PMID- 25751300 OWN - NLM STAT- MEDLINE DCOM- 20160418 LR - 20150722 IS - 1541-1087 (Electronic) IS - 0731-5724 (Linking) VI - 34 IP - 4 DP - 2015 TI - Effects of Alpha-Lipoic Acid Supplementation on Inflammatory Biomarkers and Matrix Metalloproteinase-3 in Rheumatoid Arthritis Patients. PG - 310-7 LID - 10.1080/07315724.2014.910740 [doi] AB - OBJECTIVE: Although many studies have considered alpha-lipoic acid (ALA) as a potent antioxidant with anti-inflammatory functions in oxidative stress-associated inflammatory diseases, few studies have evaluated its efficacy in rheumatoid arthritis (RA). Therefore, we aimed to examine the effects of ALA on serum biomarkers of joint damage and inflammation in women with RA. METHODS: We performed a randomized, double-blind, placebo-controlled clinical trial in which RA patients (n = 70) aged 20-50 years were randomly assigned 1:1 to receive either ALA (1200 mg/day) or placebo for 8 weeks. Fasting blood samples were taken before and after the study to analyze inflammatory biomarkers including serum high-sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and serum matrix metalloproteinase-3 (MMP-3) as a marker of joint erosion. Moreover, 3-day dietary records, the International Physical Activity Questionnaire (IPAQ), and the Spielberger State-Trait anxiety inventory form Y (STAI-Y) were assessed before and after the intervention. RESULTS: Sixty-five RA patients completed the trial. No statistically significant differences were observed in serum levels of hs-CRP, TNF-alpha, IL-6, and MMP-3 within and between the ALA and placebo groups (p > 0.05). There were no statistically significant differences in dietary intakes, physical activity, and anxiety levels between groups at baseline and they remained statistically unchanged during the study period (p > 0.05). CONCLUSION: Although in theory ALA supplementation could serve as a beneficial nutraceutical in RA patients, in the present study serum inflammatory biomarkers and MMP-3 were not significantly affected by 8 weeks of ALA supplementation. FAU - Mirtaheri, Elham AU - Mirtaheri E AD - a Tabriz University of Medical Science , Tabriz , ISLAMIC REPUBLIC OF IRAN. FAU - Gargari, Bahram Pourghassem AU - Gargari BP FAU - Kolahi, Sousan AU - Kolahi S FAU - Dehghan, Parvin AU - Dehghan P FAU - Asghari-Jafarabadi, Mohammad AU - Asghari-Jafarabadi M FAU - Hajalilou, Mehrzad AU - Hajalilou M FAU - Shakiba Novin, Zahra AU - Shakiba Novin Z FAU - Mesgari Abbasi, Mehran AU - Mesgari Abbasi M LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20150309 PL - United States TA - J Am Coll Nutr JT - Journal of the American College of Nutrition JID - 8215879 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (IL6 protein, human) RN - 0 (Inflammation Mediators) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 12001-76-2 (Vitamin B Complex) RN - 73Y7P0K73Y (Thioctic Acid) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Antioxidants/pharmacology MH - Arthritis, Rheumatoid/*blood MH - Biomarkers/blood MH - C-Reactive Protein/metabolism MH - *Dietary Supplements MH - Double-Blind Method MH - Humans MH - Inflammation/*blood MH - Inflammation Mediators/*blood MH - Interleukin-6/blood MH - Joints/drug effects MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Oxidative Stress MH - Thioctic Acid/pharmacology/*therapeutic use MH - Tumor Necrosis Factor-alpha/blood MH - Vitamin B Complex/pharmacology/therapeutic use MH - Young Adult OTO - NOTNLM OT - alpha-lipoic acid OT - bioactive compounds OT - chronic disease OT - clinical trials OT - nutriceuticals OT - supplement EDAT- 2015/03/10 06:00 MHDA- 2016/04/19 06:00 CRDT- 2015/03/10 06:00 PHST- 2015/03/10 06:00 [entrez] PHST- 2015/03/10 06:00 [pubmed] PHST- 2016/04/19 06:00 [medline] AID - 10.1080/07315724.2014.910740 [doi] PST - ppublish SO - J Am Coll Nutr. 2015;34(4):310-7. doi: 10.1080/07315724.2014.910740. Epub 2015 Mar 9.