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da Silva Xavier AA, da Rosa PP, de Brum Mackmill L, Roll VFB. An assessment of the effectiveness of hyaluronic acid and polyacrylamide hydrogel in horses with osteoarthritis: Systematic review and network meta-analysis. Res Vet Sci 2020; 134:42-50. [PMID: 33290979 DOI: 10.1016/j.rvsc.2020.11.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 10/22/2020] [Accepted: 11/19/2020] [Indexed: 02/08/2023]
Abstract
For several years, hyaluronic acid (HyA) and, more recently, polyacrylamide hydrogel (PHyd) have been used to reduce lameness and pain caused by osteoarthritis. However, there is still a lack of scientific evidence of the efficacy of these substances to allow veterinary experts to make decisions about their use in horses. The objective of this study was to evaluate, through a systematic review and network meta-analysis (NMA), the efficacy of HyA, associated or not with other drugs, and PHyd in relieving lameness in horses with osteoarthritis. The searches for primary studies were conducted on four search platforms. The efficacy of HyA and PHyd was estimated through the relative risk difference method. Heterogeneity was observed in the efficacy of HyA, indicating long-term ineffectiveness of this drug when associated or not with anti-inflammatory drugs. In contrast, the results indicate that PHyd is an effective alternative therapy, with a long period of action in reducing lameness in horses with osteoarthritis. This study provides evidence that the application of PHyd and HyA is effective in reducing lameness caused by osteoarthritis in horses at different time periods, where PHyd has a longer time of action.
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Affiliation(s)
- Amanda Azambuja da Silva Xavier
- Federal University of Pelotas, Eliseu Maciel Faculty of Agronomy, Department of Animal Science, Eliseu Maciel Avenue, CEP 96160-000 Capão do Leão, Rio Grande do Sul, Brazil.
| | - Patrícia Pinto da Rosa
- Federal University of Pelotas, Eliseu Maciel Faculty of Agronomy, Department of Animal Science, Eliseu Maciel Avenue, CEP 96160-000 Capão do Leão, Rio Grande do Sul, Brazil
| | - Laurett de Brum Mackmill
- Federal University of Pelotas, Eliseu Maciel Faculty of Agronomy, Department of Animal Science, Eliseu Maciel Avenue, CEP 96160-000 Capão do Leão, Rio Grande do Sul, Brazil
| | - Victor Fernando Buttow Roll
- Federal University of Pelotas, Eliseu Maciel Faculty of Agronomy, Department of Animal Science, Eliseu Maciel Avenue, CEP 96160-000 Capão do Leão, Rio Grande do Sul, Brazil.
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Gupta RC, Lall R, Srivastava A, Sinha A. Hyaluronic Acid: Molecular Mechanisms and Therapeutic Trajectory. Front Vet Sci 2019; 6:192. [PMID: 31294035 PMCID: PMC6603175 DOI: 10.3389/fvets.2019.00192] [Citation(s) in RCA: 329] [Impact Index Per Article: 65.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 05/30/2019] [Indexed: 01/06/2023] Open
Abstract
Hyaluronic acid (also known as hyaluronan or hyaluronate) is naturally found in many tissues and fluids, but more abundantly in articular cartilage and synovial fluid (SF). Hyaluronic acid (HA) content varies widely in different joints and species. HA is a non-sulfated, naturally occurring non-protein glycosaminoglycan (GAG), with distinct physico-chemical properties, produced by synoviocytes, fibroblasts, and chondrocytes. HA has an important role in the biomechanics of normal SF, where it is partially responsible for lubrication and viscoelasticity of the SF. The concentration of HA and its molecular weight (MW) decline as osteoarthritis (OA) progresses with aging. For that reason, HA has been used for more than four decades in the treatment of OA in dogs, horses and humans. HA produces anti-arthritic effects via multiple mechanisms involving receptors, enzymes and other metabolic pathways. HA is also used in the treatment of ophthalmic, dermal, burns, wound repair, and other health conditions. The MW of HA appears to play a critical role in the formulation of the products used in the treatment of diseases. This review provides a mechanism-based rationale for the use of HA in some disease conditions with special reference to OA.
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Affiliation(s)
- Ramesh C Gupta
- Toxicology Department, Breathitt Veterinary Center, Murray State University, Hopkinsville, KY, United States
| | - Rajiv Lall
- Vets Plus, Inc., Menomonie, WI, United States
| | | | - Anita Sinha
- Vets Plus, Inc., Menomonie, WI, United States
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Kilborne AH, Hussein H, Bertone AL. Effects of hyaluronan alone or in combination with chondroitin sulfate and N-acetyl-d-glucosamine on lipopolysaccharide challenge-exposed equine fibroblast-like synovial cells. Am J Vet Res 2017; 78:579-588. [PMID: 28441052 DOI: 10.2460/ajvr.78.5.579] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To investigate effects of hyaluronic acid (HA) or HA combined with chondroitin sulfate (CS) and N-acetyl-d-glucosamine (NAG) by use of a lipopolysaccharide (LPS) in vitro method. SAMPLE Monolayer cultures of synovial cells from 4 adult horses. PROCEDURES Synovial cell cultures were untreated or treated with HA alone or HA-CS-NAG for 24 hours, subsequently unchallenged or challenge-exposed with 2 LPS concentrations (20 and 50 ng/mL) for 2 hours, and retreated with HA or HA-CS-NAG for another 24 hours. Cellular morphology of cultures was evaluated at 0, 24 (before LPS), 26 (after LPS), and 50 (24 hours after end of LPS) hours. At 50 hours, cell number and viability and prostaglandin (PG) E2, interleukin (IL)-6, matrix metalloproteinase (MMP)-3, and cyclooxygenase (COX)-2 production were measured. RESULTS LPS challenge exposure induced a significant loss of characteristic synovial cell morphology, decrease in cell viability, and increases in concentrations of PGE2, IL-6, MMP-3, and COX-2. Cells treated with HA or HA-CS-NAG had significantly better viability and morphology scores and lower concentrations of PGE2, MMP-3, IL-6, and COX-2 than untreated LPS challenge-exposed cells. Cells treated with HA had significantly better morphology scores at 50 hours than cells treated with HA-CS-NAG. Cells treated with HA-CS-NAG had significantly superior suppression of LPS-induced production of PGE2, IL-6, and MMP-3 than cells treated with HA alone. CONCLUSIONS AND CLINICAL RELEVANCE HA and HA-CS-NAG protected synovial cells from the effects of LPS. Treatment with HA-CS-NAG had the greatest anti-inflammatory effect. These results supported the protective potential of HA and HA-CS-NAG treatments.
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Murray RC, Walker VA, Tranquille CA, Spear J, Adams V. A Randomized Blinded Crossover Clinical Trial to Determine the Effect of an Oral Joint Supplement on Equine Limb Kinematics, Orthopedic, Physiotherapy, and Handler Evaluation Scores. J Equine Vet Sci 2017. [DOI: 10.1016/j.jevs.2016.11.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Watts AE, Dabareiner R, Marsh C, Carter GK, Cummings KJ. A randomized, controlled trial of the effects of resveratrol administration in performance horses with lameness localized to the distal tarsal joints. J Am Vet Med Assoc 2016; 249:650-9. [DOI: 10.2460/javma.249.6.650] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Pichereau F, Décory M, Cuevas Ramos G. Autologous Platelet Concentrate as a Treatment for Horses with Refractory Fetlock Osteoarthritis. J Equine Vet Sci 2014. [DOI: 10.1016/j.jevs.2013.10.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Baccarin RY, Machado TS, Lopes-Moraes AP, Vieira FA, Michelacci YM. Urinary glycosaminoglycans in horse osteoarthritis. Effects of chondroitin sulfate and glucosamine. Res Vet Sci 2012; 93:88-96. [DOI: 10.1016/j.rvsc.2011.08.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2011] [Revised: 08/03/2011] [Accepted: 08/19/2011] [Indexed: 11/17/2022]
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Vandeweerd JM, Coisnon C, Clegg P, Cambier C, Pierson A, Hontoir F, Saegerman C, Gustin P, Buczinski S. Systematic Review of Efficacy of Nutraceuticals to Alleviate Clinical Signs of Osteoarthritis. J Vet Intern Med 2012; 26:448-56. [DOI: 10.1111/j.1939-1676.2012.00901.x] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2011] [Revised: 11/28/2011] [Accepted: 01/26/2012] [Indexed: 11/29/2022] Open
Affiliation(s)
- J.-M. Vandeweerd
- Facultés universitaires Notre-Dame-de-la-Paix; URVI (Unité de Recherche Vétérinaire Intégrée); Namur; Belgique
| | - C. Coisnon
- Facultés universitaires Notre-Dame-de-la-Paix; URVI (Unité de Recherche Vétérinaire Intégrée); Namur; Belgique
| | - P. Clegg
- Department of Musculoskeletal Biology; Faculty of Health and Life Sciences; Leahurst Campus; University of Liverpool; Neston; UK
| | - C. Cambier
- Faculté de Médecine vétérinaire; Université de Liège, Belgique (Secteur de Pharmacologie, Pharmacothérapie et Toxicologie; Département des Sciences Fonctionnelles)
| | - A. Pierson
- Faculté de Médecine vétérinaire; Université de Liège, Belgique (Secteur de Pharmacologie, Pharmacothérapie et Toxicologie; Département des Sciences Fonctionnelles)
| | - F. Hontoir
- Facultés universitaires Notre-Dame-de-la-Paix; URVI (Unité de Recherche Vétérinaire Intégrée); Namur; Belgique
| | - C. Saegerman
- Faculté de Médecine vétérinaire, Université de Liège, Belgique (Research Unit in Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR), Department of Infectious and Parasitic Diseases)
| | - P. Gustin
- Faculté de Médecine vétérinaire; Université de Liège, Belgique (Secteur de Pharmacologie, Pharmacothérapie et Toxicologie; Département des Sciences Fonctionnelles)
| | - S. Buczinski
- Faculté de Médecine Vétérinaire; Université de Montréal; Canada
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Welch CA, Potter GD, Gibbs PG, Eller EM. Plasma Concentration of Glucosamine and Chondroitin Sulfate in Horses after an Oral Dose. J Equine Vet Sci 2012. [DOI: 10.1016/j.jevs.2011.08.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Giorgi M, Cuniberti B, Ye G, Barbero R, Sgorbini M, Vercelli C, Corazza M, Re G. Oral administration of tepoxalin in the horse: A PK/PD study. Vet J 2011; 190:143-9. [DOI: 10.1016/j.tvjl.2010.09.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2009] [Revised: 09/03/2010] [Accepted: 09/19/2010] [Indexed: 10/18/2022]
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Giorgi M, Mengozzi G, Raffaelli A, Saba A. Characterization of in vivo plasma metabolites of tepoxalin in horses using LC–MS–MS. J Pharm Biomed Anal 2011; 56:45-53. [DOI: 10.1016/j.jpba.2011.03.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2010] [Revised: 03/18/2011] [Accepted: 03/21/2011] [Indexed: 10/18/2022]
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Byron CR, Stewart MC, Stewart AA, Pondenis HC. Effects of clinically relevant concentrations of glucosamine on equine chondrocytes and synoviocytes in vitro. Am J Vet Res 2008; 69:1129-34. [DOI: 10.2460/ajvr.69.9.1129] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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