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      Green tea polyphenol treatment is chondroprotective, anti-inflammatory and palliative in a mouse posttraumatic osteoarthritis model

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          Abstract

          Introduction

          Epigallocatechin 3-gallate (EGCG), a polyphenol present in green tea, was shown to exert chondroprotective effects in vitro. In this study, we used a posttraumatic osteoarthritis (OA) mouse model to test whether EGCG could slow the progression of OA and relieve OA-associated pain.

          Methods

          C57BL/6 mice were subjected to surgical destabilization of the medial meniscus (DMM) or sham surgery. EGCG (25 mg/kg) or vehicle control was administered daily for 4 or 8 weeks by intraperitoneal injection starting on the day of surgery. OA severity was evaluated using Safranin O staining and Osteoarthritis Research Society International (OARSI) scores, as well as by immunohistochemical analysis to detect cleaved aggrecan and type II collagen and expression of proteolytic enzymes matrix metalloproteinase 13 (MMP-13) and A disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS5). Real-time PCR was performed to characterize the expression of genes critical for articular cartilage homeostasis. During the course of the experiments, tactile sensitivity testing (von Frey test) and open-field assays were used to evaluate pain behaviors associated with OA, and expression of pain expression markers and inflammatory cytokines in the dorsal root ganglion (DRG) was determined by real-time PCR.

          Results

          Four and eight weeks after DMM surgery, the cartilage in EGCG-treated mice exhibited less Safranin O loss and cartilage erosion, as well as lower OARSI scores compared to vehicle-treated controls, which was associated with reduced staining for aggrecan and type II collagen cleavage epitopes, and reduced staining for MMP-13 and ADAMTS5 in the articular cartilage. Articular cartilage in the EGCG-treated mice also exhibited reduced levels of Mmp1, Mmp3, Mmp8, Mmp13, Adamts5, interleukin 1 beta ( Il1b) and tumor necrosis factor alpha ( Tnfa) mRNA and elevated gene expression of the MMP regulator Cbp/p300 interacting transactivator 2 ( Cited2). Compared to vehicle controls, mice treated with EGCG exhibited reduced OA-associated pain, as indicated by higher locomotor behavior (that is, distance traveled). Moreover, expression of the chemokine receptor Ccr2 and proinflammatory cytokines Il1b and Tnfa in the DRG were significantly reduced to levels similar to those of sham-operated animals.

          Conclusions

          This study provides the first evidence in an OA animal model that EGCG significantly slows OA disease progression and exerts a palliative effect.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s13075-014-0508-y) contains supplementary material, which is available to authorized users.

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          Most cited references47

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          A receptor for green tea polyphenol EGCG.

          The major polyphenol in green tea, (-)-epigallocatechin-3-gallate (EGCG), has been shown to prevent carcinogenesis. We have identified a receptor that mediates the anticancer activity of EGCG. Expression of the metastasis-associated 67-kDa laminin receptor confers EGCG responsiveness to cancer cells at physiologically relevant concentrations. Experiments using surface plasmon resonance demonstrate binding of EGCG to the 67-kDa laminin receptor with a nanomolar K (d) value.
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            Polyphenols: Benefits to the Cardiovascular System in Health and in Aging

            Numerous studies have demonstrated the importance of naturally occurring dietary polyphenols in promoting cardiovascular health and emphasized the significant role these compounds play in limiting the effects of cellular aging. Polyphenols such as resveratrol, epigallocatechin gallate (EGCG), and curcumin have been acknowledged for having beneficial effects on cardiovascular health, while some have also been shown to be protective in aging. This review highlights the literature surrounding this topic on the prominently studied and documented polyphenols as pertaining to cardiovascular health and aging.
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              Epigallocatechin-3-gallate (EGCG) for Clinical Trials: More Pitfalls than Promises?

              Epigallocatechin-3-gallate (EGCG), the main and most significant polyphenol in green tea, has shown numerous health promoting effects acting through different pathways, as antioxidant, anti-inflammatory and anti-atherogenic agent, showing gene expression activity, functioning through growth factor-mediated pathways, the mitogen-activated protein kinase-dependent pathway, the ubiquitin/proteasome degradation pathway, as well as eliciting an amyloid protein remodeling activity. However, epidemiological inferences are sometimes conflicting and in vitro and in vivo studies may seem discrepant. Current knowledge on how to enhance bioavailability could be the answer to some of these issues. Furthermore, dose levels, administration frequency and potential side effects remain to be examined.
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                Author and article information

                Contributors
                daniel.leong@einstein.yu.edu
                marwa.choudhury@einstein.yu.edu
                regina.hanstein@einstein.yu.edu
                dhirsh@montefiore.org
                sukim@montefiore.org
                rmajeska@ccny.cuny.edu
                mschaffler@ccny.cuny.edu
                johnhardin@arthritis.org
                david.spray@einstein.yu.edu
                goldringm@hss.edu
                ncobelli@montefiore.org
                herb.sun@einstein.yu.edu
                Journal
                Arthritis Res Ther
                Arthritis Research & Therapy
                BioMed Central (London )
                1478-6354
                1478-6362
                17 December 2014
                17 December 2014
                2014
                : 16
                : 6
                : 508
                Affiliations
                [ ]Department of Orthopaedic Surgery, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461 USA
                [ ]Department of Radiation Oncology, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461 USA
                [ ]Department of Neuroscience, Albert Einstein College of Medicine, 1410 Pelham Pkwy S., Bronx, NY 10461 USA
                [ ]Department of Biomedical Engineering, The City College of New York, 160 Convent Ave, New York, NY 10031 USA
                [ ]Tissue Engineering, Regeneration and Repair Program, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA
                Article
                508
                10.1186/s13075-014-0508-y
                4342891
                25516005
                9e3a5708-d355-45a0-9684-7961c90f5573
                © Leong et al.; licensee BioMed Central. 2014

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 19 August 2014
                : 9 December 2014
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                © The Author(s) 2014

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