Anti-gout and Urate-lowering Potentials of Curcumin: A Review from Bench to Beside

Curr Med Chem. 2024;31(24):3715-3732. doi: 10.2174/0929867331666230721154653.

Abstract

Background: Gouty arthritis is a complex form of inflammatory arthritis, triggered by the sedimentation of monosodium urate crystals in periarticular tissues, synovial joints, and other sites in the body. Curcumin is a natural polyphenol compound, isolated from the rhizome of the plant Curcuma longa, possessing countless physiological features, including antioxidant, anti-inflammatory, and anti-rheumatic qualities.

Objective: This study aimed to discuss the beneficial impacts of curcumin and its mechanism in treating gout disease.

Methods: Ten English and Persian databases were used to conduct a thorough literature search. Studies examining the anti-gouty arthritis effects of curcumin and meeting the inclusion criteria were included.

Results: According to the studies, curcumin has shown xanthine oxidase and urate transporter- 1 inhibitory properties, uric acid inhibitory characteristics, and antioxidant and anti- inflammatory effects. However, some articles found no prominent reduction in uric acid levels.

Conclusion: In this review, we emphasized the potency of curcumin and its compounds against gouty arthritis. Despite the potency, we suggest an additional well-designed evaluation of curcumin, before its therapeutic effectiveness is completely approved as an antigouty arthritis agent.

Keywords: Arthritis; Curcuma longa.; curcumin; gout; joint diseases; uric acid.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / chemistry
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Antioxidants / chemistry
  • Antioxidants / pharmacology
  • Antioxidants / therapeutic use
  • Arthritis, Gouty* / drug therapy
  • Arthritis, Gouty* / metabolism
  • Curcumin* / chemistry
  • Curcumin* / pharmacology
  • Curcumin* / therapeutic use
  • Gout / drug therapy
  • Gout / metabolism
  • Gout Suppressants / chemistry
  • Gout Suppressants / pharmacology
  • Gout Suppressants / therapeutic use
  • Humans
  • Uric Acid* / metabolism
  • Xanthine Oxidase / antagonists & inhibitors
  • Xanthine Oxidase / metabolism

Substances

  • Curcumin
  • Uric Acid
  • Gout Suppressants
  • Antioxidants
  • Xanthine Oxidase
  • Anti-Inflammatory Agents