: Regulating the Anabolic/Catabolic Balance of Articular Cartilage
434(1)
Regulating the Balance between MMPs and the Tissue Inhibitor of Metalloproteinase-1: A Definite Protective Mechanism of DHEA for Osteoarthritic Cartilage
434(1)
Adjusting Cysteine Proteinases/Cystatin C Enzyme Expression: A Novel Mechanism of DHEA on Cartilage in Different Stages of OA
435(1)
Downregulating the Expression of the Urokinase Plasminogen Activator/Plasminogen Activator Inhibitor-1 Enzyme System: A Newly Discovered Mechanism of DHEA on Osteoarthritic Cartilage
436(1)
Modulating the Balance between Aggrecanases and the TIMP-3: A Speculated Mechanism of DHEA by which this Agent Exerts Its Protective Role in OA
436(2)
Perspectives
438(1)
References
438(5)
Chapter 31 Antiarthritic Potential of Green-Lipped Mussel and Other Marine-Based Nutraceuticals
443(8)
Wendy Pearson
Michael I. Lindinger
Introduction
443(1)
New Zealand Green-Lipped Mussel
444(4)
PUFAs in NZGLM
444(1)
GAGs in NZGLM
445(1)
Experimental Animal Studies on NZGLM
445(1)
Clinical Evidence for Efficacy of NZGLM
446(1)
Brand-specific NZGLM-based Products
446(1)
Safety of Ingesting NZGLM and Its Extracts
447(1)
Conclusions
448(1)
References
448(3)
Chapter 32 Antioxidant, Anti-Inflammatory, and Anticatabolic Potential of Rosmarinic Acid and High-Rosmarinic Acid Mint (Mentha Spicata) in Osteoarthritis
451(12)
Wendy Pearson
Michael I. Lindinger
Introduction
451(1)
The Inflammation of Osteoarthritis
452(1)
The Roles of ROS in Osteoarthritis
453(1)
Evidence for Antioxidant Activity of RA
454(1)
Evidence for Anti-Inflammatory/Anticatabolic Activities of RA
455(2)
Development and Effects of High-RA Mint
457(1)
A Note on Safety
458(1)
Conclusions
459(1)
References
459(4)
Chapter 33 Potential Health Benefits of Orally Administered Hyaluronan in Alleviating Knee Joint Pain
463(10)
Tomoyuki Kanemitsu
Akira Asari
Introduction
463(1)
Safety Studies
464(1)
Acute Toxicity Test
464(1)
Twenty-eight-day Oral Repeated Administration Toxicity Test
465(1)
Other Toxicity Tests
465(1)
Human Clinical Trial
465(3)
Subjects
465(1)
Test Methods
465(1)
Trial Food
465(1)
Administered Period
465(1)
Evaluation Method
465(1)
Statistical Analysis
466(1)
Results
466(1)
Discussion
467(1)
Animal and Cell Model Studies
468(3)
Changes in Gene Expression Caused by Oral Administration of Hyaluronan
468(1)
Changes in Cytokine Expression after the Oral Administration of Hyaluronan
468(1)
Hyaluronan Receptor in the Large Intestine Tract
469(2)
Conclusions
471(1)
References
471(2)
Chapter 34 Pycnogenol---A Nutraceutical for Osteoarthritis
473(20)
Om P. Gulati
Introduction
474(1)
Pycnogenol®
474(1)
Pathophysiogy of OA
474(3)
Role of Inflammation
474(1)
Inflammatory Mediators
475(1)
Cytokines and Growth Factors
475(1)
Matrix Metalloproteinases
476(1)
Nitric Oxide
477(1)
C-Reactive Protein
477(1)
Other Risk Factors and Biomarkers in OA
477(1)
Biological Profile of Pycnogenol
477(3)
Antioxidant and Anti-inflammatory Activities
477(1)
Antioxidant Effects: In Vitro Studies
478(1)
Antioxidant and Anti-inflammatory Activities: In Vivo Animal Studies
479(1)
Antioxidant Effects: Clinical Studies
479(1)
Inhibition of MMPs
479(1)
Inhibition of Cytokines
480(1)
Clinical Research in OA
480(2)
Efficacy Data
480(2)
Mechanisms of Action
482(3)
Lowering of CRP, Free Radicals, and Fibrinogen Levels in Plasma
482(1)
Ex Vivo Studies in Healthy Human Volunteers
483(1)
Inhibition of NF-κB Activation and MMP-9 Secretion [ 71]
483(1)
Inhibition of Mmps and Free Radical Scavenging Activity of Metabolites of Pycnogenol
483(1)
In Vivo Studies in Animals
484(1)
Antioxidant and Anti-inflammatory Activities
484(1)
In Vitro Studies
484(1)
Antioxidant Activity and Inhibition of MMP-9 Secretion by Metabolites of Pycnogenol [ 71]
484(1)
Inhibition of UVR-induced NF-κB-dependent Gene Expression
485(1)
Protection of Vascular Endothelium Against Oxidative Injury
485(1)
Conclusions
485(1)
References
486(7)
SECTION V Orthopedic Approach
Chapter 35 Total Knee Arthroplasty for Osteoarthritis
493(10)
Shuichi Matsuda
Hiromasa Miura
Yukihide Iwamoto
Surgical Indication
493(1)
Implant Design and Material
493(1)
Surgical Technique
494(1)
Rehabilitation
495(1)
Complication
496(1)
Current Topics
497(2)
Postoperative Alignment and Computer-Assisted Surgery
497(1)
Minimally Invasive Surgery
498(1)
References
499(4)
SECTION VI Nonpharmacologic Interventions
Chapter 36 Physical Exercise for Osteoarthritis of the Knee: Main Modality of Treatment and Possible Use for Prevention
503(16)
Hisashi Kurosawa
Introduction
503(1)
Efficacy of Therapeutic Exercise for Knee OA
504(8)
Efficacy of Exercise on Knee OA
504(1)
Modality and Method of Exercise
504(4)
Methods to Evaluate Efficacy
508(1)
Review of Exercise Trials
508(1)
Consideration of the Mechanisms of the Efficacy of Therapeutic Exercise
509(1)
Mode of Exercise
509(1)
Significance of Muscle Strengthening
509(1)
Effect of Reducing Body Weight
510(1)
Limitations of the Efficacy of Exercise
511(1)
Summary and Perspective for Exercise
512(2)
References
514(5)
Chapter 37 Acupuncture for the Treatment of Arthritis
519(24)
Hi-Joon Park
Hyangsook Lee
Introduction
519(2)
The Effect of Acupuncture in OA of Peripheral Joints
521(1)
Acupuncture Effect on Knee OA
522(1)
Acupuncture Effects on Hip OA
522(1)
The Effect of Acupuncture for RA
522(15)
Acupuncture versus Active Treatment
529(1)
Acupuncture versus Sham/Placebo Treatment
530(7)
Other Acupuncture-Related Techniques for Arthritis
537(1)
Moxibustion
537(1)
Bee Venom Acupuncture
537(1)
Constitutional Approach for the Acupuncture Treatment
537(1)
Conclusions
537(1)
References
538(5)
Chapter 38 Rehabilitative Strategies for Arthritis: Physical, Agents, Exercise, and Prosthesis Therapies
543(10)
Nobuyuki Kawate
Mitsumasa Yoda
Naomi Yoshioka
Masazumi Mizuma
Physical Agents
543(4)
Thermotherapy
544(3)
Contraindications for Thermotherapy
547(1)
Exercise Therapy
547(3)
Osteoarthritis
548(1)
Rheumatoid Arthritis
548(2)
Prosthesis Therapy For RA
550(2)
Cervical Spine Prostheses
550(1)
Prostheses for Upper Extremities
551(1)
Shoulder Joints
551(1)
Elbow Joints
551(1)
Wrist Joints
551(1)
Fingers
551(1)
Prostheses for the Lower Extremities
551(1)
Hip Joints
551(1)
Knee Joints
551(1)
Foot Joints
551(1)
Feet and Toes
552(1)
References
552(1)
Chapter 39 Rehabilitation for Arthritis: Daily Life Guidelines
553(6)
Fumihito Kasai
Masazumi Mizuma
Introduction
553(1)
Rest and Exercise
553(1)
Actual DLG
554(1)
Evidence of DLG
555(1)
Approach to Psychological Aspects
555(1)
References
555(4)
SECTION VII Commentary
Chapter 40 Arthritis, Aging Society, Exercise, Nutrition, and Other Precautionary Measures
559
Siba P. Raychaudhuri
Hiroyoshi Moriyama
Debasis Bagchi
Introduction
559(1)
Arthritis and Aging Society
559(1)
Arthritis and Exercise
560(1)
Other Precautionary Measures
560(1)
Conclusions
561(1)
References
561(2)
Index 563
Debasis Baghchi, Ph.D., FACN, CNS, MAIChE, works within the Department of Pharmacy Sciences at University of Houston College of Pharmacy.





Hiroyoshi Moriyama is Founder and Owner of MTI, Inc., a research and development company aimed at producing nutraceutical and cosmeceutical ingredients.