Curcumin Inhibits Joint Contracture through PTEN Demethylation and Targeting PI3K/Akt/mTOR Pathway in Myofibroblasts from Human Joint Capsule
Open accessAbstract
Joint contracture is increasingly regarded as a clinical problem that leads to irreversible dysfunction of the joint. It is a pathophysiological process following joint injury, which is marked by the activation of myofibroblasts. There is currently no effective treatment for the prevention of joint contracture. Curcumin is a polyphenol pigment extracted from turmeric, which possesses anti-inflammatory, antioxidative, and antitumor properties. In the present study, we demonstrated that curcumin exerts a protective effect against joint contracture via the inhibition of myofibroblast proliferation and migration in a time- and concentration-dependent manner. Moreover, we indicated that phosphatase and tension homolog (PTEN) was downregulated in myofibroblasts in vitro and in the contracture capsule tissues of patients in vivo. Additionally, western blot analysis revealed a negative correlation between the expression levels of PTEN and the fibrosis marker protein alpha smooth muscle cell actin. Methylation-specific PCR results suggested that curcumin was able to demethylate PTEN in a similar manner to the demethylation agent 5-azacytidine, increasing PTEN expression and further inhibiting phosphoinositide 3-kinase/protein kinase B/mammalian target of rapamycin signaling. In conclusion, our data illustrate part of the mechanism of curcumin inhibition in joint contracture. These results support the hypothesis that curcumin may potentially be used as a novel candidate for the treatment of joint contracture.
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CURs postpone joint contracture progress by inhibiting myofibroblast proliferation from the joint capsule.
“And CURs were shown to postpone joint contracture progress via inhibiting the proliferation of myofibroblasts from the joint capsule [18].”
From Efficacy and safety of curcuminoids alone in alleviating pain and dysfunction for knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials (2022) · cites this paper as [18]
Results §3.1.2 reports that curcumin inhibited proliferation of myofibroblasts isolated from the joint capsule. The Discussion §4 says this may be beneficial in the early phases of arthrofibrosis, but does not show that curcumin postponed the progression of joint contracture. (LLM, conf=0.85)
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Cited by
Sorted by citations
Feng, J., Li, Z., Tian, L., Mu, P., Hu, Y., Xiong, F., & Ma, X. (2022) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-022-03740-9 · Cited by 33 · see citing works
- Authors
- Zhuang, Z., Yu, D., Chen, Z., Liu, D., Yuan, G., Yirong, N., Sun, L., Liu, Y., He, R., & Wang, K.
- Affiliations
- Third Affiliated Hospital of Sun Yat-sen University (CN)
- First Affiliated Hospital of Jinan University (CN)
- MOE Key Laboratory of Laser Life Science & SATCM Third Grade Laboratory of Chinese Medicine and Photonics Technology, College of Biophotonics, South China Normal University, Guangzhou 510631, Guangdong, China
- Corresponding author
- He, Ronghan
- Wang, Kun
- Venue
- Evidence-Based Complementary and Alternative Medicine
- Publisher
- Wiley
- Published
- 2019-08-14
- Volume
- 2019
- Pages
- 1-12
- ISSN
- 1741-427X (ISSN-L)
- 1741-4288
- PMC
- PMC6712967
- OpenAlex
- W2968304812
- Cited by
- 16
- References
- 0
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2022: 7 · 2021: 3 · 2020: 1
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Evidence-based Complementary and Alternative Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Guangdong Medical Science and Technology Research (A2016066, 20181061, 81772368, 81802184, 2017A030310226, A2017003)
- Traditional Chinese Medicine Bureau of Guangdong Province (A2016066, 20181061, 81772368, 81802184, 2017A030310226, A2017003)
- National Natural Science Foundation of China (A2016066, 20181061, 81772368, 81802184, 2017A030310226, A2017003)
- Natural Science Foundation of Guangdong Province (A2016066, 20181061, 81772368, 81802184, 2017A030310226, A2017003)
- Guangdong Medical Research Foundation (A2016066, 20181061, 81772368, 81802184, 2017A030310226, A2017003)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Curcumin's Biomedical Applications
- Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
- Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
- Keywords
- curcumin, joint contractures, myofibroblasts, joint capsule, PI3K/AKT/mTOR pathway, myofibroblast proliferation, myofibroblast migration, alpha-smooth muscle actin, joint fibrosis, azacitidine
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