Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers

Osteoarthritis is a chronic and progressive joint disease. It is established by a complex process involving mechanical and  biological alterations of the musculoskeletal system, which are generated by a great variety of interactions between  enetic  factors and extrinsic i...

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Autores principales: Brizuela, Nilda Y, Montrull, Hilda L, Demurtas , Silvia L, Meirovich, Carlos I
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25897
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id I10-R327-article-25897
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic Osteoarthritis
chondrocytes
colagenasa
óxido nítrico
antiinflamatorios
osteoteoartritismetaloproteasas-
oxido nítrico
anti-inflamatoriosglucosamina
spellingShingle Osteoarthritis
chondrocytes
colagenasa
óxido nítrico
antiinflamatorios
osteoteoartritismetaloproteasas-
oxido nítrico
anti-inflamatoriosglucosamina
Brizuela, Nilda Y
Montrull, Hilda L
Demurtas , Silvia L
Meirovich, Carlos I
Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
topic_facet Osteoarthritis
chondrocytes
colagenasa
óxido nítrico
antiinflamatorios
osteoteoartritismetaloproteasas-
oxido nítrico
anti-inflamatoriosglucosamina
author Brizuela, Nilda Y
Montrull, Hilda L
Demurtas , Silvia L
Meirovich, Carlos I
author_facet Brizuela, Nilda Y
Montrull, Hilda L
Demurtas , Silvia L
Meirovich, Carlos I
author_sort Brizuela, Nilda Y
title Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
title_short Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
title_full Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
title_fullStr Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
title_full_unstemmed Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
title_sort articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers
description Osteoarthritis is a chronic and progressive joint disease. It is established by a complex process involving mechanical and  biological alterations of the musculoskeletal system, which are generated by a great variety of interactions between  enetic  factors and extrinsic injuries. The pathogenesis of this disease is related to an increased and clivergent production of infiammatory markers and proteolytic enzymes that promote the degradation and destruction of the extracellular matrix of  articular and periarticular tissues. Cartilage samples were taken frorn 20 osteoarthritic patients during programmed surgical interventions. The cartilage samples were cultu red in Dulbecco-Eagle medium. With or without the addition of  SAIDs or modulators of chondrocyte metabolism. The content of nitric oxide in the supernatant was quantified using the  Griess reaction: the concentration of MMP- 1 was quantificd vía double-sandwich ELISA. Untreated chondrocyte cultures  produced 1950 ± 665ng/ml MMP-1. Wíth the addition of Diclofenac this value decreased to 1140 ± 155 ng/mi, although  his difference was not statistically significant (p<0 ,06). However, in the presence of Celecoxib the level significantly dropped to 760 ± 75 ng/mI (p<0,01). Although the addition of glucosarnine did not produce such a noticeable reduction in  The level of MMP- 1 (950±89 ng/mi), it was statistically significant (p<0,05). On the contraly, none of the drugs (Diclofenac, Celecoxib, Glucosamine) modified the level of nitric oxide which had a mean value of 47,3 ± 4.911M in the  Control samples. This investigation evidenced the inability of Diclofenac to significantly modifr the production of  proteolytic enzymes in osteoarthritic chondrocyte cultures. However, both Celecoxib and Glucosamine significantly  reduced the production of MMP- 1. On the contrary, none of the drugs used in this study managed to modify the  concentration of nitric oxide. To the present day, no drugs have been found to be efficient in altering the natural course of  the disease, requiring further investigation
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25897
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spelling I10-R327-article-258972024-08-27T18:26:36Z Articular cartilage in osteoarthritic patients: efectos of diclofenac, celecoxib and glucosamine sulfate on inflammatory markers Efectos de diclofenac, celecoxib y sulfato de glucosamina sobre marcadores inflamatorios en cultivo de condrocitos de pacientes con osteoartritis Brizuela, Nilda Y Montrull, Hilda L Demurtas , Silvia L Meirovich, Carlos I Osteoarthritis chondrocytes colagenasa óxido nítrico antiinflamatorios osteoteoartritismetaloproteasas- oxido nítrico anti-inflamatoriosglucosamina Osteoarthritis is a chronic and progressive joint disease. It is established by a complex process involving mechanical and  biological alterations of the musculoskeletal system, which are generated by a great variety of interactions between  enetic  factors and extrinsic injuries. The pathogenesis of this disease is related to an increased and clivergent production of infiammatory markers and proteolytic enzymes that promote the degradation and destruction of the extracellular matrix of  articular and periarticular tissues. Cartilage samples were taken frorn 20 osteoarthritic patients during programmed surgical interventions. The cartilage samples were cultu red in Dulbecco-Eagle medium. With or without the addition of  SAIDs or modulators of chondrocyte metabolism. The content of nitric oxide in the supernatant was quantified using the  Griess reaction: the concentration of MMP- 1 was quantificd vía double-sandwich ELISA. Untreated chondrocyte cultures  produced 1950 ± 665ng/ml MMP-1. Wíth the addition of Diclofenac this value decreased to 1140 ± 155 ng/mi, although  his difference was not statistically significant (p<0 ,06). However, in the presence of Celecoxib the level significantly dropped to 760 ± 75 ng/mI (p<0,01). Although the addition of glucosarnine did not produce such a noticeable reduction in  The level of MMP- 1 (950±89 ng/mi), it was statistically significant (p<0,05). On the contraly, none of the drugs (Diclofenac, Celecoxib, Glucosamine) modified the level of nitric oxide which had a mean value of 47,3 ± 4.911M in the  Control samples. This investigation evidenced the inability of Diclofenac to significantly modifr the production of  proteolytic enzymes in osteoarthritic chondrocyte cultures. However, both Celecoxib and Glucosamine significantly  reduced the production of MMP- 1. On the contrary, none of the drugs used in this study managed to modify the  concentration of nitric oxide. To the present day, no drugs have been found to be efficient in altering the natural course of  the disease, requiring further investigation La osteoartritis (OA) es una enfermedad articular crónica, progresiva que se instala como consecuencia de un proceso  complejo que involucra alteraciones mecánicas y biológicas del sistema músculo-esquelético, siendo resultante de múltiples interacciones entre factores genéticos e injurias extrínsecas. La patogenia de esta enfermedad se relaciona con  alta y desviada producción de citokinas flogógenas y de enzimas proteolíticas. Que degradan y destruyen la matriz  extracelular en tejidos articulares y peri-articulares. Se estudiaron 20 casos con OA, de los cuales se obtuvo cartílago  durante intervenciones quirúrgicas programadas. El cartílago se cultivó en medio Dulbecco- Eagle, con o sin agregado de  AINEs o condromoduladores. En los sobrenadantes se determinaron óxido nítrico por reacción de Griess y medición espectrofotométrica; y colagenasa por ELISA doble sándwich en presencia de anticuerpos monoclonales. En ausencia de  AINEs, los cultivos de condrocitos produjeron 1950 ± 665ng/m1 de MMP- 1. La adición de Diclofenac redujo esa cifra a  1140± 155 ng/mI, aunque esta diferencia no fue estadisticamente significativa, (p<0,06). Por el contrario, Celecoxib  redujo el nivel de la enzima a 760 ± 75 ng/ml (p<0,01) y la Glucosamina también provocó un descenso (950 ± 89 ng/mI)  significativo (p<0.05). Los niveles de ON en ausencia de AINEs llegaron a 47,3 ± 4,9 pM. Su producción no varió  significativamente con la adición de Diclofrnac, Celecoxib o Glucosamina (p=ns). Los resultados indicarían la  incapacidad de Diclofenac para modificar la generación de enzimas proteolíticas, mientras que Celecoxib y Gucosamina  disminuyen su producciónsignificativamente. Ninguno de los fármacos utilizados en nuestro trabajo ha logrado alterar la  concentración de ON. Muchos interrogantes quedan aún sin resolver y todavía se carece de fármacos de eficacia   comprobada para alterar el curso natural de la enfermedad. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25897 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 64 No. 2 (2007); 9 - 15 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 64 Núm. 2 (2007); 9 - 15 Revista da Faculdade de Ciências Médicas de Córdoba; v. 64 n. 2 (2007); 9 - 15 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/25897/27715 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0