N‐feruloylserotonin in preventive combination therapy with methotrexate reduced inflammation in adjuvant arthritis |
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Authors: | Viera Kuncirova Silvester Ponist Danica Mihalova Frantisek Drafi Radomir Nosal Alessandra Acquaviva Concetta Gardi Juraj Harmatha Iveta Hradkova Katarina Bauerova |
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Institution: | 1. Institute of Experimental Pharmacology and Toxicology, Slovak Academy of Sciences, , SK‐841 04 Bratislava, Slovak Republic;2. Department of Molecular and Developmental Medicine, University of Siena, , I‐53100 Siena, Italy;3. Institute of Organic Chemistry and Biochemistry v.v.i., AS CR, , CZ ‐ 166 10 Prague 6, Czech Republic;4. Department of Diary and Fat Technology, Faculty of Food and Biochemical Technology, Institute of Chemical Technology, , CZ ‐ 166 28 Prague, Czech Republic |
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Abstract: | Many of disease‐modifying anti‐rheumatic drugs often have side effects at high doses and/or during long‐term administration. Increased efficacy without increased toxicity is expected for combination therapy of rheumatoid arthritis (RA). The aim of the study was to examine the effect of N‐feruloylserotonin (N‐f‐5HT) and methotrexate (MTX) in monotherapy and in combination therapy on disease progression and inflammation in arthritic rats. Adjuvant arthritis was induced by intradermal injection of Mycobacterium butyricum in incomplete Freund′s adjuvant in Lewis rats. The experiment included healthy animals, arthritic animals without any drug administration, arthritic animals with administration of N‐f‐5HT in the oral daily dose of 15 mg/kg b.w., arthritic animals with administration of MTX in the oral dose of 0.3 mg/kg b.w. twice a week and arthritic animals treated with the combination of N‐f‐5HT and MTX. N‐f‐5HT in monotherapy reduced only activation of NF‐κB and did not have any significant effect on other parameters monitored. Low‐dose treatment of MTX decreased the level of IL‐1β and MCP‐1 on day 14 and activation of NF‐κB in liver without significant effect on other parameters. N‐f‐5HT and MTX combination showed both the anti‐arthritic (hind paw volume and arthritic score) and anti‐inflammatory effect (plasmatic levels of IL‐1β, IL‐17, MCP‐1, CRP, and activation of NF‐κB in liver). In combination with MTX, N‐f‐5HT markedly potentiated the therapeutic effect of MTX low dose, which resulted in significant improvement of all parameters measured. The findings showed that the combination therapy simultaneously decreased multiple markers of inflammation, a result crucial for future therapy of RA. |
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Keywords: | arthritis combination therapy inflammation methotrexate N‐feruloylserotonin oxidative stress |
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