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N-Butyrylated hyaluronic acid ameliorates gout and hyperuricemia in animal models.

Abstract
Context: Hyaluronic acid (HA) plays critical roles in the structural skeleton, joint lubrication, renal function and cell signaling. We previously showed that partially N-butyrylated, low molecular weight, hyaluronic acid (BHA) exhibited an anti-inflammatory effect in cultured human macrophage, where inflammation was induced either by a TL-4 agonist or the low molecular weight HA itself, in dose-dependent fashion. Objectives: To investigate the anti-inflammatory, antioxidative, and antihyperuricemic effects of BHA using animal models of acute gouty arthritis and hyperuricemia. Materials and methods: The anti-inflammatory effect of articular BHA (10 and 50 μg) injections was evaluated by measuring joint swelling and the serum levels of inflammatory cytokines in a model of acute gouty arthritis induced by intra-articular injection of monosodium urate crystals in Wistar rats (n = 10/group), in comparison to the control group with saline injection. Antioxidative and antihyperuricemic activities were investigated using intraperitoneal injections of oteracil potassium and yeast extract hyperuricemic Balb/C mice, which were treated with intraperitoneal injection of BHA at day 6-8 in the model. Results: In the gouty arthritis rat model, BHA at a higher dosage (50 μg) demonstrated a strong anti-inflammatory effect by reducing the degree of articular swelling and the serum levels of IL-1β, IL-8, IFN-γ, and MCP-1 by 5.56%, 6.55%, 15.58% and 33.18%. In the hyperuricemic mouse model, lower dosage BHA (10 μg) was sufficient to provide antioxidative activities by significantly decreasing the ROS levels in both serum and liver by 14.87% and 8.04%, while improving liver SOD by 12.77%. Intraperitoneal injection of BHA suppressed uric acid production through reducing liver XO activity by 19.78% and decreased the serum uric acid level in hyperuricemic mice by 30.41%. Conclusions: This study demonstrated for the first time that BHA exhibits anti-inflammatory, antioxidative and antihyperuricemic effects in vivo, suggesting a potential therapeutic application of BHA in gouty arthritis and hyperuricemia.
AuthorsLanzhou Li, Di Wang, Xueju Wang, Ruifeng Bai, Chunyu Wang, Yin Gao, Tassos Anastassiades
JournalPharmaceutical biology (Pharm Biol) Vol. 57 Issue 1 Pg. 717-728 (Dec 2019) ISSN: 1744-5116 [Electronic] England
PMID31622116 (Publication Type: Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Antioxidants
  • Butyrates
  • Uric Acid
  • Hyaluronic Acid
Topics
  • Animals
  • Anti-Inflammatory Agents (administration & dosage, chemistry, pharmacology)
  • Antioxidants (administration & dosage, chemistry, pharmacology)
  • Arthritis, Gouty (drug therapy, pathology)
  • Butyrates (chemistry)
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Hyaluronic Acid (administration & dosage, chemistry, pharmacology)
  • Hyperuricemia (drug therapy, pathology)
  • Inflammation (drug therapy, pathology)
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Rats
  • Rats, Wistar
  • Uric Acid (blood)

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