Evaluating the effect of ursodeoxycholic acid (UDCA) in comparison with dexamethasone and diclofenac in a rat model of rheumatoid arthritis

J Med Life. 2023 Oct;16(10):1519-1526. doi: 10.25122/jml-2023-0107.

Abstract

Ursodeoxycholic acid (UDCA) is known for its major effects on the liver, but its impact on autoimmune diseases is not well understood. This study aimed to assess the effectiveness of UDCA in controlling rheumatoid arthritis (RA) in an in vivo setting. Experimental RA was induced in rats using Freund's complete adjuvant, and the effects of UDCA (50,100 mg/kg) were compared to those of dexamethasone and diclofenac by measuring changes in paw size, IL-17, pro-inflammatory cytokines, oxidative stress (GSH, MDA), and radiological changes. The administration of UDCA resulted in decreased cartilage damage, reduced paw edema, and a decrease in the release of pro-inflammatory cytokines and oxidative stress. Additionally, X-ray joint alterations were observed in the UDCA-treated group compared to the dexamethasone and diclofenac groups. These results suggest that UDCA has anti-rheumatoid arthritis properties due to its ability to minimize oxidative stress and inflammation in arthritis-affected rats.

Keywords: Complete Freund adjuvant (CFA); rheumatoid arthritis (RA); ursodeoxycholic acid (UDCA).

MeSH terms

  • Animals
  • Arthritis, Rheumatoid* / drug therapy
  • Cytokines
  • Dexamethasone / pharmacology
  • Dexamethasone / therapeutic use
  • Diclofenac* / pharmacology
  • Diclofenac* / therapeutic use
  • Rats
  • Ursodeoxycholic Acid / pharmacology
  • Ursodeoxycholic Acid / therapeutic use

Substances

  • Diclofenac
  • Ursodeoxycholic Acid
  • Cytokines
  • Dexamethasone