A randomized, triple-blind, placebo-controlled clinical trial, evaluating the sesamin supplement effects on proteolytic enzymes, inflammatory markers, and clinical indices in women with rheumatoid arthritis.

Autor: Helli B; Department of Nutritional Sciences, Faculty of Paramedical, Ahvaz Jundishapur Medical Sciences University, Ahvaz, Iran., Shahi MM; Department of Nutrition, Hyperlipidemia Research Center, Ahvaz Jundishapur Medical Sciences University, Ahvaz, Iran., Mowla K; Department of Rheumatology, School of Medicine, Ahvaz Jundishapur Medical Sciences University, Ahvaz, Iran., Jalali MT; Department of Nutrition, Hyperlipidemia Research Center, Ahvaz Jundishapur Medical Sciences University, Ahvaz, Iran., Haghighian HK; Department of Nutrition, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran.; Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Jazyk: angličtina
Zdroj: Phytotherapy research : PTR [Phytother Res] 2019 Sep; Vol. 33 (9), pp. 2421-2428. Date of Electronic Publication: 2019 Jul 15.
DOI: 10.1002/ptr.6433
Abstrakt: Inflammation is one of the main characteristics of rheumatoid arthritis. Based on the antiinflammatory properties of sesame, this study was conducted to evaluate the sesamin supplement effects on serum levels of some proteolytic enzymes, inflammatory biomarkers, and clinical indices in women with rheumatoid arthritis. In this randomized, triple-blind, placebo-controlled clinical trial, 44 patients were randomly divided in intervention and control groups. Patients received 200-mg/day sesamin supplement or placebo in the intervention and control group for 6 weeks. Serum levels of proteolytic enzymes (hyaluronidase, aggrecanase, and matrix metalloproteinases-3) and inflammatory biomarkers (hs-CRP, IL-1β, IL-6, TNF-α, and cyclooxygenase-2) were measured with enzyme-linked immunosorbent assay method at the beginning and end of the study. After intervention, serum levels of hyaluronidase and matrix metalloproteinases-3 decreased significantly in sesamin group. Also, serum levels of hs-CRP, TNF-α, and cyclooxygenase-2 in intervention group were significantly decreased in intervention group compared with placebo group. Sesamin supplementation also caused a significant reduction in the number of tender joints and severity of pain in these patients. According to the results, it seems that the sesamin by reducing inflammatory mediators can relieve clinical symptoms and pathological changes that caused by inflammatory impairment in patients with rheumatoid arthritis.
(© 2019 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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