“Protective Effect of Resveratrol on Knee Osteoarthritis and its Molecular Mechanisms: A Recent Review in Preclinical...
Summary of the article “Protective Effect of Resveratrol on Knee Osteoarthritis and its Molecular Mechanisms: A Recent Review in Preclinical and Clinical Trials” from PubMed Central (2022)
This article is a review of research on Resveratrol (RES) and its role in helping to prevent/slow down osteoarthritis (Knee Osteoarthritis: KOA), both from laboratory experiments. (preclinical) and clinical studies in humans
The essence of the article
What is knee osteoarthritis (KOA)?
KOA is a very common chronic osteoarthritis. Especially in the elderly people who are overweight or those with a history of knee injuries
The main characteristics are
Articular cartilage is destroyed.
There is inflammation of the joint lining.
The bone beneath the joint surface changes abnormally.
Causes pain, joint stiffness, and decreased mobility.
Currently, the main treatment focuses only on “reducing pain,” but there is no way to truly stop the deterioration.
What is Resveratrol?
Resveratrol is a natural polyphenol found in abundance.
Red grapes, mulberries and some medicinal plants
Its outstanding effect is
Antioxidants
anti-inflammatory
resist cell death
Helps protect the heart and blood vessels
Slow down cell degeneration
Therefore, it has been heavily studied in osteoarthritis.
Important mechanism by which Resveratrol helps osteoarthritis
1. Reduce inflammation (Anti-inflammatory)
Resveratrol reduces inflammatory substances such as
IL-1β
IL-6
TNF-α
COX-2
iNOS
and reduce cartilage-destroying enzymes, such as
MMP-1
MMP-3
MMP-13
This results in slower destruction of the joint.
2. Reduce the death of cartilage cells. (Anti-apoptosis)
cartilage cells Chondrocytes are important cells in maintaining joint conditions.
Resveratrol helps
Reduce cell death
increases survival of chondrocytes
Prevents cartilage degeneration
Thus helping to slow down the progression of the disease.
3. Maintain cartilage balance (Cartilage Homeostasis)
Helps increase the creation of important cartilage substances such as
Type II collagen (COL-II)
Aggrecan (AGG)
and reduce the decay of extracellular matrix
This allows the joint to remain strong and flexible.
4. Stimulates Autophagy (removal of waste cells)
Resveratrol stimulates the autophagy process.
which helps
Eliminate dead cells
Reduce cumulative damage
Slow down the deterioration of joints
It is considered a very important mechanism in osteoarthritis.
Results from human studies
Clinical research has found that
Using Resveratrol along with standard treatment helps.
Reduce pain
Reduce inflammation
Helps the work of the advantages improve.
Reduces inflammatory markers in the blood
Brief summary
Resveratrol is a natural substance with high potential to help delay osteoarthritis. It works through 4 main mechanisms.
Reduce inflammation
Reduce the death of cartilage cells
Maintain cartilage balance
stimulate cell repair
Therefore, it is a “supplement for osteoarthritis care” that is safer than long-term use of NSAIDs as painkillers.