口服胶原蛋白治疗关节疼痛-骨关节炎和类风湿关节炎的疗效

Woo T, Lau L, Cheung N, Chan P, Tan K, Gardner A
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引用次数: 17

摘要

简介:关节疼痛是最常见的慢性疼痛类型之一。骨关节炎(OA)和类风湿性关节炎(RA)是关节疼痛的两个主要原因,目前尚无预防或治疗方法。口服胶原蛋白被认为是治疗关节炎的一种潜在手段。这篇综述文章旨在确定、评估和总结已发表的与口服胶原蛋白治疗OA和RA引起的关节疼痛相关的动物和人类临床试验的结果。方法:使用EMBASE和Medline数据库检索文章。搜索关键词和标题包括:“骨关节炎”,“类风湿性关节炎”、“关节疼痛”、“口腔胶原蛋白”。包含以下内容的文章包括在我们的搜索中:随机对照试验、包含主要定量数据的临床证据和动物模型、与关节疼痛、关节疾病、OA或RA相关的口腔胶原蛋白的体外研究。结果:已经进行了大量的临床前和临床研究来研究口服胶原蛋白以及OA和RA的疗效。口服胶原蛋白以未变性或部分变性的形式用于OA患者,通常被发现是合理有效的,尽管还需要更多的试验来证实和巩固这些发现。相比之下,口服胶原蛋白在RA患者中的反应率更具争议性,尤其是与现有的甲氨蝶呤疗法相比。结论:有证据表明口服胶原蛋白对OA有效,对患者耐受性和安全性良好。口服胶原蛋白治疗RA的临床疗效仍然存在争议,尤其是与甲氨蝶呤等传统疗法相比。
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Efficacy of Oral Collagen in Joint Pain - Osteoarthritis and Rheumatoid Arthritis
Introduction: Joint pain is one of the most common types of chronic pain. Osteoarthritis (OA) and rheumatoid arthritis (RA) are the two leading causes of joint pain and there are currently no prophylactic or curative treatments available. Oral collagen has been implicated in providing a potential means to treat arthritis. This review article aims to identify, evaluate and summarize the results of published animal and human clinical trials related to oral collagen in the treatment of joint pain caused by OA and RA. Methodology: Articles were searched using EMBASE and Medline databases. Search terms for keywords and titles included: “osteoarthritis”, “rheumatoid arthritis”, “joint pain”, “oral collagen”. Articles containing the following are included in our search: randomized controlled trials, clinical evidence and animal models containing primary quantitative data, in vitro studies of oral collagen related with joint pain, joint disease, OA or RA. Results: Numerous preclinical and clinical studies have been carried out to investigate the efficacy of oral collagen and both OA and RA. Oral collagen is administered either in an undenatured form or in a partially denatured form for patients with OA, and in general, has been found to be reasonably efficacious, although more trials will be required to confirm and consolidate these findings. In contrast, oral collagen has a more debatable response rate in patients with RA, especially when compared with methotrexate, an existing therapy. Conclusion: There is some evidence that suggests oral collagen is effective for OA and has shown to be tolerable and safe for the patient. The clinical efficacy of oral collagen in RA remains controversial, particularly when compared with conventional therapies such as methotrexate.
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