首页|碧萝芷改善骨关节炎进展中细胞环境的机制研究

碧萝芷改善骨关节炎进展中细胞环境的机制研究

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

pycnogenolosteoarthritisinflammatory factorsmacrophagesubchondral bone

王枫、李智斌、孙智平、李文雄、肖振

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陕西中医药大学附属医院创伤二病区(陕西咸阳 712000)

碧萝芷 骨关节炎 炎症因子 巨噬细胞 软骨下骨

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
年,卷(期):2025.46(1)