Table 3.
Studies evaluating the effect of curcumin in tendinopathy.
Reference | Molecule/s | Dosage | Route | Days | Placebo/Control | n | Type of Subjects | Type Injury | Tests | Impact on Resolution. | |
---|---|---|---|---|---|---|---|---|---|---|---|
Buhrmann et al. (2011) | [94] | Curcumin | 5–20 μM | Tenocytes culture in vitro | 12 h, 24 h, 48 h | C | - | Human tenocytes monolayer cultures | IL-1β stimulated tenocytes | Histology, Immunology | ⊕ modulation of NF-κB signaling, inhibited IL-1β-induced inflammation and apoptosis. Any toxicity on the cells |
Mueller AL et al. (2022) | [95] | Calebin A | 5000 μM DMSO (<0.1%)). | Tenocytes culture in vitro | 18 h | C | - | Canine tenocytes monolayer cultures | Tendinitis μenvironment | Histology, Immunology | ⊕ inflammatory and degradative processes by blocking TNF-β, TNF-α-induced adhesiveness and T-lymphocytes facilitating down-regulation of Collagen I, Tenomodulin, tenocyte-specific transcription factor and the up-regulation of NF-κB phosphorylation;. |
Chen B et al. (2021) | [96] | Curcumin, Mg, Chitosan | Hydrogel locally applied during surgery | 3–4–21 | C | Rodents | Rotator cuff C/R | Histology, Immunology, Biomechanical. | Promote rotator cuff tendon-to-bone healing ⊕ anti-inflammatory and antioxidation effects, ⊕ biomechanical tests and histological results |
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Chen Y et al. (2019) | [88] | Curcumin, Chitosan | 135 mg/mL | Hydrogel locally applied during surgery | Every 3 d/4 weeks | C | 21 | Rodents | Achilles tendon ectopic calcification model | Imaging (xR), Histology, Immunology. | ⊕ Partially reversed tendon calcification and enhanced tendon regeneration |
Güleç A et al. (2018) | [89] | Curcumin | 200 mg/kg | Oral gavage | 28 | C | 18 | Rodents | Achilles tendon C/R | Histology and Biomechanical | ⊕ Tenocyte morphology, collagen, and ground substance scores, ⊕ Biomechanical parameters (failure load, cross-sectional area, length, ultimate stress, strain), ↔ Vascularization, |
Jiang D et al. (2016) | [90] | Curcumin | 100 mg/kg | Oral gavage | 14 | C | 64 | Rodents | Patellar tendon | Histology, Immunology Gene expression, Biomechanical | ⊕ Organized collagen fiber, alignment, ⊕ collagen I, ⊕ biomechanical properties and ↑SOD, ↓MDA. |
Zhang J et al. (2021) | [91] | Curcumin Celecoxib |
- | Electrospun polyester membrane (EPM) | 3 | C | 40 | Rodents | Achilles tendon C/R | Histology, Immunology | The EPM with Curcumin and Celecoxib acts synergistically preventing peritendinous adhesion and inflammation. |
Li Y et al. (2016) | [92] | Curcumin | 0.44 mg/kg/0.1 mL saline | Polymeric nanomicelles applied locally | 28 | C | 36 | Rodents | Achilles tendon C/R | Histology, Biomechanical | ⊕ inflammatory adhesion, ⊕ collagen fiber orientation ⊕ tendon strength |
Merolla et al. (2015) | [97] | Curcuma, MSM, Boswellia, Vit C, Glucosamin, CS, Collagen, Arginin |
200 mg | Oral | 168 | P | 50 | Human | Rotator cuff surgery | VAS, PGAS, Constant–Murley Score, Biomechanical. | ⊕ postoperative rotator cuff short and partially mid-term pain, while longterm pain was unchanged, ⊕ concomitant treatment |
Henrotin Y et al. (2021) | [98] | Curcumin, Boswellia | 144 mg | Oral | 30 | No | 670 | Human | Diverse tendinopathies | Analog visual scale (VAS), patien satisfaction | ⊕ pain score, concomitant treatment and patient satisfaction |
⊕: Effective; Ineffective; ↑: Higher or improved; ↓: Lower; ↔: Similar than the Control group; CS: Condroitin sulfate; d: Days; DMSO: Dimethyl-sulfoxide; EPM: Electrospun polyester membrane; IL-1β: Interleukin-1β; MSM: C/R: cut and repair; NF-κB: Nuclear Factor-κB; PGAS: Patient Global Assessment scores; VAS: Visula analog scale; Vit C: Vitamin C.