Review Article

Mediators of Inflammation-Induced Bone Damage in Arthritis and Their Control by Herbal Products

Table 1

Natural products that have antiarthritic/bone protective property.

PhytochemicalSourceModel usedIn vivo/in vitro activity Structure

Epigallocatechin-3-gallate (EGCG)Green tea (Camellia sinensis)Cocktail of monoclonal antibodies against collagen [5], AA model [6]   
  
In vitro
Clinical score, histology [5], histology, radiology, TNF-α, IL-6 [6]; iNOS, nitric oxide, MMP-1 and MMP-13, glycosaminoglycan, osteoclastogenesis   
  
NF-κB, c-Fos, NFATc [7]
518094.tab.001

Curcumin Turmeric
(Curcuma longa)
CIA rat model
  
  
In vitro
Clinical score, TNF-α, IL-1β, NF-κB ; iNOS, PGE2, COX-2, IL-6, IL-8, MMP-3, MMP-9 [8]
  
PGE2, COX-2, MMP, NF-κB [9]
518094.tab.002

Celastrol Celastrus species AA rat model
  
  
  
In vitro  
TNF-α, IL-1β, IL-6, IL-17, IL-18 [10, 11], RANKL,
osteoclast [11]   
  
STAT3, MMP-9, pERK [12], NF-κB, IκB-α kinase, p-IκB-α, p-p65 [13, 14], p-JNK, p-c-Jun and NF-κB [15], AKT/mTOR [16], angiogenesis [16, 17]
518094.tab.003

Resveratol Grapes
(Vitis vinifera)
CIA model   
  
  
In vitro  
Clinical score, IL-17, IL-1 [18]   
  
ROS, PGE2, MMPs in vitro.
Proteoglycan synthesis and chondrocyte proliferation ↑ [19]
518094.tab.004

Rosmarinic acidPlectranthus amboinicus CIA model   
  
In vitro
TRAP, pit formation [20]   
  
NFATc1 [20]
518094.tab.005

Boswellic acid, AKBABoswellia plantsBSA-induced arthritis in rabbits, carrageenan- induced edema  
  
  
  
In vitro  
  
Leukocyte infiltration [21, 22]   
  
  
  
Phosphorylation of ERK-1/2 [23], STAT3 [24], NF-κB [25], angiogenesis [26]
518094.tab.006

Genistein Lupin, fava beans, soybeans, and coffeeRat CIA modelIFN-γ , IL-4 ↑ [27], ERK, MAPK [28]518094.tab.007

LupeolCalatropis gigantean Rat AA modelTNF-α, IL-1β, IL-6 [29]518094.tab.008

6-ShogaolGinger (Zingiber officinale) CFA-induced monoarthritic model of the knee joint of rats  
  
In vitro  
Infiltration of leukocytes, cartilage protection [30]   
  
  
MMP-9, NF-κB, IκB phosphorylation [31]
518094.tab.009

NaringinCitrus fruitsRat CIA modelClinical score , histology [32]518094.tab.0010

HesperidinCitrus fruitsRat CIA modelClinical score , histology [33]518094.tab.0011

CapsaicinCapsicum Osteoarthritis
in rat  
    
  
In vitro  
Bone erosion and trabecular damage [34]   
  
  
MMP-9, FAK/Akt, PKC/Raf/ERK, p38 (MAPK), AP-1 [35]   
518094.tab.0012

Ferulic acidCoffee, apple, rice Ovariectomy-induced rats Bone remodeling ↑ [36]518094.tab.0013

Oleuropein aglycone Olive oilMouse CIA modelHistological damage [37]518094.tab.0014

QuercetinOnionOveriectomy-induced rats  
  
  
In vitro  
Osteoclast differentiation, osteoclast-related genes [38]   
  
MMP-1, 3, COX-2, PGE2
phosphorylation of ERK-1/2, p38, JNK, NF-κB [39]
518094.tab.0015

Silibinin Silymarin In vitro  
  
  
RAW 264.7 cells,
MC3T3 cells  
  
Osteoclasts, OSCAR, NFATc1, Cat K, MMP-9, RANKL [9],   
  
  
ERK 1/2 and c-Jun phosphorylation [40]   
518094.tab.0016

Total flavonoid of orange (TFO)OrangeRat AA modelTNF-α, IL-1β, PGE2 and COX2 [41]

Highly oligomeric procyanidins (HOPCs)JatobaMouse CIA modelClinical score, joint histology [42]

Green tea polyphenol (GTP)Green tea (Camellia sinensis)CIA, AA modelCOX-2, TNF-α, IFN-γ [43], clinical score, IL-17 , IL-10 ↑ [44]

Proanthocyanidin Grape seedsMouse CIA modelClinical score, IL-17, IL-21, IL-22 , Foxp3 ↑ [45]