广东医学2025,Vol.46Issue(1) :33-40.DOI:10.13820/j.cnki.gdyx.20241943

碧萝芷改善骨关节炎进展中细胞环境的机制研究

Study on the mechanism of pycnogenol in improving the cellular microenvironment in osteoarthritis progression

王枫 李智斌 孙智平 李文雄 肖振
广东医学2025,Vol.46Issue(1) :33-40.DOI:10.13820/j.cnki.gdyx.20241943

碧萝芷改善骨关节炎进展中细胞环境的机制研究

Study on the mechanism of pycnogenol in improving the cellular microenvironment in osteoarthritis progression

王枫 1李智斌 1孙智平 1李文雄 1肖振1
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作者信息

  • 1. 陕西中医药大学附属医院创伤二病区(陕西咸阳 712000)
  • 折叠

摘要

目的 本研究旨在探究碧萝芷对骨关节炎(OA)大鼠细胞环境的影响,从而为OA的治疗提供一定的理论基础和药物证据.方法 给大鼠注射碘乙酸构建OA模型,用不同剂量的碧萝芷处理OA大鼠.分离OA大鼠的滑膜液、滑膜组织、软骨下骨和成纤维样滑膜细胞.使用酶联免疫吸附法评估OA大鼠膝关节液中的炎症因子的水平,采取流式细胞术、实时荧光定量PCR和蛋白免疫印迹法来检测OA大鼠关节腔滑膜液中免疫细胞的占比和M1/M2型巨噬细胞标志物的水平.通过磁共振成像技术检测OA大鼠软骨下骨的各项指标.结果 碧萝芷以剂量依赖的方式显著抑制OA引起的炎症因子白细胞介素-1β、白细胞介素-6和肿瘤坏死因子α的上调(P<0.05);碧萝芷抑制OA大鼠膝关节液中活性氧的上调和超氧化物歧化酶的下调(P<0.05);碧萝芷还可显著诱导OA大鼠关节腔滑膜液M2型巨噬细胞标志物表达量的增加(P<0.05).在细胞实验中,碧萝芷处理抑制OA大鼠成纤维样滑膜细胞的细胞活力、迁移和侵袭能力(P<0.05),且促进OA大鼠成纤维样滑膜细胞的细胞凋亡(P<0.05).此外,碧萝芷以剂量依赖的方式逆转OA引起的大鼠软骨下骨指标改变(P<0.05),抑制OA引起的大鼠成骨细胞的形成(P<0.05).结论 碧萝芷可通过促进巨噬细胞M2型极化、抑制成纤维样滑膜细胞功能以及阻碍软骨下骨的成骨发展进而改善OA病理进程.

Abstract

Objective To investigate the effects of Pycnogenol on the cellular microenvironment in osteoarthritis(OA)rats,providing theoretical and pharmacological evidence for OA treatment.Methods An OA rat model was estab-lished via intra-articular injection of iodoacetic acid.OA rats were treated with varying doses of Pycnogenol.Synovial flu-id,synovial tissue,subchondral bone,and fibroblast-like synoviocytes were isolated.Levels of inflammatory cytokines in knee joint fluid were assessed using enzyme-linked immunosorbent assays(ELISA).The proportion of immune cells and the expression of M1/M2 macrophage markers in synovial fluid were measured by flow cytometry,real-time PCR,and Western blotting.Subchondral bone parameters were evaluated using magnetic resonance imaging(MRI).Results Pyc-nogenol significantly suppressed the upregulation of interleukin-1 β,interleukin-6,and tumor necrosis factor-α in OA rats in a dose-dependent manner(P<0.05).It inhibited the increase in reactive oxygen species and the decrease in su-peroxide dismutase in the knee joint fluid of OA rats(P<0.05).Pycnogenol also increased the expression of M2 macro-phage markers in the synovial fluid(P<0.05).In cell experiments,Pycnogenol inhibited fibroblast-like synoviocyte proliferation,migration,and invasion while promoting apoptosis(P<0.05).Additionally,Pycnogenol reversed changes in subchondral bone metrics in OA rats in a dose-dependent manner(P<0.05)and inhibited osteoblast formation in-duced by OA(P<0.05).Conclusion Pycnogenol ameliorates OA progression by promoting M2 macrophage polariza-tion,inhibiting fibroblast-like synoviocyte function,and mitigating subchondral bone remodeling.

关键词

碧萝芷/骨关节炎/炎症因子/巨噬细胞/软骨下骨

Key words

pycnogenol/osteoarthritis/inflammatory factors/macrophage/subchondral bone

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出版年

2025
广东医学
广东省医学情报研究所

广东医学

影响因子:1.496
ISSN:1001-9448
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