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Anti-arthritic agents: progress and potential
Sergey S Laev1, Nariman F Salakhutdinov2
1Vorozhtsov Institute of Organic Chemistry, Siberian Division, Russian Academy of Sciences, pr. akademika Lavrent'eva 9, Novosibirsk 630090, Russian Federation.
Abstract:
Osteoarthritis and rheumatoid arthritis are the two most common types of arthritis. Cartilage breakdown is a key feature of both diseases which contributes to the pain and joint deformity experienced by patients. Therefore, anti-arthritis drugs are of great importance. The aim of this review is to present recent progress in studies of various agents against osteoarthritis and rheumatoid arthritis. The structures and activities of anti-arthritic agents, which used in medical practice or are in development, are presented and discussed. The effects and mechanisms of action of opioids, glucocorticoids, non-steroidal anti-inflammatory drugs, disease-modifying anti-rheumatic drugs, natural products derived from plants, nutraceuticals, and a number of new and perspective agents are considered. Various perspective targets for the treatment of osteoarthritis and rheumatoid arthritis are also discussed. Trials of good quality are needed to draw solid conclusions regarding efficacy of many of the studied agents. Unfortunately, to date, there is no pharmacologic agent proven to prevent the progression of both diseases, and there is an urgent need for further development of better anti-arthritic agents.
Insights
This review explores anti-arthritis drugs for osteoarthritis and rheumatoid arthritis, discussing current treatments and future agents. More research is needed to find drugs that can prevent disease progression.
Area of Science:
- Rheumatology
- Pharmacology
Background:
- Osteoarthritis and rheumatoid arthritis are common, leading to cartilage breakdown, pain, and joint deformity.
- Effective anti-arthritis drugs are crucial for managing these debilitating conditions.
Purpose of the Study:
- To review recent advancements in agents for treating osteoarthritis and rheumatoid arthritis.
- To discuss the structures, activities, and mechanisms of action of various anti-arthritic agents.
Main Methods:
- Literature review of existing and developing anti-arthritic agents.
- Analysis of drug classes including opioids, NSAIDs, DMARDs, natural products, and novel therapeutics.
- Discussion of potential therapeutic targets for osteoarthritis and rheumatoid arthritis.
Main Results:
- Various agents are used or in development for arthritis, including opioids, glucocorticoids, NSAIDs, and DMARDs.
- Natural products, nutraceuticals, and new agents show promise but require further investigation.
- Current treatments do not prevent disease progression, highlighting a need for novel pharmacologic strategies.
Conclusions:
- Significant progress has been made in understanding and developing anti-arthritis agents.
- High-quality trials are essential to validate the efficacy of many studied agents.
- There is an urgent need for the development of new drugs capable of preventing the progression of osteoarthritis and rheumatoid arthritis.
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