刮痧对膝关节骨关节炎大鼠软骨细胞凋亡及自噬的影响OA北大核心CSTPCDMEDLINE

Objective To observe the effect of Guasha on inflammation factors,apoptosis and autophagy in the cartilage tissue of knee joint in rats with knee osteoarthritis(KOA),so as to explore its mechanisms underlying im-provement of KOA.Methods A total of 51 male SD rats were randomized into three groups:blank control,KOA model and Guasha(n=17 in each group).The rats in the blank control group received intra-articular injection of 0.9％NaCl solution in the right knee joint.The KOA model was established by intraarticular injection of glutamate sodium iodo-acetic acid in the right knee joint.For rats of the Guasha group,Guasha(at a frequency of 1 time/s,and an applied pressure of 0.3-0.5 kgf)was applied to"Yanglingquan"(GB34)and"Xuehai"(SP10)areas of the right leg,once every other day,for 7 consecutive sessions.The circumference of the right knee was measured,The histopathological changes of right knee cartilage were observed after H.E.staining.The contents of inflammatory factors interleukin(IL)-1 β and tumor necrosis factor(TNF)-α in the right knee articular cartilage tissue were assayed using ELISA.The expression levels of autophagy-related key molecule Beclin-1(homologous series of yeast Atg6),light chain protease complication 3 type Ⅱ/Ⅰ(LC3Ⅱ/LC3 Ⅰ),ubiquitin binding factor 62(P62)and cysteine aspartate protease-3(Caspase-3)mRNAs and proteins of the right knee articular cartilage tissue were measured using real-time fluorescent quantitative PCR and Western blot,separately.The apoptosis of chondrocytes was assayed using TUNEL staining,and the immu-noactivity of LC3 determined using immunofluorescence staining.Results After modeling,the right knee circumfe-rence of the model and Guasha groups was significantly increased compared with the blank control group(P＜0.01),and after the intervention,the knee circumference of the Guasha group was markedly decreased in comparison with that of the model group(P＜0.05).Results of H.E.staining showed obvious degeneration and defects in the cartilage tissue,necrosis of a large number of chondrocytes,fibrous hyperplasia,accompanied by inflammatory cell infiltration,osteo-clast increase,fibroplasia and bone trabecular destruction in the model group,which was relatively milder in the Gua-sha group.Compared with the blank control group,the expression of Beclin-1 and LC3 mRNAs and proteins,and LC immunofluorescence intensity in the right knee articular cartilage tissue were significantly down-regulated(P＜0.01,P＜0.001),whereas the expression of P62 and Caspase-3 mRNAs and proteins,the apoptosis rate,contents of IL-1 β and TNF-α in the right knee articular cartilage tissue considerably increased(P＜0.01,P＜0.001)in the model group.In con-trast to the model group,the Guasha group had an apparent increase in the expression levels of Beclin-1 and LC3 mRNAs and proteins and LC immunofluorescence intensity in the right knee articular cartilage tissue(P＜0.05),and a pronounced decrease in the expression of P62 and Caspase-3 mRNAs and proteins,the apoptosis rate,and contents of IL-1 β and TNF-α in the right knee articular cartilage tissue(P＜0.05,P＜0.01).Conclusion Guasha stimulation of GB34 and SP10 can improve joint cartilage damage in KOA rats,which may be associated with its functions in inhibiting the excessive release of inflammatory factors and apoptosis,possibly by down-regulating the expression of P62 and Caspase-3 mRNAs and proteins and up-regulating the expression of Beclin-1 and LC3 mRNAs and proteins,and by promoting autophagy of chondrocytes.