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Table 2 Details of in vivo studies

From: Effects of hyaluronic acid combined with anti-inflammatory drugs compared with hyaluronic acid alone, in clinical trials and experiments in osteoarthritis: a systematic review and meta-analysis

Study

Species

No. of animals in IA-HA

No. of animals in IA-HA + AI

Treatments

Outcome extracted

HA characteristics

Results

Karakulum et al., 2003 [36]

Rabbit

7

7

1. HA 0.3 mL/day, IA at days 31, 38 and 45

2. MPA 15 mg/day IA at day 31 and HA 0.3 mL/day IA at days 38 and 45

Histological score; degeneration in cartilage zone [67]

HA (MW 1000–2900 kDa)

• Degeneration of cartilage decreased 72% for IA-HA and 88% for IA-HA + MPA at day 52

Dong et al., 2013 [35]

Rabbit

6

6

1. HA 0.3 mL (10 mg/mL), single IA

2. HA 10 mg/mL plus CLX 0.5 mg/mL for 0.3 mL, single IA

Global score; loss of cartilage layer, proteoglycan, and chondrocytes [68]

HA (MW 2.5 MDa)

• Single IA-CLX liposome or IA-HA alone did not significantly inhibit cartilage degeneration

• IA-HA + CLX showed significant inhibition of cartilage degeneration

Zhang et al., 2016 [37]

Rat

10

10

1. IA-cHA gel, single IA

2. IA-cHA + Dex 0.2, 0.5 mg/mL gel, single IA

OARSI score; loss of proteoglycan [69]

Cross-linked HA hydrogel

• Quantification of histological findings: IA-cHA, 4.50 ± 0.87; IA-cHA + DEX, 3.00 ± 1.00

  1. CLX celecoxib, DEX dexamethasone, HA hyaluronic acid, IA intra-articular injection, cHA gel cross-linked hyaluronic acid hydrogel, kDa kilodaltons, MDa megadaltons, MW molecular weight, MPA methylprednisolone, OARSI Osteoarthritis Research Society International