Affiliation:
1. Department of Biological Sciences, Faculty of Science, Beirut Arab University, Beirut 11-5020, Lebanon
2. Department of Experimental Pathology, Immunology and Microbiology, Faculty of Medicine, American University of Beirut, Beirut 11-0236, Lebanon
3. Health Sciences Division, Abu Dhabi Women’s College, Higher Colleges of Technology, Abu Dhabi P.O. Box 25026, United Arab Emirates
Abstract
Rheumatoid Arthritis (RA) is a chronic autoimmune disease characterized by progressive joint inflammation and damage. Oxidative stress plays a critical role in the onset and progression of RA, significantly contributing to the disease’s symptoms. The complex nature of RA and the role of oxidative stress make it particularly challenging to treat effectively. This article presents a comprehensive review of RA’s development, progression, and the emergence of novel treatments, introducing Galangin (GAL), a natural flavonoid compound sourced from various plants, as a promising candidate. The bioactive properties of GAL, including its anti-inflammatory, antioxidant, and immunomodulatory effects, are discussed in detail. The review elucidates GAL’s mechanisms of action, focusing on its interactions with key targets such as inflammatory cytokines (e.g., TNF-α, IL-6), enzymes (e.g., SOD, MMPs), and signaling pathways (e.g., NF-κB, MAPK), which impact inflammatory responses, immune cell activation, and joint damage. The review also addresses the lack of comprehensive understanding of potential treatment options for RA, particularly in relation to the role of GAL as a therapeutic candidate. It highlights the need for further research and clinical studies to ascertain the effectiveness of GAL in RA treatment and to elucidate its mechanisms of action. Overall, this review provides valuable insights into the potential of GAL as a therapeutic option for RA, shedding light on its multifaceted pharmacological properties and mechanisms of action, while suggesting avenues for future research and clinical applications.
Reference194 articles.
1. Yang, S., Zhao, M., and Jia, S. (2023). Macrophage: Key player in the pathogenesis of autoimmune diseases. Front. Immunol., 14.
2. Rheumatoid arthritis;Bathon;Lancet,2023
3. Epidemiology of rheumatoid arthritis: Genetic and environmental influences;Venetsanopoulou;Expert. Rev. Clin. Immunol.,2022
4. Sex steroids and autoimmune rheumatic diseases: State of the art;Cutolo;Nat. Rev. Rheumatol.,2020
5. Rheumatoid Arthritis—Common Origins, Divergent Mechanisms;Gravallese;N. Engl. J. Med.,2023