“…Glucosamine and/or CS are thought to counteract cartilage degradation (Sandy et al 1998, Fenton et al 2000, Grande et al 2000, Lippiello et al 2000, Nerucci et al 2000, Orth et al 2002, Ilic et al 2003, Mello et al 2004, Dechant et al 2005, Neil et al 2005b by inhibiting degradative enzymes such as collagenase and aggrecanase (Wright 2001, Lippiello et al 2002, Orth et al 2002, Mello et al 2004, Chan et al 2005, and intermediary mediators, such as nitric oxide, prostaglandin E 2 and nuclear factor kappa B (Bassleer et al 1998a, Fenton et al 2000, Orth et al 2002, Byron et al 2003, Dodge et al 2005, Largo et al 2003, Mello et al 2004, Nakamura et al 2004, Schlueter et al 2004, Neil et al 2005b. Synthesis of ECM components is thought to be stimulated in the presence of GU and/or CS (Bassleer et al included a chondroitin sulfate product from bovine trachea and a complex of glycosaminoglycans and other nutrients from the sea mussel, Perna canaliculus.…”