Calcium complexes of oxicams: new dimensions in rheumatoid arthritis treatment

• Published in: Future medicinal chemistry Vol. 14; no. 23; pp. 1771 - 1788
• Main Authors: Sadia, Aatika, Yasmin, Tahira, Imran, Muhammad, Samra, Malka M, Raza Basra, Muhammad Asim
• Format: Journal Article
• Language: English
• Published: England Newlands Press Ltd 01-12-2022
• Subjects: Anti-Inflammatory Agents, Non-Steroidal - therapeutic use; Antirheumatic Agents - pharmacology; Antirheumatic Agents - therapeutic use; Arthritis, Rheumatoid - drug therapy; Calcium; Cyclooxygenase Inhibitors; Cytokines; Humans; inflammation; metal–drug complexes; NSAIDs; proinflammatory cytokines; synovium; metal–drug complexes; proinflammatory cytokines; synovium; inflammation; NSAIDs; metal-drug complexes
• ISSN: 1756-8919; 1756-8927; 1756-8927
• DOI: 10.4155/fmc-2022-0032

Various metals have been complexed with drugs to improve their cellular impact. Inflammatory diseases like rheumatoid arthritis (RA) are characterized by unbalanced production of proinflammatory cytokines (PICs) and prostaglandins with decreased levels of vitamin D and calcium. The inflammation can be suppressed through targeting the formation of PICs or related enzymes by various treatment strategies that involve the use of corticosteroids, disease-modifying antirheumatic drugs and NSAIDs. We present a detailed review on the impact of calcium complexes of oxicams as an advanced treatment strategy for RA. The calcium complexes demonstrate promising capabilities to cure the disease, improve the strength of bones and suppress PICs in RA.