首页|右美托咪定由NF-κB/CX3CL1途径改善碘乙酸钠诱导的骨关节炎大鼠软骨损伤和疼痛的机制

右美托咪定由NF-κB/CX3CL1途径改善碘乙酸钠诱导的骨关节炎大鼠软骨损伤和疼痛的机制

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目的 探究右美托咪定(Dexmedetomidine,Dex)通过核因子κB(nuclear factor kappa-B,NF-κB)/疼痛相关趋化因子(CX3C chemokine ligand 1,CX3CL1)途径改善碘乙酸钠(Monosodium iodoacetate,MIA)诱导的骨性关节炎大鼠软骨损伤以及疼痛的分子机制.方法 选取健康的SD雄性大鼠 50 只,随机分为Control组(大鼠不做处理)、Model组(构建MIA诱导的骨性关节炎模型)、Dex组[Model大鼠关节腔内注射Dex(125 mg/kg)],PDTC组[Model大鼠关节腔内注射NF-κB抑制剂PDTC组(2.5 mg/kg)]、Dex+PDTC(Model大鼠关节腔内注射Dex125 mg/kg+PDTC 2.5 mg/kg),每组 10 只;实验周期为 4 周.实验结束后测定大鼠机械痛以及冷痛潜伏期;ELISA法检测大鼠关节液内基质金属蛋白酶(MMP-1、MMP-13)、环氧化物酶-2(COX-2)、白细胞介素(IL-1)水平;大鼠行关节软骨组织HE染色,参照Markin评分确定 5 组软骨损伤;Western-blot检测大鼠关节软骨组织内NF-κB、CX3CL1、Cleaved-caspase-3、Bax等蛋白浓度表达.结果 治疗前5 组大鼠TWL、MWT差异性小(P>0.05);治疗后,除去Control组,其余4 组TWL、MWT均下调(P<0.05);与Control组比较,Model组TWL、MWT下调(P<0.05);与Model组比较,Dex组、PDTC组TWL、MWT上调,二者联合进一步上调TWL、MWT(P<0.05).与Control组比较,Model组大鼠关节液内MMP-1、MMP-13、COX-2、IL-1均上调(P<0.05);Dex及PDTC的干预可以下调MMP-1、MMP-13、COX-2、IL-1 水平(P<0.05);二者联合可以进一步下调MMP-1、MMP-13、COX-2、IL-1水平(P<0.05).与Control组比较,Model组大鼠软骨关节面出现明显破溃、炎性细胞大量增生现象,Markin评分上调(P<0.05);Dex及PDTC干预后软骨表现破溃、炎性细胞增生程度降低,Markin评分降低(P<0.05);Dex及PDTC二者联合可以进一步改善骨性关节炎大鼠病理状态,降低Markin评分(P<0.05);与Control组比较,Model组大鼠Cleaved-caspase-3、Bax、NF-κB、CX3CL1 表达上调(P<0.05);Dex及PDTC的干预可以下调Cleaved-caspase-3、Bax、NF-κB、CX3CL1(P<0.05),二者联合可以进一步下调Cleaved-caspase-3、Bax、NF-κB、CX3CL1 蛋白表达(P<0.05).结论 关节腔内注射右美托咪定可以明显改善碘乙酸钠诱导的骨性关节炎大鼠的软骨损伤、软骨组织凋亡以及疼痛症状,该过程与抗炎作用及抑制NF-κB/CX3CL1 信号通路活性密切相关.
Underlying mechanism on intra-articular injection of dexmedetomidine in alleviating cartilage damage and pain in monosodium iodoacetate-induced osteoarthritis rats by regulating the NF-κB/CX3CL1 signaling pathway
Objective To explore the molecular mechanism underlying the role of dexmedetomidine(Dex)in alleviating cartilage damage and pain in monosodium iodoacetate(MIA)-induced osteoarthritis rats by regulating the NF-κB(nuclear factor kappa-B)/CX3CL1(CX3C chemokine ligand 1)signaling pathway.Methods The cellular model of osteoarthritis was established by stimulating chondrocytes with IL-1β at 10ng/mL for 24h.The chondrocytes were divided into four groups,including the control group,model group(stimulation of chondrocytes with IL-1β),model + si-negative control(NC)group(transfection with NC siRNA for 48h followed by IL-1β stimulation),and IL-1β + MIR155HG group(transfection with MIR155HG siRNA for 48h followed by IL-1β stimulation).The expression level of MIR155HG was examined using the real-time quantitative reverse transcription polymerase chain reaction(RT-qPCR).The survival rate of chondrocytes was detected using the Calcein acetoxymethyl ester(Calcein AM)cell viability assay kit.The apoptosis of chondrocytes was evaluated using the TdT-mediated dUTP nick end labeling(TUNEL)assay.The protein levels of Bcl-2-associated X protein(Bcl-2),Bcl-2-associated X protein(Bax),matrix metalloproteinase-13(MMP-13),collagen type Ⅱ alpha 1(COL2A1),NLR family pyrin domain containing protein 3(NLRP3),apoptosis associated speck like protein containing a CARD(ASC),and Caspase-1 were measured by Western blotting.The concentrations of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),and interleukin-18(IL-18)were quantified by the enzyme-linked immunosorbent assay(ELISA)kits.Results Before treatment,there were no significant differences in thermal withdrawal latency(TWL)and mechanical withdrawal threshold(MWT)in rats among the five groups(P>0.05).After treatment,TWL and MWT in all groups except for control group were significantly reduced(P<0.05).Compared with those of Control group,TWL and MWT were significantly lower in Model group(P<0.05).Compared with those of Model group,TWL and MWT were significantly higher in Dex group and PDTC group,especially in Dex+PDTC group(P<0.05).Compared with those of Control group,relative levels of MMP-1,MMP-13,COX-2 and IL-1 in rat articular fluid were significantly higher in Model group(P<0.05),which were significantly reduced by Dex and PDTC(P<0.05),especially in Dex+PDTC group(P<0.05).Compared with those of Control group,rats in the Model group presented significant rupture and extensive proliferation of inflammatory cells on the articular surface of the cartilage,and higher Mankin score(P<0.05).Dex and PDTC significantly alleviated rupture and extensive proliferation of inflammatory cells on the articular surface of the cartilage,and decreased the Mankin score(P<0.05),which were much pronounced by Dex combined with PDTC(P<0.05).Compared with those of Control group,rats in the Model group presented significantly higher protein levels of cleaved-caspase-3,Bax,NF-κB and CX3CL1(P<0.05),which were significantly reduced by Dex and PDTC(P<0.05),especially in Dex+PDTC group(P<0.05).Conclusion Intra-articular injection of dexmedetomidine can significantly alleviate cartilage damage,apoptosis in cartilage tissue and pain in MIA-induced osteoarthritis rats by inhibiting the inflammatory response and the NF-κB/CX3CL1 signaling pathway.However,the mechanism is still worth further studying.

osteoarthritisdexmedetomidinemonosodium iodoacetatecartilage injurypain

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523000 广东省东莞市,广州中医药大学东莞医院麻醉科

523000 广东省东莞市,广州中医药大学东莞医院泌尿外科

523000 广东省东莞市,广州中医药大学东莞医院骨七科

骨性关节炎 右美托咪定 碘乙酸钠 软骨损伤 疼痛

广东省基础与应用基础研究基金委员会省科技创新战略专项资金(省自然科学基金类)项目

2019A1515011636

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(7)
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