由Wnt/β-catenin信号通路探讨艾灸干预膝骨性关节炎的作用机制
Exploring the mechanism of heat-sensitive moxibustion in improving knee osteoarthritis based on fecal metabolomics
  
DOI:10.3969/j.issn.1006-7108.2025.04.005
中文关键词:  艾灸  膝骨性关节炎  Wnt/β-catenin信号通路  炎症反应
英文关键词:moxibustion  Knee osteoarthritis  Wnt/β - catenin signaling pathway  inflammatory reaction
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作者单位
方园1 章海凤2 喻文2 李绍家1 李琳慧2 陈蓉1 邱云1 朱美仪1 刘永健1 付勇1 1.江西中医药大学,江西 南昌 330004 2.江西中医药大学附属医院,江西 南昌 330000 
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中文摘要:
      目的 观察艾灸对兔膝骨性关节炎(knee osteoarthritis,KOA)的疗效并基于Wnt/β-连环蛋白(catenin)信号通路进一步探讨其潜在作用机制。方法 采用4%的木瓜蛋白酶构建兔膝骨性关节炎模型。采用HE、番红O-固绿染色观察软骨组织病理变化,ELISA检测血清IL-8、软骨 MMP-3和MMP-13水平。RT-PCR、WB法检测Wnt/β-catenin通路上关键Wnt3a、β-catenin mRNA和蛋白的表达。结果 (1)与对照组相比,模型组软骨组织损伤较重,血清中IL-8、软骨中MMP-3、MMP-13水平升高(P<0.001),软骨中Wnt3a 的mRNA、蛋白表达量升高(P<0.01,P<0.05),β-catenin的mRNA、蛋白表达量升高(P<0.001,P<0.01);(2)与模型组相比,艾灸组软骨损伤改善,血清中IL-8(P<0.05)、软骨中MMP-3和MMP-13(P<0.001)水平下降,软骨中Wnt3a的mRNA、蛋白表达量下降(P<0.01,P<0.05),β-catenin的mRNA、蛋白表达量下降(P均<0.05)。结论 艾灸可能通过调控Wnt/β-catenin信号通路,改善兔关节软骨病变,抑制炎症因子释放及MMPs分泌发挥抗KOA作用。
英文摘要:
      Objective To observe the therapeutic effect of moxibustion on rabbit knee osteoarthritis (KOA) and further explore its potential mechanism based on Wnt/ β-catenin (catenin) signal pathway. Methods In this study, 4% papain was used to establish rabbit knee osteoarthritis model. The pathological changes of cartilage was observed by HE and safranine O-solid green staining, and the levels of IL-8 in serum, MMP-3 and MMP-13 in cartilage were detected by ELISA. The expression of key Wnt3a, β-catenin protein and mRNA in Wnt/ β-catenin pathway were detected by RT-PCR and WB. Results (1) Compared with the control group, the injury of cartilage tissue in the model group was more severe, the levels of IL-8 in serum , MMP-3 and MMP-13 in cartilage were significantly increased (P<0.001), The mRNA and protein expression levels of Wnt3a (P<0.01, P<0.05) and β-catenin(P<0.001, P<0.01) in cartilage were increased.(2)Compared with the model group, the cartilage injury in the moxibustion group was significantly alleviated, Moxibustion could reduce the levels of IL-8 in serum (P < 0.05), MMP-3 and MMP-13 in cartilage (all P< 0.001), and the mRNA and protein expression levels of Wnt3a(P<0.01, P<0.05) and β-catenin(all P<0.05) in cartilage were decreased. Conclusion Moxibustion may improve the pathological changes of rabbit articular cartilage by regulating Wnt/ β-catenin signal pathway.
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