Review Article

Fcγ and Complement Receptors and Complement Proteins in Neutrophil Activation in Rheumatoid Arthritis: Contribution to Pathogenesis and Progression and Modulation by Natural Products

Table 1

Herbal preparations, plant extracts, and dietary antioxidants tested in clinical trials in patients with rheumatoid arthritis.

TherapyEffectReference

Herbal preparation
 Jidabokuippo plus HachimijioganAnalgesic effect on patients with chronic arthritis who did not respond to conventional therapies.[123]
 Rose-hipImproves general health conditions and reduces DAS-28 score in patients with RA.[124]
 San miao San Analgesia in RA patients with active disease. No significant antioxidant, anti-inflammatory, and immunomodulating effects.[125]

Plant extract
Curcuma longa (turmeric)Improves morning stiffness and walking time and reduces joint swelling in patients with RA.[126]
Ganoderma lucidum (Lingzhi)Analgesia in RA patients with active disease. No significant antioxidant, anti-inflammatory, and immunomodulating effects.[125]
Tripterygium wilfordii Hook FReduces disease activity in RA patients refractory to treatment. Pharmacological effect comparable to some synthetic disease-modifying antirheumatic drugs.[126128]
Uncaria tomentosa (cats claw) Alleviates joint pain in patients with osteoarthritis.[126]
Zingiber officinale (ginger) Reduces joint inflammation in patients with osteoarthritis.[126]

Dietary supplementation
 Mediterranean-type dietReduces DAS-28 score and inflammatory activity and improves quality of life and physical function in RA patients with active disease.[129, 130]
 Vitamin C in combination with antioxidant-enriched margarineReduces DAS-28 score and the number of swollen and painful joints in RA patients with low disease activity. No significant anti-inflammatory and antioxidant effect.[131]
 Vitamin ESlightly reduces the Ritchie articular index and early morning stiffness in RA patients under treatment with nonsteroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs.[132]
 Vitamin E in combination with vitamins A and CAnalgesic effect in patients with RA. No significant anti-inflammatory effect.[132]

DAS-28: disease activity score of 28 joints; RA: rheumatoid arthritis.