1
|
Yu M, Park C, Son YB, Jo SE, Jeon SH, Kim YJ, Han SB, Hong JT, Son DJ. Time-Dependent Effect of Eggshell Membrane on Monosodium-Iodoacetate-Induced Osteoarthritis: Early-Stage Inflammation Control and Late-Stage Cartilage Protection. Nutrients 2024; 16:1885. [PMID: 38931240 PMCID: PMC11206400 DOI: 10.3390/nu16121885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 06/04/2024] [Accepted: 06/11/2024] [Indexed: 06/28/2024] Open
Abstract
Osteoarthritis (OA) is a chronic degenerative joint disease that causes chronic pain, swelling, stiffness, disability, and significantly reduces the quality of life. Typically, OA is treated using painkillers and non-steroidal anti-inflammatory drugs (NSAIDs). While current pharmacologic treatments are common, their potential side effects have prompted exploration into functional dietary supplements. Recently, eggshell membrane (ESM) has emerged as a potential functional ingredient for joint and connective tissue disorders due to its clinical efficacy in relieving joint pain and stiffness. Despite promising clinical evidence, the effects of ESM on OA progression and its mechanism of action remain poorly understood. This study evaluated the efficacy of Ovomet®, a powdered natural ESM, against joint pain and disease progression in a monosodium iodoacetate (MIA)-induced rodent model of OA in mice and rats. The results demonstrate that ESM significantly alleviates joint pain and attenuates articular cartilage destruction in both mice and rats that received oral supplementation for 5 days prior to OA induction and for 28 days thereafter. Interestingly, ESM significantly inhibited mRNA expression levels of pro-inflammatory cytokines including tumor necrosis factor alpha (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6), as well as inflammatory mediators, cyclooxygenase-2 (COX-2), and inducible nitric oxide synthase in the knee joint cartilage at the early stage of OA, within 7 days after OA induction. However, this effect was not observed in the late stage at 28 days after OA induction. ESM further attenuates the induction of protein expression for cartilage-degrading enzymes like matrix metalloproteinase (MMPs) 3 and 13, and a disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS-5), in the late-stage. In addition, MIA-induced reduction of the protein expression levels of cartilage components, cartilage oligomeric matrix protein (COMP), aggrecan (ACAN) and collagen type II α-1 chain (COL2α1), and cartilage extracellular matrix (ECM) synthesis promoting transcriptional factor SRY-Box 9 (SOX-9) were increased via ESM treatment in the cartilage tissue. Our findings suggest that Ovomet®, a natural ESM powder, is a promising dietary functional ingredient that can alleviate pain, inflammatory response, and cartilage degradation associated with the progression of OA.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - Dong Ju Son
- College of Pharmacy, Chungbuk National University, 194-21 Osongsaengmyong 1-ro, Osong-eup, Heungduk-gu, Cheongju 28160, Chungbuk, Republic of Korea; (M.Y.); (C.P.); (Y.B.S.); (S.E.J.); (S.H.J.); (Y.J.K.); (S.B.H.); (J.T.H.)
| |
Collapse
|
2
|
Dahduli OS, AlHossan AM, Al Rushud MA, Alneghaimshi MM, Alotaibi SF, AlNour MK, Al Otaibi AH, AlAseeri A, AlBatati S. Early Surgical Reconstruction Versus Rehabilitation for Patients With Anterior Cruciate Ligament Rupture: A Systematic Review and Meta-Analysis. Cureus 2023; 15:e43370. [PMID: 37700946 PMCID: PMC10494743 DOI: 10.7759/cureus.43370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2023] [Indexed: 09/14/2023] Open
Abstract
Anterior cruciate ligament (ACL) rupture is a common and debilitating knee injury that can significantly impair knee function and stability. The optimal management of ACL injuries remains a topic of ongoing debate, with two primary treatment approaches being surgical reconstruction and adequate rehabilitation. The aim of this study is to compare the knee function and stability outcomes between these two treatment modalities, shedding light on their respective effectiveness. We utilized Scopus, PubMed, Cochrane Database, MEDLINE, and Web of Science from inception until April 20, 2022. We utilized the Cochrane risk of bias tool for quality assessment. The following outcomes were assessed: Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) Subjective Knee score, Lysholm score, the occurrence of the knee giving way, Tegner score, KT1000, Lachman test, pivot shift test, SF-36 score to assess the quality of life, and incidence of reinjury and reoperation. We included a total of six trials with a population sample size of 691 patients, which were divided into surgical versus non-surgical groups, accounting for 348 and 343 patients, respectively. The pooled estimate demonstrated that the surgical reconstruction was associated with a significant increase in the IKDC score (MD = 7.49 [2.04, 12.94], (P = 0.007)), and KOOS score was significant in the reconstruction cohort (MD = 5.87 [1.64, 10.09], (P = 0.007)). The incidences of reoperation (RR = 0.43 [0.20, 0.91], (P = 0.03)), reinjury (RR = 0.49 [0.27, 0.88], (P = 0.02)), and occurrence of the knee giving way (RR = 0.19 [0.08, 0.49], (P = 0.005)) were significantly decreased in the surgical cohort. There is no significant difference between both cohorts regarding the Lysholm score (1.27 [-1.39, 3.93], (P = 0.35)). The findings of this comprehensive analysis indicate that early reconstruction does not demonstrate clear superiority over rehabilitation alone in terms of knee function, Lysholm score, and Tegner score among patients with ACL rupture. However, early reconstruction does exhibit a substantial reduction in the incidence of reinjury, reoperation, and knee giving way, suggesting potential benefits in terms of stability outcomes. These results underscore the importance of considering individual patient characteristics and preferences in treatment decision-making.
Collapse
Affiliation(s)
- Omar S Dahduli
- Department of Orthopedic Surgery, King Fahad Military Medical Complex, Dhahran, SAU
| | - Abdullah M AlHossan
- Department of Orthopedic Surgery, King Fahad Military Medical Complex, Dhahran, SAU
- College of Medicine, Alfaisal University College of Medicine, Riyadh, SAU
| | - Mohammed A Al Rushud
- Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Muath M Alneghaimshi
- Department of Orthopedic Surgery, King Fahad Military Medical Complex, Dhahran, SAU
| | - Saad F Alotaibi
- College of Medicine, Shaqra University, Shaqra, SAU
- Department of Orthopedic Surgery, Dammam Medical Complex, Dammam, SAU
| | - Mohammed K AlNour
- College of Medicine, Jouf University, Sakaka, SAU
- Department of Orthopedic Surgery, King Fahad Military Medical Complex, Dhahran, SAU
| | | | - Ali AlAseeri
- Department of Orthopedic Surgery, King Fahad Military Medical Complex, Dhahran, SAU
| | - Saud AlBatati
- Department of General Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| |
Collapse
|
3
|
Kulshreshtha G, Diep T, Hudson HA, Hincke MT. High value applications and current commercial market for eggshell membranes and derived bioactives. Food Chem 2022; 382:132270. [PMID: 35149473 DOI: 10.1016/j.foodchem.2022.132270] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 01/07/2022] [Accepted: 01/24/2022] [Indexed: 11/16/2022]
Abstract
Chicken eggshell membrane (ESM) is a highly insoluble structure that is greatly stabilized by extensive desmosine, isodesmosine, and disulfide cross-linkages. The ESM possesses numerous biological functions including anti-microbial, anti-inflammatory, anti-wrinkle, and antioxidant activities. The ESM is mainly proteinaceous; proteomics and bioinformatics analysis of ESM has identified > 500 proteins, such as collagens, glycoproteins, avian beta-defensins, and lysozyme. ESM also contains significant amounts of carbohydrate, including hyaluronic acid (HA). In general, HA plays an important role in tissue hydration and cellular mechanisms such as growth, differentiation, and transport, and has diverse health and medical applications. Despite ESM being rich in important bioactive compounds, it is often considered as a waste product of the egg-breaking industry and is under-utilized. A major challenge for the successful commercial exploitation of ESM and bioactive constituents is its limited solubility and bioavailability due to cross-linkages of ESM fibers. Various processing and extraction methods are employed to overcome these limitations and improve the production of HA and collagen-based ESM formats. Moreover, we believe that there is a wide scope to exploit ESM for novel applications, leading to new intellectual property (IP) and patenting opportunities. This review presents an overview of scientific background, IP landscape and current commercial market for ESM and derived bioactives including collagens and HA. A detailed literature survey is provided for each area of interest. We analyze regulatory guidelines for ESM, contrasting quality control / microbial safety assessment in cosmetics and personal care products (hazard based) with that of the food industry (risk-based). New perspectives for upcycling of ESM waste to commercially viable high-value biomaterials as nutraceutical supplements and as cosmetics ingredients are discussed. This overview of ESM separation techniques and applications could form the basis for directed research and product development in order to exploit the unique bioactivities of ESM.
Collapse
Affiliation(s)
- Garima Kulshreshtha
- Department of Cellular and Molecular Medicine, Faculty of Medicine, University of Ottawa, Ontario K1H 8M5, Canada
| | - Ty Diep
- Lyn Egg Production and Grading, Burnbrae Farms Limited, Lyn, Ontario K0E 1M0, Canada
| | - Helen-Anne Hudson
- Lyn Egg Production and Grading, Burnbrae Farms Limited, Lyn, Ontario K0E 1M0, Canada
| | - Maxwell T Hincke
- Department of Cellular and Molecular Medicine, Faculty of Medicine, University of Ottawa, Ontario K1H 8M5, Canada; Department of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ontario, Canada.
| |
Collapse
|
4
|
Cánovas F, Abellán-Ruíz MS, García-Muñoz AM, Luque-Rubia AJ, Victoria-Montesinos D, Pérez-Piñero S, Sánchez-Macarro M, López-Román FJ. Randomised Clinical Trial to Analyse the Efficacy of Eggshell Membrane to Improve Joint Functionality in Knee Osteoarthritis. Nutrients 2022; 14:nu14112340. [PMID: 35684140 PMCID: PMC9182852 DOI: 10.3390/nu14112340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 05/30/2022] [Accepted: 05/31/2022] [Indexed: 02/01/2023] Open
Abstract
Osteoarthritis is a source of chronic pain and disability. Dietary supplements have been shown to be a more secure option than NSAIDS. Particularly, the eggshell membrane has demonstrated efficacy in relieving joint pain and stiffness. A clinical trial was designed in which three groups were assigned to two different doses of this supplement and compared to a placebo control group. The primary outcome variable was knee pain, which was assessed using a visual analogue scale. Secondary outcome variables were knee functional ability, quadriceps muscle strength (assessed by isometric and isokinetic trials), and quality of sleep. All groups showed a significant decrease in pain perception, although maximum values were obtained in the high-dose group. Isokinetic and isometric trials showed a significant increase in strength in the high-dose group. Eggshell membrane showed the potential to reduce pain and stiffness symptomatology. Here, for the first time, two quantitative variables (mobility and strength of knee joint) were used to accurately evaluate changes in the quality of life of subjects affected by knee joint pain. The results of this study indicate a dose-dependent response, which should be taken into account for later use in therapeutics to establish the correct dosage.
Collapse
Affiliation(s)
- Fernando Cánovas
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - María Salud Abellán-Ruíz
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - Ana María García-Muñoz
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - Antonio Jesús Luque-Rubia
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - Desirée Victoria-Montesinos
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - Silvia Pérez-Piñero
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - Maravilla Sánchez-Macarro
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
| | - Francisco Javier López-Román
- Health Science Department, Campus de los Jerónimos, Universidad Católica San Antonio de Murcia UCAM, 30107 Murcia, Spain; (F.C.); (M.S.A.-R.); (A.M.G.-M.); (A.J.L.-R.); (D.V.-M.); (S.P.-P.); (M.S.-M.)
- Primary Care Research Group, Biomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, Spain
- Correspondence:
| |
Collapse
|
5
|
Shi Y, Zhou K, Li D, Guyonnet V, Hincke MT, Mine Y. Avian Eggshell Membrane as a Novel Biomaterial: A Review. Foods 2021; 10:foods10092178. [PMID: 34574286 PMCID: PMC8466381 DOI: 10.3390/foods10092178] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 09/07/2021] [Accepted: 09/10/2021] [Indexed: 12/20/2022] Open
Abstract
The eggshell membrane (ESM), mainly composed of collagen-like proteins, is readily available as a waste product of the egg industry. As a novel biomaterial, ESM is attractive for its applications in the nutraceutical, cosmetic, and pharmaceutical fields. This review provides the main information about the structure and chemical composition of the ESM as well as some approaches for its isolation and solubilization. In addition, the review focuses on the role and performance of bioactive ESM-derived products in various applications, while a detailed literature survey is provided. The evaluation of the safety of ESM is also summarized. Finally, new perspectives regarding the potential of ESM as a novel biomaterial in various engineering fields are discussed. This review provides promising future directions for comprehensive application of ESM.
Collapse
Affiliation(s)
- Yaning Shi
- College of Food Science and Technology, Nanjing Agricultural University, Nanjing 210095, China; (K.Z.); (D.L.)
- Correspondence: (Y.S.); (Y.M.)
| | - Kai Zhou
- College of Food Science and Technology, Nanjing Agricultural University, Nanjing 210095, China; (K.Z.); (D.L.)
| | - Dandan Li
- College of Food Science and Technology, Nanjing Agricultural University, Nanjing 210095, China; (K.Z.); (D.L.)
| | - Vincent Guyonnet
- FFI Consulting Ltd., 2488 Lyn Road, Brockville, ON K6V 5T3, Canada;
| | - Maxwell T. Hincke
- Department of Cellular and Molecular Medicine, University of Ottawa, 75 Laurier Ave. E, Ottawa, ON K1N 6N5, Canada;
| | - Yoshinori Mine
- Department of Food Science, University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, Canada
- Correspondence: (Y.S.); (Y.M.)
| |
Collapse
|