右归丸对膝骨关节炎大鼠模型关节软骨组织的保护机制
Exploring the protective mechanism of You Gui Wan on articular cartilage tissue in knee osteoarthritis rats based on HMGB1/RAGE/NF-κB pathyway
  
DOI:10.3969/j.issn.1006-7108.2026.01.005
中文关键词:  膝骨关节炎  右归丸  炎症反应  HBGB1/RAGE/NF-κB信号通路
英文关键词:knee osteoarthritis  You Gui Wan  inflammatory response  HBGB1/RAGE/NF-κB signaling pathway
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作者单位
颜春鲁1,2 刘绪鹏1 安方玉1,3* 肖小龙1 张捷1 师霞1 隋创委1 贾雪茹1 彭霞1 郁娟1 1.甘肃中医药大学甘肃 兰州 730000 2.甘肃中医药大学敦煌医学研究院甘肃 兰州 73000 3.甘肃省中医药研究中心甘肃 兰州 73000 
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中文摘要:
      目的 基于高迁移率族蛋白1(HMGB1)/晚期糖基化终产物受体(RAGE)/核因子-κB(NF-κB)信号通路,探讨右归丸(You Gui Wan,YGW)对膝骨关节炎(knee osteoarthritis,KOA)大鼠模型关节软骨组织的保护机制。方法 改良Hulth法制备KOA大鼠模型。将60只SPF级SD大鼠随机分为假手术(SHAM)组、模型(KOA)组、右归丸低剂量(KOA+YGWL)组、中剂量(KOA+YGWM)组、高剂量(KOA+YGWH)组、硫酸氨基葡萄糖阳性对照(KOA+GS)组。造模6周后给予相应药物灌胃干预,灌胃8周后取材,番红O固绿染色观察关节软骨组织病理改变,进行关节损伤国际骨关节炎研究协会(OARSI)评分,ELISA检测炎症因子含量变化,RT-PCR和Western blot 检测HMGB1、RAGE、NF-κB基因和蛋白表达变化。结果 KOA+YGWM组、KOA+YGWH组和KOA+GS组关节软骨损伤程度、OARSI评分、血清PGE2含量和膝关节软骨组织RAGE、NF-κB蛋白表达明显低于KOA组,KOA+YGWL组、KOA+YGWM组、KOA+YGWH组和KOA+GS组大鼠血清IL-18、COX2含量和关节软骨组织中HMGB1、RAGE、NF-κB基因表达及HMGB1蛋白表达也明显低于KOA组(P<0.05或P<0.01)。KOA+YGWL组大鼠OARSI评分、血清PGE2含量和关节软骨组织中HMGB1基因表达及NF-κB、HMGB1蛋白表达显著高于KOA+GS组,KOA +YGWL组、KOA+YGWM组大鼠膝关节软骨组织中RAGE、NF-κB基因表达和RAGE蛋白表达也明显高于KOA+GS组,而KOA+YGWH组大鼠膝关节软骨组织中RAGE、NF-κB基因表达明显低于KOA+GS组(P<0.01)。结论 右归丸能够减轻膝骨关节炎模型关节软骨组织损伤,其机制与抑制HBGB1/RAGE/NF-κB信号通路下游的炎症因子分泌,进而抑制炎症反应密切相关。
英文摘要:
      Objective Exploring the molecular mechanism of You Gui Wan (YGW) in inhibiting the inflammatory response of articular cartilage tissue in knee osteoarthritis (KOA) model based on high mobility group box1(HMGB1)/advanced glycation end product receptor (RAGE) /nuclear factor-κB (NF-κB) signaling pathway. Methods Sixty Sprague-Dawley rats were randomly divided into sham operation (SHAM) group, model (KOA)group, You Gui Wan low dose (KOA+YGWL) group, You Gui Wan medium dose (KOA+YGWM) group, You Gui Wan high dose (KOA+YGWH) group, positive control group of glucosamine sulfate (KOA+GS) group. Correspondence drug was intragastric administration in 6 weeks after modeling, samples were taken 8 weeks after intragastric administration, various techniques including Safranin O solid green staining, ELISA method, RT-PCR and Western blot were used to assess articular cartilage tissue morphology, changes of inflammatory cytokine levels in the serum, changes of HMGB1, RAGE, NF-κB gene and protein expression in the articular cartilage tissue. Results Our results suggest that the degree of joint cartilage injury, OARSI score, OARSI score, serum PGE2 levels, and expression of RAGE and NF-κB proteins in knee cartilage tissue were significantly lower in the KOA+YGWM group, KOA+YGWH group, KOA+GS group than that in the KOA group, the levels of IL-18, COX2 in the KOA+YGWL group, KOA+ YGWM group, KOA+YGWH group, KOA+GS group were also significantly lower than that in the KOA group, as well as reduced gene expression of HMGB1, RAGE, and NF-κB in articular cartilage tissue, along with decreased HMGB1 protein expression (P<0.05 or P<0.01). The study results showed that the degree of joint cartilage injury, OARSI score, HMGB1 gene expression, and NF-κB and HMGB1 protein expression in articular cartilage tissue were significantly higher in the KOA+YGWL group than that in the KOA+ GS group, the gene expressions of RAGE, NF-κB and the RAGE protein expression were also significantly higher in the KOA+YGWL group, KOA+YGWM group than that in the KOA+GS group, yet the gene expressions of RAGE, NF-κB were significantly lower in the KOA+YGWH group than that in the KOA+GS group (P<0.01). Conclusion You Gui Wan can alleviate joint cartilage tissue damage in KOA model, and its mechanism is closely related to inhibiting the secretion of downstream inflammatory factors of the HBGB1/RAGE/NF-κB signaling pathway, thereby suppressing the inflammatory response.
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