Modulating inflammation and oxidative stress in rheumatoid arthritis: a systematic review of nutraceutical interventions

Leiva-Castro et al., 2025 | Inflammopharmacology | Systematic Review

Citation

Leiva-Castro Camila, Múnera-Rodríguez Ana M, ... López-Enríquez Soledad. Modulating inflammation and oxidative stress in rheumatoid arthritis: a systematic review of nutraceutical interventions. Inflammopharmacology. 2025-Nov;33(11):6357-6375. doi:10.1007/s10787-025-01976-8

Abstract

Rheumatoid arthritis is a chronic autoimmune disease characterized by persistent synovial inflammation and progressive joint destruction. The gut microbiome has emerged as a key factor in the regulation of the immune system, and its dysbiosis has been implicated in the pathogenesis of rheumatoid arthritis. Nutraceuticals, including probiotics, omega-3 fatty acids, coenzyme Q10, vitamin D, and polyphenols, have shown potential in modulating the gut microbiota and inflammatory pathways. This review explores the interplay between nutraceuticals, gut microbiota, and immune function in rheumatoid arthritis, with attention to pharmacokinetics and safety. We discuss recent clinical evidence, elucidate molecular mechanisms of action, and highlight future research directions for integrating nutraceuticals into therapeutic strategies for rheumatoid arthritis.

Key Findings

We discuss recent clinical evidence, elucidate molecular mechanisms of action, and highlight future research directions for integrating nutraceuticals into therapeutic strategies for rheumatoid arthritis.

Outcomes Measured

  • inflammatory markers

Population

Field Value
Population See abstract
Sample Size See abstract
Age Range See abstract
Condition inflammation

MeSH Terms

  • Humans
  • Arthritis, Rheumatoid
  • Dietary Supplements
  • Oxidative Stress
  • Gastrointestinal Microbiome
  • Inflammation
  • Animals
  • Fatty Acids, Omega-3
  • Probiotics
  • Ubiquinone

Evidence Classification

  • Level: Systematic Review
  • Publication Types: Journal Article, Systematic Review
  • Vertical: coq10

Provenance


Source extracted via PubMed E-utilities API on 2026-04-09