健骨胶囊对兔骨性关节炎软骨及滑膜病变的影响
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摘要
目的:研究骨性关节炎(OA)的中医病因病机,探讨健骨胶囊对实验性OA软骨及滑膜病变影响的作用机理。方法:以木瓜蛋白酶膝关节腔内注射法建立兔OA模型,以西药维固力为对照药物,观察健骨胶囊对动物模型关节软骨、滑膜组织形态学及软骨、滑膜中基质金属蛋白酶(matrix metalloproteinases,MMP)-1、3、金属蛋白酶组织抑制剂(tissue inhibitor sofmatrix metallo proteinase, TIMP)-1、白细胞介素-1β(IL-1β)表达的影响。结果:健骨胶囊组兔滑膜及软骨组织形态学改变与模型组比较明显较轻(P<0.01);滑膜、软骨中MMP-1、MMP-3、IL-1β表达减少,与模型组比较有非常显著性差异(P<0.01),TIMP-1表达增加,与模型组比较有显著性差异(P<0.05);与维固力组相比在降低IL-1β表达方面差异呈显著性(P<0.05),其他指标无显著差异(P>0.05)。结论:健骨胶囊能够减轻兔OA模型的软骨退行性变和滑膜炎症,其作用机理可能与下调IL-1β水平,调节MMP-1、MMP-3、TIMP-1表达有关。
Objective: To study epidemiology and pathogenesis of osteoarthritis(OA) in TCM, and to study the effect of Jiangu capsules on pathology of cartilage and synovia of OA on experimental rabbits.
     Methods: Make the OA models by injecting papain to the knees of experimental rabbits. Select Glucosamine Sulfate Capsules as the control group. Observe the effection of histology of joint cartilage and synovia, and the levels of matrix metalloproteinases(MMP)-1,3, tissue inhibitor sofmatrix metalloproteinases (TIMP) -1, interleukin(IL)-1βin cartilage and synovia.
     Results: The histology changes of cartilage and synovia were lighter in Jiangu capsules group than that in model group (p<0.01). The levels of MMP-1,MMP-3, IL-1βin cartilage and synovia were decrease and level of TIMP-1 was increase. It showed significant different in Jiangu capsule group and the model group( p<0.01 or p<0.05).The level of IL-1βshowed significant different (p<0.05) and others showed insignificant different (p>0.05) in Jiangu capsules group and the control group.
     Conclusion: Jiangu capsules can decrease the degeneration of joint cartilage and synovia and the synovitis. Its mechanism is related to reduce the expression of IL-1βand to adjust the levels of MMP-1,MMP-3 and TIMP-1.
引文
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