COX-1, COX-2 and articular joint disease: a role for chondroprotective agents.

Abstract:

:It is widely accepted that whilst exhibiting clinically useful anti-inflammatory and analgesic activity, the application of non-steroidal anti-inflammatory drugs (NSAIDs) does not affect the underlying pathogenesis of articular diseases such as rheumatoid arthritis. The demonstration of a role for COX-2 in the resolution of inflammation may partly underly the lack of disease modifying activity seen with NSAIDs in long term use in these inflammatory joint diseases. This has led to the suggestion that the anti-arthritic efficacy of these agents may be improved by altering prescribing practice such that they are not given during periods of disease remission, which may be difficult to achieve in the clinic. Alternatively, they may benefit from concomitant administration of chondroprotective agents, such as diacetylrhein, which may protect against the deleterious effects of traditional NSAIDs on cartilage degradation and, further, inhibit additional pathways such as cytokine elaboration which are important in joint destruction.

journal_name

Biorheology

journal_title

Biorheology

authors

Colville-Nash PR,Willoughby DA

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

171-9

issue

1-2

eissn

0006-355X

issn

1878-5034

journal_volume

39

pub_type

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