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Table 3 Details of in vitro 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 HA

No. of animals in HA + AI

Treatments

Outcome extracted

HA characteristics

Results

Doyle et al., 2005 [38]

Horse

5

5

1. HA 0.1, 1, 1.5 mg/mL

2. MPA 0.05, 0.5, 5 mg/mL + HA 0.1, 1, 1.5 mg/mL

GAG in cartilage explants

HA (MW 500–730 kDa)

• Adding HA had little effect on MPA-induced cartilage matrix PG catabolism in articular cartilage explants

Yates et al., 2006 [40]

Horse

7

7

1. HA 0.2, 2 mg/mL

2. MPA 0.05, 0.5 mg/mL + HA 0.2, 2 mg/mL

ACAN expression

GAG in chondrocyte pellets

HA (MW 500–730 kDa)

• ACAN expression was significantly reduced with MPA treatment

• High concentration

of MPA + HA increased

GAG content in chondrocyte pellets

Schaefer et al., 2009 [39]

Horse

3

3

1. HA 0.5, 2 mg/mL

2. TA 0.06, 0.6 mg/mL + HA 0.5, 2 mg/mL

ACAN, COL2A1 expression

GAG in chondrocyte pellets

HA (MW 3,000,000 kDa)

• High concentration of HA and TA increased total GAG content

• High concentration of HA or TA alone or in combination mitigated effects of IL-1 on GAG catabolism

Euppayo et al., 2015 [23]

Dog

3

3

1. HA 2.5 mg/mL

2. HA 2.5 mg/mL + CAR 6.2.5, 12.5, 25 mg/mL

ACAN, COL2A1 expression

HA (MW 500–730 kDa)

• HA caused high expression levels of COL2A1 and ACAN in OA cartilage

• HA + CAR caused higher COL2A1 and ACAN expression levels than CAR alone

Euppayo et al., 2016 [22]

Dog

2

2

1. HA 2.5 mg/mL

2. TA 0.09, 0.11 mg/mL + HA 2.5 mg/mL

ACAN, COL2A1 expression

HA (MW 500–750 kDa)

• TA (0.11 mg/mL) up-regulated ACAN expression in canine OA chondrocytes

• HA + TA did not show clearly beneficial effects

  1. ACAN aggrecan gene, CAR carprofen, COL2A1, collagen type II alpha 1 gene, GAG glycosaminoglycans, HA hyaluronic acid, kDa kilodaltons, MPA methylprednisolone, MW molecular weight, PG proteoglycans, TA triamcinolone acetonide