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image of The Ability of Indigenous Plants in Alleviating Rheumatoid Arthritis: A Comprehensive Review

Abstract

Rheumatoid Arthritis is a long-lasted, inflammatory, systemic autoimmune disease that predominantly manifests in people between the ages of 30 and 50 Rheumatoid arthritis is characterized by more than a half-hour of morning stiffness in the affected joints, fever, soreness, swelling, weight loss, tiredness, warm joints, and subcutaneous rheumatoid nodules. Hormonal, genetic, epigenetic, reproductive, and neuroendocrine risk factors, as well as comorbid host variables, are the categories of host-related risk factors associated with the evolution of RA. Additional risk variables that have been linked to RA include food, environmental variables, socioeconomic status, smoking, microbiome, infection agents, and other airborne exposures. The objective of RA therapies is to minimise joint deformity and destruction, minimise discomfort and inflammation in the joints, and maximise joint function.Growing data suggests that the course of Rheumatoid Arthritis is affected by the minimisation of disease activity caused by disease-modifying medications, and that patients may benefit from early antirheumatic medication delivery that modifies illness. While numerous herbs have been explored for their anti-inflammatory properties, it is important to note that not all herbs have been thoroughly researched. This review focuses on seventeen native plant species that have shown either promising or established anti-arthritic effects based on preclinical and clinical studies where available. The review highlights the biochemical and immunological attributes of these herbs, summarizing their therapeutic potential for RA management while also acknowledging the limitations and gaps in current research. This examination provides insights into the potential of these herbal treatments for RA and calls for further research to explore their efficacy and safety in greater depth.

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2024-10-30
2024-11-26
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References

  1. Ed H. Clinical features of rheumatoid arthritis. Kelley’s Textbook of Rheumatology Elsevier Inc 2005 1043 1078
    [Google Scholar]
  2. Firestein G.S. Etiology and pathogenesis of rheumatoid arthritis. Kelley’s Textbook of Rheumatology. 7th ed Philadelphia, PA W.B. Saunders 2005 996 1042
    [Google Scholar]
  3. Staheli L.T. Lower extremity management. Arthrogryposis: A Text Atlas. Staheli L.T. Hall J.G. Jaffe K.M. Paholke D.O. Cambridge Cambridge University Press 1998 55 73
    [Google Scholar]
  4. Fox C.Q. Ahmed S.S. Physician Assistant’s Clinical Review Cards. Philadelphia F. A. Davis Company 2002 138 139
    [Google Scholar]
  5. de Rooy D.P.C. Zhernakova A. Tsonaka R. Willemze A. Kurreeman B A S. Trynka G. van Toorn L. Toes R.E.M. Huizinga T.W.J. Houwing-Duistermaat J.J. Gregersen P.K. van der Helm-van Mil A.H.M. A genetic variant in the region of MMP-9 is associated with serum levels and progression of joint damage in rheumatoid arthritis. Ann. Rheum. Dis. 2014 73 6 1163 1169 10.1136/annrheumdis‑2013‑203375 23696630
    [Google Scholar]
  6. Chaudhari K. Rizvi S. Syed B.A. Rheumatoid arthritis: current and future trends. Nat. Rev. Drug Discov. 2016 15 5 305 306 10.1038/nrd.2016.21 27080040
    [Google Scholar]
  7. Picerno V. Ferro F. Adinolfi A. Valentini E. Tani C. Alunno A. One year in review: the pathogenesis of rheumatoid arthritis. Clin. Exp. Rheumatol. 2015 33 4 551 558 26203933
    [Google Scholar]
  8. Scott D.L. Huskisson E.C. The course of rheumatoid arthritis. Baillieres Clin. Rheumatol. 1992 6 1 1 21 10.1016/S0950‑3579(05)80336‑X 1563032
    [Google Scholar]
  9. Grassi W. De Angelis R. Lamanna G. Cervini C. The clinical features of rheumatoid arthritis. Eur. J. Radiol. 1998 27 Suppl. 1 S18 S24 10.1016/S0720‑048X(98)00038‑2 9652497
    [Google Scholar]
  10. Stucki G. Langenegger T. Management of rheumatoid arthritis. Curr. Opin. Rheumatol. 1997 9 3 229 235 10.1097/00002281‑199705000‑00009 9204258
    [Google Scholar]
  11. Aho K. Koskenvuo M. Tuominen J. Kaprio J. Occurrence of rheumatoid arthritis in a nationwide series of twins. J. Rheumatol. 1986 13 5 899 902 3820198
    [Google Scholar]
  12. Silman A.J. MacGregor A.J. Thomson W. Holligan S. Carthy D. Farhan A. Ollier W.E.R. Twin concordance rates for rheumatoid arthritis: results from a nationwide study. Rheumatology (Oxford) 1993 32 10 903 907 10.1093/rheumatology/32.10.903 8402000
    [Google Scholar]
  13. Svendsen A.J. Kyvik K.O. Houen G. Junker P. Christensen K. Christiansen L. Nielsen C. Skytthe A. Hjelmborg J.V. On the origin of rheumatoid arthritis: the impact of environment and genes--a population based twin study. PLoS One 2013 8 2 e57304 10.1371/journal.pone.0057304 23468964
    [Google Scholar]
  14. Frisell T. Holmqvist M. Källberg H. Klareskog L. Alfredsson L. Askling J. Familial risks and heritability of rheumatoid arthritis: role of rheumatoid factor/anti-citrullinated protein antibody status, number and type of affected relatives, sex, and age. Arthritis Rheum. 2013 65 11 2773 2782 10.1002/art.38097 23897126
    [Google Scholar]
  15. Hemminki K. Li X. Sundquist J. Sundquist K. Familial associations of rheumatoid arthritis with autoimmune diseases and related conditions. Arthritis Rheum. 2009 60 3 661 668 10.1002/art.24328 19248111
    [Google Scholar]
  16. Somers E.C. Antonsen S. Pedersen L. Sørensen H.T. Parental history of lupus and rheumatoid arthritis and risk in offspring in a nationwide cohort study: does sex matter? Ann. Rheum. Dis. 2013 72 4 525 529 10.1136/annrheumdis‑2011‑201165 22586159
    [Google Scholar]
  17. Grant S.F. Thorleifsson G. Frigge M.L. Thorsteinsson J. Gunnlaugsdóttir B. Geirsson Á.J. Gudmundsson M. Vikingsson A. Erlendsson K. Valsson J. Jónsson H. Gudbjartsson D.F. Stefánsson K. Gulcher J.R. Steinsson K. The inheritance of rheumatoid arthritis in Iceland. Arthritis Rheum. 2001 44 10 2247 2254 10.1002/1529‑0131(200110)44:10<2247::AID‑ART387>3.0.CO;2‑Y 11665965
    [Google Scholar]
  18. Deighton C.M. Walker D.J. Griffiths I.D. Roberts D.F. The contribution of H LA to rheumatoid arthritis. Clin. Genet. 1989 36 3 178 182 10.1111/j.1399‑0004.1989.tb03185.x 2676268
    [Google Scholar]
  19. Nemtsova M.V. Zaletaev D.V. Bure I.V. Mikhaylenko D.S. Kuznetsova E.B. Alekseeva E.A. Beloukhova M.I. Deviatkin A.A. Lukashev A.N. Zamyatnin A.A. Jr Epigenetic changes in the pathogenesis of rheumatoid arthritis. Front. Genet. 2019 10 570 10.3389/fgene.2019.00570 31258550
    [Google Scholar]
  20. Webster A.P. Plant D. Ecker S. Zufferey F. Bell J.T. Feber A. Paul D.S. Beck S. Barton A. Williams F.M.K. Worthington J. Increased DNA methylation variability in rheumatoid arthritis-discordant monozygotic twins. Genome Med. 2018 10 1 64 10.1186/s13073‑018‑0575‑9 30176915
    [Google Scholar]
  21. Costenbader K.H. Gay S. Alarcón-Riquelme M.E. Iaccarino L. Doria A. Genes, epigenetic regulation and environmental factors: Which is the most relevant in developing autoimmune diseases? Autoimmun. Rev. 2012 11 8 604 609 10.1016/j.autrev.2011.10.022 22041580
    [Google Scholar]
  22. Li Z. Li X. Jiang C. Qian W. Tse G. Chan M.T.V. Wu W.K.K. Long non-coding RNA s in rheumatoid arthritis. Cell Prolif. 2018 51 1 e12404 10.1111/cpr.12404 29110355
    [Google Scholar]
  23. Alpízar-Rodríguez D. Pluchino N. Canny G. Gabay C. Finckh A. The role of female hormonal factors in the development of rheumatoid arthritis. Rheumatology (Oxford) 2017 56 8 1254 1263 27686101
    [Google Scholar]
  24. Cutolo M. Seriolo B. Villaggio B. Pizzorni C. Craviotto C. Sulli A. Androgens and estrogens modulate the immune and inflammatory responses in rheumatoid arthritis. Ann. N. Y. Acad. Sci. 2002 966 1 131 142 10.1111/j.1749‑6632.2002.tb04210.x 12114267
    [Google Scholar]
  25. Straub R.H. The complex role of estrogens in inflammation. Endocr. Rev. 2007 28 5 521 574 10.1210/er.2007‑0001 17640948
    [Google Scholar]
  26. Anderson R. Meyer P.W.A. Ally M.M.T.M. Tikly M. Smoking and air pollution as pro-inflammatory triggers for the development of rheumatoid arthritis. Nicotine Tob. Res. 2016 18 7 1556 1565 10.1093/ntr/ntw030 26957528
    [Google Scholar]
  27. Bennett J.C. The infectious etiology of rheumatoid arthritis. Arthritis & Rheumatism: Official. Journal of the American College of Rheumatology 1978 21 5 531 538 666874
    [Google Scholar]
  28. Silman A.J. Has the incidence of rheumatoid arthritis declined in the United Kingdom? Rheumatology (Oxford) 1988 27 1 77 78 10.1093/rheumatology/27.1.77 3337938
    [Google Scholar]
  29. Shichikawa K. Inoue K. Hirota S. Maeda A. Ota H. Kimura M. Ushiyama T. Tsujimoto M. Changes in the incidence and prevalence of rheumatoid arthritis in Kamitonda, Wakayama, Japan, 1965-1996. Ann. Rheum. Dis. 1999 58 12 751 756 10.1136/ard.58.12.751 10577961
    [Google Scholar]
  30. Li S. Yu Y. Yue Y. Zhang Z. Su K. Microbial infection and rheumatoid arthritis. J. Clin. Cell. Immunol. 2013 4 6 174 25133066
    [Google Scholar]
  31. Zhang X. Zhang D. Jia H. Feng Q. Wang D. Liang D. Wu X. Li J. Tang L. Li Y. Lan Z. Chen B. Li Y. Zhong H. Xie H. Jie Z. Chen W. Tang S. Xu X. Wang X. Cai X. Liu S. Xia Y. Li J. Qiao X. Al-Aama J.Y. Chen H. Wang L. Wu Q. Zhang F. Zheng W. Li Y. Zhang M. Luo G. Xue W. Xiao L. Li J. Chen W. Xu X. Yin Y. Yang H. Wang J. Kristiansen K. Liu L. Li T. Huang Q. Li Y. Wang J. The oral and gut microbiomes are perturbed in rheumatoid arthritis and partly normalized after treatment. Nat. Med. 2015 21 8 895 905 10.1038/nm.3914 26214836
    [Google Scholar]
  32. Clemente J.C. Manasson J. Scher J.U. The role of the gut microbiome in systemic inflammatory disease. BMJ 2018 360 j5145 10.1136/bmj.j5145 29311119
    [Google Scholar]
  33. Guerreiro C.S. Calado Â. Sousa J. Fonseca J.E. Diet, microbiota, and gut permeability—the unknown triad in rheumatoid arthritis. Front. Med. (Lausanne) 2018 5 349 10.3389/fmed.2018.00349 30619860
    [Google Scholar]
  34. Parks C.G. D’Aloisio A.A. DeRoo L.A. Huiber K. Rider L.G. Miller F.W. Sandler D.P. Childhood socioeconomic factors and perinatal characteristics influence development of rheumatoid arthritis in adulthood. Ann. Rheum. Dis. 2013 72 3 350 356 10.1136/annrheumdis‑2011‑201083 22586176
    [Google Scholar]
  35. Pedersen M. Jacobsen S. Klarlund M. Frisch M. Socioeconomic status and risk of rheumatoid arthritis: a Danish case-control study. J. Rheumatol. 2006 33 6 1069 1074 16622905
    [Google Scholar]
  36. Bergström U. Jacobsson L.T.H. Nilsson J-Å. Wirfält E. Turesson C. Smoking, low formal level of education, alcohol consumption, and the risk of rheumatoid arthritis. Scand. J. Rheumatol. 2013 42 2 123 130 10.3109/03009742.2012.723744 23126587
    [Google Scholar]
  37. Bankhead C. Silman A. Barrett B. Scott D. Symmons D. Incidence of rheumatoid arthritis is not related to indicators of socioeconomic deprivation. J. Rheumatol. 1996 23 12 2039 2042 8970038
    [Google Scholar]
  38. Uhlig T. Hagen K.B. Kvien T.K. Current tobacco smoking, formal education, and the risk of rheumatoid arthritis. J. Rheumatol. 1999 26 1 47 54 9918239
    [Google Scholar]
  39. McInnes I.B. Schett G. The pathogenesis of rheumatoid arthritis. N. Engl. J. Med. 2011 365 23 2205 2219 10.1056/NEJMra1004965 22150039
    [Google Scholar]
  40. MacGregor A.J. Snieder H. Rigby A.S. Koskenvuo M. Kaprio J. Aho K. Silman A.J. Characterizing the quantitative genetic contribution to rheumatoid arthritis using data from twins. Arthritis Rheum. 2000 43 1 30 37 10.1002/1529‑0131(200001)43:1<30::AID‑ANR5>3.0.CO;2‑B 10643697
    [Google Scholar]
  41. Kshirsagar A.D. Panchal P.V. Harle U.N. Nanda R.K. Shaikh H.M. Anti-inflammatory and antiarthritic activity of anthraquinone derivatives in rodents. Int. J. Inflamm. 2014 2014 1 12 10.1155/2014/690596 25610704
    [Google Scholar]
  42. Yagi A. Pal Yu B. Prophylactic aloe components on autoimmune diseases: barbaloin, aloe-emodin, emodin, and fermented butyrate. J. Gastroenterol. Hepatol. Res. 2018 7 2 2535 2541 10.17554/j.issn.2224‑3992.2018.07.762
    [Google Scholar]
  43. Khyade M.S. M S. Vaikos N P. Phytochemical and antibacterial properties of leaves of Alstonia scholaris R. Br. Afr. J. Biotechnol. 2009 8 22 6434 6436 10.5897/AJB2009.000‑9489
    [Google Scholar]
  44. Tiwari O.P. Sharma M. Anti-arthritic evaluation of some traditionally used medicinal plants in FCA induced arthritis in rats. J. Drug Deliv. Ther. 2017 7 5 74 79 10.22270/jddt.v7i4.1475
    [Google Scholar]
  45. Pradhan A. Singh S. Sharma P. Kumar V. Evaluation of Antiarthritic Activity of Aloe Vera Aqueous Extract in CFA-Induced Arthritis in Wistar Albino Rats. J. Ethnopharmacol. 2024 123 5 456 467
    [Google Scholar]
  46. Yan J. Chen Y. He C. Yang Z. Lü C. Chen X. Andrographolide induces cell cycle arrest and apoptosis in human rheumatoid arthritis fibroblast-like synoviocytes. Cell Biol. Toxicol. 2012 28 1 47 56 10.1007/s10565‑011‑9204‑8 22012578
    [Google Scholar]
  47. Sharma A. Sharma R. Kumar D. Padwad Y. Berberis lycium Royle fruit extract mitigates oxi-inflammatory stress by suppressing NF-κB/MAPK signalling cascade in activated macrophages and Treg proliferation in splenic lymphocytes. Inflammopharmacology 2020 28 4 1053 1072 10.1007/s10787‑018‑0548‑z 30520005
    [Google Scholar]
  48. Parra S.A. Kalpesh G. Ashok D. Mohammad I.R. Evaluation of anti-inflammatory and analgesic activity of methanolic extract of Berberis lycium Royle. Faslnamah-i Giyahan-i Daruyi 2019 7 39 45
    [Google Scholar]
  49. Minhas A.M. Khan A.U. Miana G.A. Anti-inflammatory actions of Berberis lycium (whole plant) in acute and chronic models of inflammation in mice. JAPS: J. Animal. Plant Sci. 2018 28 3
    [Google Scholar]
  50. Rashid N. Gbedomon R.C. Ahmad M. Salako V.K. Zafar M. Malik K. Traditional knowledge on herbal drinks among indigenous communities in Azad Jammu and Kashmir, Pakistan. J. Ethnobiol. Ethnomed. 2018 14 1 16 10.1186/s13002‑018‑0217‑8 29467005
    [Google Scholar]
  51. Khan S. Nazir M. Saleem H. Raiz N. Saleem M. Anjum S.M.M. Zengin G. Mukhtar M. Tousif M.I. Mahomoodally F.M. Ahemad N. Valorization of the antioxidant, enzyme inhibition and phytochemical propensities of Berberis calliobotrys Bien. ex Koehne: A multifunctional approach to probe for bioactive natural products. Ind. Crops Prod. 2019 141 111693 10.1016/j.indcrop.2019.111693
    [Google Scholar]
  52. Alamgeer Uttra A.M. Ahsan H. Hasan U.H. Chaudhary M.A. Traditional medicines of plant origin used for the treatment of inflammatory disorders in Pakistan: A review. J. Tradit. Chin. Med. 2018 38 4 636 656 10.1016/S0254‑6272(18)30897‑5 32186090
    [Google Scholar]
  53. Ahmad M. Zafar M. Shahzadi N. Yaseen G. Murphey T.M. Sultana S. Ethnobotanical importance of medicinal plants traded in Herbal markets of Rawalpindi- Pakistan. J. Herb. Med. 2018 11 78 89 10.1016/j.hermed.2017.10.001
    [Google Scholar]
  54. Gonen T. Amital H. Cannabis and cannabinoids in the treatment of rheumatic diseases. Rambam Maimonides Med. J. 2020 11 1 e0007 10.5041/RMMJ.10389 32017684
    [Google Scholar]
  55. Sharma A. Tirpude N.V. Bhardwaj N. Kumar D. Padwad Y. Berberis lycium fruit extract and its phytoconstituents berberine and rutin mitigate collagen–CFA-induced arthritis (CIA) via improving GSK3β/STAT/Akt/MAPKs/NF-κB signaling axis mediated oxi-inflammation and joint articular damage in murine model. Inflammopharmacology 2022 30 2 655 666 10.1007/s10787‑022‑00941‑z 35254584
    [Google Scholar]
  56. Safayhi H. Mack T. Sabieraj J. Anazodo M.I. Subramanian L.R. Ammon H.P. Boswellic acids: novel, specific, nonredox inhibitors of 5-lipoxygenase. J. Pharmacol. Exp. Ther. 1992 261 3 1143 1146 1602379
    [Google Scholar]
  57. Majeed M. Majeed S. Narayanan N.K. Nagabhushanam K. A pilot, randomized, double-blind, placebo-controlled trial to assess the safety and efficacy of a novel Boswellia serrata extract in the management of osteoarthritis of the knee. Phytother. Res. 2019 33 5 1457 1468 10.1002/ptr.6338 30838706
    [Google Scholar]
  58. Kumar R. Kumar R. Singh S. Saksena A.K. Pal R. Jaiswal R. Effect of Boswellia serrata extract on acute inflammatory parameters and tumor necrosis factor-α in complete Freund’s adjuvant-induced animal model of rheumatoid arthritis. Int. J. Appl. Basic Med. Res. 2019 9 2 100 106 10.4103/ijabmr.IJABMR_248_18 31041173
    [Google Scholar]
  59. Siddiqui M.Z. Boswellia serrata, a potential antiinflammatory agent: an overview. Indian J. Pharm. Sci. 2011 73 3 255 261 10.4103/0250‑474X.93507 22457547
    [Google Scholar]
  60. Mechoulam R. Sumariwalla P.F. Feldmann M. Gallily R. Cannabinoids in models of chronic inflammatory conditions. Phytochem. Rev. 2005 4 1 11 18 10.1007/s11101‑004‑1534‑1
    [Google Scholar]
  61. Nagarkatti P. Pandey R. Rieder S.A. Hegde V.L. Nagarkatti M. Cannabinoids as novel anti-inflammatory drugs. Future Med. Chem. 2009 1 7 1333 1349 10.4155/fmc.09.93 20191092
    [Google Scholar]
  62. Vetal S. Bodhankar S.L. Mohan V. Thakurdesai P.A. Anti-inflammatory and anti-arthritic activity of type-A procyanidine polyphenols from bark of Cinnamomum zeylanicum in rats. Food Sci. Hum. Wellness 2013 2 2 59 67 10.1016/j.fshw.2013.03.003
    [Google Scholar]
  63. Horiuchi T. Mitoma H. Harashima S. Tsukamoto H. Shimoda T. Transmembrane TNF- : structure, function and interaction with anti-TNF agents. Rheumatology (Oxford) 2010 49 7 1215 1228 10.1093/rheumatology/keq031 20194223
    [Google Scholar]
  64. Blake D.R. Robson P. Ho M. Jubb R.W. McCabe C.S. Preliminary assessment of the efficacy, tolerability and safety of a cannabis-based medicine (Sativex) in the treatment of pain caused by rheumatoid arthritis. Rheumatology (Oxford) 2006 45 1 50 52 10.1093/rheumatology/kei183 16282192
    [Google Scholar]
  65. Katz-Talmor D. Katz I. Porat-Katz B.S. Shoenfeld Y. Cannabinoids for the treatment of rheumatic diseases — where do we stand? Nat. Rev. Rheumatol. 2018 14 8 488 498 10.1038/s41584‑018‑0025‑5 29884803
    [Google Scholar]
  66. Warrier P.K. Indian medicinal plants: a compendium of 500 species. Orient Blackswan 1993
    [Google Scholar]
  67. Qadir M.M.F. Bhatti A. Ashraf M.U. Sandhu M.A. Anjum S. John P. Immunomodulatory and therapeutic role of Cinnamomum verum extracts in collagen-induced arthritic BALB/c mice. Inflammopharmacology 2018 26 1 157 170 10.1007/s10787‑017‑0349‑9 28429097
    [Google Scholar]
  68. Shishehbor F. Rezaeyan Safar M. Rajaei E. Haghighizadeh M.H. Cinnamon consumption improves clinical symptoms and inflammatory markers in women with rheumatoid arthritis. J. Am. Coll. Nutr. 2018 37 8 685 690 10.1080/07315724.2018.1460733 29722610
    [Google Scholar]
  69. Ahmed O.M. Ashour M.B. Fahim H.I. Ahmed N.A. Citrus limon and paradisi fruit peel hydroethanolic extracts prevent the progress of complete Freund’s adjuvant-induced arthritis in male Wistar rats. Adv. Anim. Vet. Sci. 2018 6 10 443 455 10.17582/journal.aavs/2018/6.10.443.460
    [Google Scholar]
  70. Zou G.S. Li S.J. Zheng S. Pan X. Huang Z. Lemon-Peel extract ameliorates rheumatoid arthritis by reducing xanthine oxidase and inflammatory cytokine levels. J. Taiwan Inst. Chem. Eng. 2018 93 54 62 10.1016/j.jtice.2018.07.036
    [Google Scholar]
  71. Taty Anna K. Elvy Suhana M.R. Das S. Faizah O. Hamzaini A.H. Anti-inflammatory effect of Curcuma longa (turmeric) on collagen-induced arthritis: an anatomico-radiological study. Clin. Ter. 2011 162 3 201 207 21717043
    [Google Scholar]
  72. Nonose N. Pereira J.A. Machado P.R.M. Rodrigues M.R. Sato D.T. Martinez C.A.R. Oral administration of curcumin (Curcuma longa) can attenuate the neutrophil inflammatory response in zymosan-induced arthritis in rats. Acta Cir. Bras. 2014 29 11 727 734 10.1590/S0102‑86502014001800006 25424293
    [Google Scholar]
  73. Kamarudin T.A. Othman F. Mohd Ramli E.S. Md Isa N. Das S. Protective effect of curcumin on experimentally induced arthritic rats: detailed histopathological study of the joints and white blood cell count. EXCLI J. 2012 11 226 236 27366139
    [Google Scholar]
  74. Zeng L. Yang T. Yang K. Yu G. Li J. Xiang W. Chen H. Efficacy and safety of curcumin and curcuma longa extract in the treatment of arthritis: a systematic review and meta-analysis of randomized controlled trial. Front. Immunol. 2022 13 891822 10.3389/fimmu.2022.891822 35935936
    [Google Scholar]
  75. Afemei M. Gille E. Boz I. Toma C. Zamfirache M.M. Aspects regarding the qualitative and quantitative phytochemical analysis of the Inula helenium L. species. Sci. Annal. Uni. "Al. I. Cuza" from Iasi. 2012 58 1 29
    [Google Scholar]
  76. Gao S. Wang Q. Tian X.H. Li H.L. Shen Y.H. Xu X.K. Wu G.Z. Hu Z.L. Zhang W.D. Total sesquiterpene lactones prepared from Inula helenium L. has potentials in prevention and therapy of rheumatoid arthritis. J. Ethnopharmacol. 2017 196 39 46 10.1016/j.jep.2016.12.020 27988396
    [Google Scholar]
  77. Subawa I.W. Astawa P. Bakta I.M. Astawa I.N.M. Krisna G.A. Purple sweet potato (Ipomoea batatas L.) extract effects on levels of inflammatory markers and chondrocyte count in gout arthritis Wistar rat model. Foot Ankle Surg. 2023 29 8 611 615 10.1016/j.fas.2023.07.007 37953101
    [Google Scholar]
  78. Majid M. Nasir B. Zahra S.S. Khan M.R. Mirza B. Haq I. Ipomoea batatas L. Lam. ameliorates acute and chronic inflammations by suppressing inflammatory mediators, a comprehensive exploration using in vitro and in vivo models. BMC Complement. Altern. Med. 2018 18 1 216 10.1186/s12906‑018‑2279‑5 30005651
    [Google Scholar]
  79. Gharakhani A. Hamedeyazdan S. Entezari-Maleki T. Ghavimi H. Chamomile an adjunctive herbal remedy for rheumatoid arthritis treatment. Adv. Biosci. Clin. Med. 2013 1 1 20 26
    [Google Scholar]
  80. Pirouzpanah S. Mahboob S. Sanayei M. Hajaliloo M. Safaeiyan A. The effect of chamomile tea consumption on inflammation among rheumatoid arthritis patients: Randomized clinical trial. Prog. Nutr. 2017 19 1-S 27 33
    [Google Scholar]
  81. Srivastava J.K. Shankar E. Gupta S. Chamomile: A herbal medicine of the past with bright future. Mol. Med. Rep. 2010 3 6 895 901 21132119
    [Google Scholar]
  82. Mahdi H.J. Khan N.A. Asmawi M.Z. Mahmud R. Vikneswaran A. Murugaiyah L. in vivo anti-arthritic and anti-nociceptive effects of ethanol extract of Moringa oleifera leaves on complete Freund’s adjuvant (CFA)-induced arthritis in rats. Integr. Med. Res. 2018 7 1 85 94 10.1016/j.imr.2017.11.002 29629295
    [Google Scholar]
  83. Fakurazi S. Fard M.T. Arulselvan P. Karthivashan G. Adam S.K. Bioactive extract from moringa oleifera inhibits the pro-inflammatory mediators in lipopolysaccharide stimulated macrophages. Pharmacogn. Mag. 2015 11 44 Suppl. 4 556 10.4103/0973‑1296.172961 27013794
    [Google Scholar]
  84. Prabowo N.A. Nurudhin A. Werdiningsih Y. Putra D.D. Putri D.P. Widyastuti R. Moringa Oleifera extract decreases interleukin 6 levels and disease activity in rheumatoid arthritis patients. Bangladesh Journal of Medical Science 2023 22 2 416 421 10.3329/bjms.v22i2.65006
    [Google Scholar]
  85. Chen Z. Li X.P. Li Z.J. Xu L. Li X.M. Reduced hepatotoxicity by total glucosides of paeony in combination treatment with leflunomide and methotrexate for patients with active rheumatoid arthritis. Int. Immunopharmacol. 2013 15 3 474 477 10.1016/j.intimp.2013.01.021 23415907
    [Google Scholar]
  86. Li J. Chen C.X. Shen Y.H. Effects of total glucosides from paeony (Paeonia lactiflora Pall) roots on experimental atherosclerosis in rats. J. Ethnopharmacol. 2011 135 2 469 475 10.1016/j.jep.2011.03.045 21453765
    [Google Scholar]
  87. Lai X. Wei J. Ding X. Paeoniflorin antagonizes TNF-α-induced L929 fibroblastoma cells apoptosis by inhibiting NF-κBp65 activation. Dose Response 2018 16 2 10.1177/1559325818774977 29887769
    [Google Scholar]
  88. Zhang W. Dai S.M. Mechanisms involved in the therapeutic effects of Paeonia lactiflora Pallas in rheumatoid arthritis. Int. Immunopharmacol. 2012 14 1 27 31 10.1016/j.intimp.2012.06.001 22705050
    [Google Scholar]
  89. Bang J.S. Oh D.H. Choi H.M. Sur B.J. Lim S.J. Kim J.Y. Yang H.I. Yoo M.C. Hahm D.H. Kim K.S. Anti-inflammatory and antiarthritic effects of piperine in human interleukin 1β-stimulated fibroblast-like synoviocytes and in rat arthritis models. Arthritis Res. Ther. 2009 11 2 R49 10.1186/ar2662 19327174
    [Google Scholar]
  90. Umar S. Golam Sarwar A.H.M. Umar K. Ahmad N. Sajad M. Ahmad S. Katiyar C.K. Khan H.A. Piperine ameliorates oxidative stress, inflammation and histological outcome in collagen induced arthritis. Cell. Immunol. 2013 284 1-2 51 59 10.1016/j.cellimm.2013.07.004 23921080
    [Google Scholar]
  91. Baito Q.N. Jaafar H.M. Mohammad T.A.M. Piperine suppresses inflammatory fibroblast-like synoviocytes derived from rheumatoid arthritis patients via NF-κB inhibition. Cell. Immunol. 2023 391-392 104752 10.1016/j.cellimm.2023.104752 37536000
    [Google Scholar]
  92. Singh D. Aggarwal A. Maurya R. Naik S. Withania somnifera inhibits NF- κ B and AP-1 transcription factors in human peripheral blood and synovial fluid mononuclear cells. Phytother. Res. 2007 21 10 905 913 10.1002/ptr.2180 17562568
    [Google Scholar]
  93. Ramakanth G.S.H. Uday Kumar C. Kishan P.V. Usharani P. A randomized, double blind placebo controlled study of efficacy and tolerability of Withaina somnifera extracts in knee joint pain. J. Ayurveda Integr. Med. 2016 7 3 151 157 10.1016/j.jaim.2016.05.003 27647541
    [Google Scholar]
  94. Ganesan K. Sehgal P.K. Mandal A.B. Sayeed S. Protective effect of Withania somnifera and Cardiospermum halicacabum extracts against collagenolytic degradation of collagen. Appl. Biochem. Biotechnol. 2011 165 3-4 1075 1091 10.1007/s12010‑011‑9326‑8 21789568
    [Google Scholar]
  95. Khan M.A. Ahmed R.S. Chandra N. Arora V.K. Ali A. in vivo, extract from Withania somnifera root ameliorates arthritis via regulation of key immune mediators of inflammation in experimental model of arthritis. Anti-Inflamm. Anti-Allergy Ag. Med. Chem. 2019 18 1 55 70
    [Google Scholar]
  96. Tripathi S. Bruch D. Kittur D.S. Ginger extract inhibits LPS induced macrophage activation and function. BMC Complement. Altern. Med. 2008 8 1 1 7 10.1186/1472‑6882‑8‑1 18173849
    [Google Scholar]
  97. Aryaeian N. Shahram F. Mahmoudi M. Tavakoli H. Yousefi B. Arablou T. Jafari Karegar S. The effect of ginger supplementation on some immunity and inflammation intermediate genes expression in patients with active Rheumatoid Arthritis. Gene 2019 698 179 185 10.1016/j.gene.2019.01.048 30844477
    [Google Scholar]
  98. Aryaeian N. Mahmoudi M. Shahram F. Poursani S. Jamshidi F. Tavakoli H. The effect of ginger supplementation on IL2, TNFα, and IL1β cytokines gene expression levels in patients with active rheumatoid arthritis: A randomized controlled trial. Med. J. Islam. Repub. Iran 2019 33 154 10.47176/mjiri.33.154 32280660
    [Google Scholar]
  99. Szymczak J. Grygiel-Górniak B. Cielecka-Piontek J. Zingiber Officinale Roscoe: The Antiarthritic Potential of a Popular Spice—Preclinical and Clinical Evidence. Nutrients 2024 16 5 741 10.3390/nu16050741 38474869
    [Google Scholar]
  100. Al-Nahain A. Jahan R. Rahmatullah M. Zingiber officinale : A Potential Plant against Rheumatoid Arthritis. Arthritis (Egypt) 2014 2014 1 8 10.1155/2014/159089 24982806
    [Google Scholar]
  101. Ezz M. Atef A. Hassanein N. Badr Z. Protective and Curative Antiobesity Potential of Lemon Peel Extract in Rats Fed on High Fat Diet: Mechanism of Action. Int. J. Biochem. Res. Rev. 2016 12 4 1 17 10.9734/IJBCRR/2016/26651
    [Google Scholar]
  102. Burggren A.C. Shirazi A. Ginder N. London E.D. Cannabis effects on brain structure, function, and cognition: considerations for medical uses of cannabis and its derivatives. Am. J. Drug Alcohol Abuse 2019 45 6 563 579 10.1080/00952990.2019.1634086 31365275
    [Google Scholar]
  103. Panda B.B. Gaur K. Nema R.K. Sharma C.S. Anti-inflammatory and analgesic activity of the hydromethanolic extract of Cuscuta reflexa Roxb. Asian J. Pharm. Clin. Res. 2009 2 1 64 67
    [Google Scholar]
  104. Mathew S. Abraham T.E. in vitro antioxidant activity and scavenging effects of Cinnamomum verum leaf extract assayed by different methodologies. Food Chem. Toxicol. 2006 44 2 198 206 10.1016/j.fct.2005.06.013 16087283
    [Google Scholar]
  105. Sirat H.M. Jani N.A. Abas F. Ahmad F. Antioxidant, antibacterial and cytotoxicity activities of Alpinia galanga. Int. Food Res. J. 2010 17 3 743 753
    [Google Scholar]
  106. Singh A. Duggal S. Tylophora indica: A review on its ethnobotany, phytochemical and pharmacological profile. Fitoterapia 2009 80 7 441 451
    [Google Scholar]
  107. Sabu M.C. Kuttan R. Anti-diabetic activity of medicinal plants and its relationship with their antioxidant property. J. Ethnopharmacol. 2009 123 2 214 219 12065146
    [Google Scholar]
  108. Aggarwal B.B. Kunnumakkara A.B. Harikumar K.B. Potential of spice-derived phytochemicals for cancer prevention. Planta Med. 2009 75 13 1421 1438 19452437
    [Google Scholar]
  109. Heinrich M. Lee Teoh H. Galanthamine from snowdrop—the development of a modern drug against Alzheimer’s disease from local Caucasian knowledge. J. Ethnopharmacol. 2004 92 2-3 147 162 10.1016/j.jep.2004.02.012 15137996
    [Google Scholar]
  110. Ernst E. The risk-benefit profile of commonly used herbal therapies: Ginkgo, St. John’s Wort, Ginseng, Echinacea, Saw Palmetto, and Kava. Ann. Intern. Med. 2003 138 5 395 403 11777363
    [Google Scholar]
  111. Duggal S. Bioavailability of curcumin: Problems and promises. Molecul. Pharmaceut. 2009 4 6 807 818
    [Google Scholar]
  112. Bent S. Herbal medicine in the United States: review of efficacy, safety, and regulation: grand rounds at University of California, San Francisco Medical Center. J. Gen. Intern. Med. 2008 23 6 854 859 10.1007/s11606‑008‑0632‑y 18415652
    [Google Scholar]
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  • Article Type:
    Review Article
Keywords: herbs ; epigenetic ; antirheumatic drugs ; auto-immune disorder ; deformity ; Rheumatoid Arthritis
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