Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence

Bakground: Knee osteoarthritis (KOA) poses an important challenge in musculoskeletal healthcare, prompting the need for innovative therapeutic strategies. Astaxanthin, a potent antioxidant carotenoid, has gained interest due to its multifaceted mechanisms of action and potential role in KOA managem...

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Main Authors: Sidra Sabir, AHM Mahmudur Rahman, Abdul Haseeb Bhutta
Format: Article
Language:English
Published: Bangabandhu Sheikh Mujib Medical University 2025-02-01
Series:Bangabandhu Sheikh Mujib Medical University Journal
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Online Access:https://www.banglajol.info/index.php/BSMMUJ/article/view/76227
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author Sidra Sabir
AHM Mahmudur Rahman
Abdul Haseeb Bhutta
author_facet Sidra Sabir
AHM Mahmudur Rahman
Abdul Haseeb Bhutta
author_sort Sidra Sabir
collection DOAJ
description Bakground: Knee osteoarthritis (KOA) poses an important challenge in musculoskeletal healthcare, prompting the need for innovative therapeutic strategies. Astaxanthin, a potent antioxidant carotenoid, has gained interest due to its multifaceted mechanisms of action and potential role in KOA management. This review aims to examine the therapeutic mechanisms of astaxanthin in KOA, alongside clinical evidence supporting its effectiveness through a narrative synthesis of preclinical and clinical studies. Methods: A comprehensive review of the literature was conducted across Web of Science, Pubmed, Scopus and Google Scholar, focusing on studies that explored astaxanthin's antioxidative, anti-inflammatory, and cartilage-protective properties in the context of KOA. Articles published in English between 2014 and 2024 were included (n=44). Results: The review identified several key mechanisms by which astaxanthin exerts its therapeutic effects, including reducing oxidative stress, attenuating inflammation, and preserving cartilage integrity. Clinical studies also provided promising evidence of its efficacy in alleviating symptoms and improving joint function in patients with KOA. Conclusion: Astaxanthin demonstrates considerable potential as a therapeutic agent for KOA, though further research is needed to fully understand its long-term efficacy and optimal dosing. Future studies should focus on refining methodological approaches to better elucidate astaxanthin's role in KOA management.
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publisher Bangabandhu Sheikh Mujib Medical University
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series Bangabandhu Sheikh Mujib Medical University Journal
spelling doaj-art-57f0001f44774d6bb879728ce71a50782025-02-06T13:10:00ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502025-02-0118110.3329/bsmmuj.v18i1.76227Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidenceSidra Sabir0AHM Mahmudur Rahman1https://orcid.org/0009-0001-6995-430XAbdul Haseeb Bhutta2https://orcid.org/0000-0002-1559-4847Department of Physiotherapy, Universiti Teknologi MARA Selangor Branch, Puncak Alam, Malaysia Department of Pure and Applied Chemistry, University of Strathclyde, Glasgow, United Kingdom Department of Physical Therapy, Ibadat International University Islamabad, Islamabad, Pakistan Bakground: Knee osteoarthritis (KOA) poses an important challenge in musculoskeletal healthcare, prompting the need for innovative therapeutic strategies. Astaxanthin, a potent antioxidant carotenoid, has gained interest due to its multifaceted mechanisms of action and potential role in KOA management. This review aims to examine the therapeutic mechanisms of astaxanthin in KOA, alongside clinical evidence supporting its effectiveness through a narrative synthesis of preclinical and clinical studies. Methods: A comprehensive review of the literature was conducted across Web of Science, Pubmed, Scopus and Google Scholar, focusing on studies that explored astaxanthin's antioxidative, anti-inflammatory, and cartilage-protective properties in the context of KOA. Articles published in English between 2014 and 2024 were included (n=44). Results: The review identified several key mechanisms by which astaxanthin exerts its therapeutic effects, including reducing oxidative stress, attenuating inflammation, and preserving cartilage integrity. Clinical studies also provided promising evidence of its efficacy in alleviating symptoms and improving joint function in patients with KOA. Conclusion: Astaxanthin demonstrates considerable potential as a therapeutic agent for KOA, though further research is needed to fully understand its long-term efficacy and optimal dosing. Future studies should focus on refining methodological approaches to better elucidate astaxanthin's role in KOA management. https://www.banglajol.info/index.php/BSMMUJ/article/view/76227astaxanthinknee osteoarthritistherapeutic agentantioxidant
spellingShingle Sidra Sabir
AHM Mahmudur Rahman
Abdul Haseeb Bhutta
Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence
Bangabandhu Sheikh Mujib Medical University Journal
astaxanthin
knee osteoarthritis
therapeutic agent
antioxidant
title Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence
title_full Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence
title_fullStr Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence
title_full_unstemmed Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence
title_short Astaxanthin as a potential therapeutic agent for knee osteoarthritis: A review of mechanisms and clinical evidence
title_sort astaxanthin as a potential therapeutic agent for knee osteoarthritis a review of mechanisms and clinical evidence
topic astaxanthin
knee osteoarthritis
therapeutic agent
antioxidant
url https://www.banglajol.info/index.php/BSMMUJ/article/view/76227
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AT ahmmahmudurrahman astaxanthinasapotentialtherapeuticagentforkneeosteoarthritisareviewofmechanismsandclinicalevidence
AT abdulhaseebbhutta astaxanthinasapotentialtherapeuticagentforkneeosteoarthritisareviewofmechanismsandclinicalevidence