Abstract
AbstractThe increasing global aging population has led to a continual rise in the prevalence of bone and joint diseases, posing challenges to both the quality of life for patients and healthcare resources. Type II collagen, a pivotal protein for sustaining joint function, has gained substantial attention in recent years. The oral administration of undenatured type II collagen (UC-II) has demonstrated noteworthy advancements in tackling bone and joint diseases. This article presents a comprehensive review of the structure and extraction methods of UC-II, discusses the relationship between UC-II and arthritis, and thoroughly examines its therapeutic role and potential mechanisms in the treatment process. In addition, future perspectives for clinical application of UC-II are discussed. It was found that the oral administration of UC-II, through induction of oral tolerance mechanisms, exhibits promise in alleviating joint inflammation and pain in patients with osteoarthritis (OA) and rheumatoid arthritis (RA). This method can significantly ameliorate joint inflammation and pain, with high patient acceptance and minimal side effects, demonstrating its potential as a well-tolerated treatment option for joint diseases.
Graphical Abstract
Funder
National Natural Science Foundation of China
Natural Science Foundation of Chongqing
Science and Technology Research Program of Chongqing Municipal Education Commission
National Center of Technology Innovation for Pigs
Publisher
Springer Science and Business Media LLC
Reference88 articles.
1. Steinmetz JD, Culbreth GT, Haile LM, Rafferty Q, Lo J, Fukutaki KG, et al. Global, regional, and national burden of osteoarthritis, 1990–2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(9):e508–22.
2. Zhu X, Chan YT, Yung PSH, Tuan RS, Jiang Y. Subchondral bone remodeling: a therapeutic target for osteoarthritis. Front Cell Dev Biol. 2021;8.
3. Chen T, Weng W, Liu Y, Aspera-Werz RH, Nüssler AK, Xu J. Update on novel non-operative treatment for osteoarthritis: current status and future trends. Front Pharmacol. 2021;12.
4. Jain K, Mehra A, Mehta K, Dsouza L, Kumar R. Role of undenatured collagen type II and Aflapin combination in the management of osteoarthritis: a review. Int J Res Ortho. 2021;7:885.
5. Xu R, Wu J, Zheng L, Zhao M. Undenatured type II collagen and its role in improving osteoarthritis. Ageing Res Rev. 2023;91:102080.