A mechanistic insight of phytoestrogens used for Rheumatoid arthritis: An evidence-based review - 19/12/20
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Graphical abstract |
Highlights |
• | Phytoestrogen isolated from different plants are effective in combating the symptoms of Rheumatoid arthritis (RA). |
• | Phytoestrogen reduces severe inflammation and joint damage by targeting various signalling pathways and inflammatory factors. |
• | Phytoestrogens can be utilized as an alternative therapy for RA with minimum side effects. |
• | In combination with commonly used DMARDS, phytoestrogens can act as a promising complementary medication for RA patients. |
• | Phytoestrogens are effective in impeding other comorbid conditions which generally arises during RA like atherosclerosis. |
Abstract |
Assessment of the potential therapeutic benefits offered by naturally occurring phytoestrogens necessitate inspection of their potency and sites of action in impeding the chronic, systemic, autoimmune, joint destructing disorder Rheumatoid arthritis (RA). Possessing structural and functional similarity with human estrogen, phytoestrogen promisingly replaces the use of hormone therapy in eradicating RA symptoms with their anti-inflammatory, anti-oxidative, anti-proliferative, anti-angiogenesis, immunomodulatory, joint protection properties abolishing the harmful side effects of synthetic drugs. Scientific evidences revealed that use of phytoestrogens from different chemical categories including flavonoids, alkaloids, stilbenoids derived from different plant species manifest beneficial effects on RA through various cellular mechanisms including suppression of pro‐inflammatory cytokines in particular tumor necrosis factor (TNF-α), interleukin(IL-6) and nuclear factor kappa B (NF-κB) and destructive metalloproteinases, inhibition of oxidative stress, suppressing inflammatory signalling pathways, attenuating osteoclastogenesis ameliorating cartilage degradation and bone erosion. This review summarizes the evidences of different phytoestrogen treatment and their pharmacological mechanisms in both in vitro and in vivo studies along with discussing clinical evaluations in RA patients showing phytoestrogen as a promising agent for RA therapy. Further investigations and more clinical trials are mandatory to clarify the utility of these plant derived compounds in RA prevention and in managing oestrogen deficient diseases in patients.
Le texte complet de cet article est disponible en PDF.Keywords : Phytoestrogen, Rheumatoid arthritis, Phytotherapy, Anti-inflammation
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Vol 133
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