“…This shows the advantage of the MRI method when it is possible to detect very small structural changes that ultrasound cannot detect. Indeed, although the exact mechanism by which salmon nasal cartilage exerts its protective effects on cartilage structure is still to be elucidated, proteoglycan has been shown to possibly have anti-inflammatory effects through inhibition of inflammatory cytokine production IL-1, IL-6, TNF-α, and immunomodulation in vitro and in vivo [ 19 , 20 , 38 , 39 ]. Furthermore, salmon nasal proteoglycan was shown to promote chondrocyte proliferation and innate PG production, thereby providing an anti-inflammatory and chondroprotective effect in the joint tissue [ 20 ].…”