首页|自体富血小板血浆对肩周炎大鼠炎性介质水平、骨代谢及TLR4/TLR2/MyD88信号的影响

自体富血小板血浆对肩周炎大鼠炎性介质水平、骨代谢及TLR4/TLR2/MyD88信号的影响

扫码查看
目的 探究自体PRP 对肩周炎大鼠炎性介质水平、骨代谢及 TLR4/TLR2/MyD88 信号的影响机制.方法 将40 只大鼠随机分为正常组、模型组、PPP组和PRP组4 组,每组10 只.除正常组外,其余3 组均建立肩周炎大鼠模型.PPP组给予PPP注射干预,PRP组给予PRP注射干预,持续治疗 2 周.用旷场实验评定 4 组大鼠的行为能力;ELISA法测定 4 组大鼠肩关节组织中的炎性因子水平和血清中的骨代谢指标;HE染色观察各组大鼠肩关节组织形态;免疫印迹法测定 4 组大鼠TLR4/TLR2/MyD88 蛋白表达水平.结果 干预后,与正常组比较,其余 3 组大鼠的旷场停留时间均明显增加,5 min内活动总路程明显缩短(P<0.05);模型组大鼠与PPP组大鼠的停留时间、活动总路程比较,差异无统计学意义(P>0.05);与模型组和PPP组大鼠比较,PRP组大鼠停留时间明显缩短,活动总路程明显增加(P<0.05).与正常组比较,其余 3 组大鼠肩关节组织中炎性介质水平 TNF-α、IL-1β、PGE2,TLR4、TLR2、MyD88 蛋白表达水平、血清中CTX-1、PINP、OC水平明显增加(P<0.05);模型组大鼠与PPP 组大鼠肩关节组织中TNF-α、IL-1β、PGE2 水平,TLR4、TLR2、MyD88 蛋白表达水平,血清中CTX-1、PINP、OC水平比较,差异均无统计学意义(P>0.05);与模型组和PPP组大鼠比较,PRP 组大鼠肩关节组织中TNF-α、IL-1β、PGE2 水平,TLR4、TLR2、MyD88蛋白表达水平及血清中CTX-1、PINP、OC水平明显降低(P<0.05).结论 自体PRP能有效降低肩周炎大鼠炎性介质水平,平衡骨代谢,抑制 TLR4、TLR2、MyD88 蛋白表达,值得进一步研究.
Effects of autologous platelet-rich plasma on inflammatory mediator levels,bone metabolism and the TLR4/TLR2/MyD88 signaling pathway in rats with scapulohumeral periarthritis
Objective To explore the effects of autologous platelet-rich plasma(PRP)on inflammatory mediators,bone metabolism and the TLR4/TLR2/MyD88 signaling patients in rats with scapulohumeral periarthritis(SP).Methods A total of 40 rats were randomly divided into control group,model group,PPP group and PRP group,with 10 rats in each group.Excluding the control group,rats in the other three groups were subjected to SP modeling.Injections of PPP and PRP for 2 weeks were performed in rats of PPP group and PRP group,respectively.Behavioral testing was assessed by the open field test.The levels of inflammatory factors in shoulder joint tissue and serum levels of bone metabolism indicators were determined by Enzyme-linked immunosorbent assay(ELISA).The shoulder joint morphology was observed by hematoxylin and eosin(H&E)staining.Protein expressions of key proteins involved in the TLR4/TLR2/MyD88 signaling pathway were determined by Western blotting.Results After interventions,rats in the model group,PPP group and PRP group presented significantly longer open field residence time and shorter 5-min walking distance than those of control group(P<0.05).There were no significant differences in the open field residence time and 5-min walking distance between model group and PPP group(P>0.05).Compared with those of model group and PPP group,rats in the PRP group presented significantly longer open field residence time and shorter 5-min walking distance(P<0.05).Compared with those of control group,rats in the model group,PPP group and PRP group presented significantly higher inflammatory mediator levels of TNF-α,IL-1β,PGE2,TLR4,TLR2 and MyD88 in the shoulder joint tissues,and higher serum levels of CTX-1,PINP and OC(P<0.05).Compared with those of model group and PPP group,rats in the PRP group presented significantly lower inflammatory mediator levels of TNF-α,IL-1β,PGE2,TLR4,TLR2 and MyD88 in the shoulder joint tissues,and lower serum levels of CTX-1,PINP and OC(P<0.05).Conclusion Autologous PRP can effectively reduce the levels of inflammatory mediators,balance bone metabolism and inhibit the protein expressions of TLR4,TLR2 and MyD88 in SP rats,which is worthy of further study and application.

autologous platelet-rich plasmaperiarthritis of shoulderinflammatory mediatorsbone metabolismToll-like receptor

邱良玉、许明军、郑苏、丁淑萍、丁武华、王婵、朱雪萍

展开 >

442000 湖北省十堰市太和医院(湖北医药学院附属医院)针灸科

自体富血小板血浆 肩周炎 炎性介质 骨代谢 Toll样受体

湖北省中医药局中医药科研项目十堰市引导性科研项目福建中医药大学校管课题(2021)

ZY2023F07221Y37XB2021233

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(11)
  • 11