Diacerein inhibits the synthesis of resorptive enzymes and reduces osteoclastic differentiation/survival in osteoarthritic subchondral bone: a possible mechanism for a protective effect against subchondral bone remodelling
2008

Diacerein Reduces Bone Resorption in Osteoarthritis

Sample size: 16 publication 10 minutes Evidence: moderate

Author Information

Author(s): Christelle Boileau, Steeve Kwan, Jean-Pierre Pelletier, Saranette Cheng, Johanne Martel-Pelletier

Primary Institution: Osteoarthritis Research Unit, University of Montreal Hospital Centre

Hypothesis

Diacerein and rhein can inhibit the synthesis of resorptive enzymes and reduce osteoclastic differentiation in osteoarthritis.

Conclusion

Diacerein and rhein may help protect against abnormal subchondral bone remodeling in osteoarthritis by reducing the synthesis of resorptive factors and osteoclast formation.

Supporting Evidence

  • Diacerein and rhein reduced MMP-13 production in a dose-dependent manner.
  • Both drugs inhibited the IL-1β-induced osteoclast differentiation.
  • Statistical significance was reached with the highest tested dose of 20 μg/mL.

Takeaway

This study shows that a medicine called diacerein can help stop bad changes in bones that happen when people have arthritis.

Methodology

The study used enzyme-linked immunosorbent assay and Western blot to evaluate the effects of diacerein and rhein on MMP-13 synthesis and osteoclast differentiation.

Limitations

The study was conducted in vitro, and further in vivo studies are needed to confirm the findings.

Participant Demographics

16 patients with osteoarthritis, average age 72 years, 6 males and 10 females.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2444

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