首页|黄芩清热除痹胶囊调控p53/p21信号通路延缓骨关节炎大鼠软骨细胞衰老的机制研究

黄芩清热除痹胶囊调控p53/p21信号通路延缓骨关节炎大鼠软骨细胞衰老的机制研究

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探讨黄芩清热除痹胶囊(HQC)调控肿瘤抑制蛋白 53(tumor protein p53,p53)/细胞周期蛋白依赖性激酶抑制剂 1A(cyclin-dependent kinase inhibitor 1A,p21)通路延缓骨关节炎(OA)大鼠软骨细胞衰老的机制。碘乙酸钠(MIA)联合外界风湿热环境刺激,诱导OA大鼠风湿热痹模型,分为正常(Con)组,OA 模型(MIA)组,OA 模型+风湿热刺激模型(MIA-M)组,MIA-M+HQC低(MIA-M+HQC-L)、中(MIA-M+HQC-M)、高(MIA-M+HQC-H)剂量组,MIA-M+氨基葡萄糖(MIA-M+GS)组,模型制备后灌胃 30 d,苏木素-伊红(HE)和番红O固绿(SO)染色观察软骨病理变化,酶联免疫吸附(ELISA)法检测白细胞介素(IL)-1β和IL-6 的表达,流式细胞术(FCM)检测细胞凋亡和周期,实时荧光定量 PCR(RT-qPCR)检测基质降解酶 13(MMP13)、聚蛋白多糖酶5(ADAMTS-5)、Ⅱ型胶原(COLⅡ)和转化生长因子-β(TGF-β)mRNA 的表达,蛋白免疫印迹(WB)检测p53/p21 通路、细胞周期蛋白依赖性激酶抑制剂 2A(p16)、B细胞淋巴瘤-2(Bcl-2)、Bcl-2 关联X蛋白(Bax)蛋白的表达。Con组大鼠关节软骨表面光滑平整,潮线光滑平整;MIA组和MIA-M组软骨层破坏明显,软骨基质减少,MIA-M组情况更严重。HQC高剂量组和MIA-M+GS组软骨表面基本完整,分层清晰。与MIA-M+HQC-H组相比,低、中剂量Mankin's评分较高,MIA-M+GS组变化不明显。与Con组相比,MIA和MIA-M组软骨细胞G1 的比例升高,S期、G2 期比例下降,细胞凋亡率增加;与MIA-M组相比,HQC各剂量组以浓度依赖的方式抑制细胞凋亡,促进增殖;与MIA-M+HQC-H组相比,高剂量较中、低剂量作用更显著,与MIA-M+GS组相比差异无统计学意义。与Con组相比,MIA和MIA-M组IL-1β和IL-6 升高,MMP13 和AD-AMTS-5 mRNA水平升高,p53、p21、p16 和Bax蛋白升高,COLⅡ、TGF-β mRNA水平下降;与MIA-M组相比,HQC和GS药物干预后IL-1β和IL-6下降,MMP13 和ADAMTS-5 mRNA、p53、p21、Bax和p16 蛋白水平下降,Bcl-2 升高;与MIA-M+HQC-H组相比,这些指标改善优于HQC低、中剂量组,与MIA-M+GS组差异不明显。HQC延缓MIA诱导的OA大鼠软骨细胞衰老,抑制炎症反应和细胞外基质(ECM)降解,其机制可能与抑制p53/p21 通路有关。
Mechanism of Huangqin Qingre Chubi Capsules regulating p53/p21 signaling pathway to delay chondrocyte senescence in osteoarthritic rats
This study aims to investigate the mechanism of Huangqin Qingre Chubi Capsules(HQC)in delaying chondrocyte senescence of osteoarthritic(OA)rats by regulating the p53/p21 signaling pathway.Rheumatic fever paralysis models of OA rats were induced based on monosodiun iodoacetate(MIA)combined with external rheumatic fever environmental stimuli and divided into normal(Con)group,OA model(MIA)group,OA model+rheumatic fever stimulation model(MIA-M)group,MIA-M+HQC low-dose(MIA-M+HQC-L)group,medium-dose(MIA-M+HQC-M)group,and high-dose(MIA-M+HQC-H)group,and MIA-M+glucosamine(MIA-M+GS)group.The models were successfully prepared and administered by gavage for 30 d.The pathological changes of cartilage were observed by hematoxylin-eosin(HE)and Senna O solid green(SO)staining.The expression of interleukin(IL)-1β and IL-6 was detected by enzyme-linked immunosorbent assay(ELISA).Flow cytometry(FCM)was used to detect apoptosis and cell cycle.The mRNA expression of MMP13,ADAMTS-5,COLⅡ,and TGF-β was detected by RT-qPCR.The protein expression of p53/p21,p16,Bax,and Bcl-2 was detected by Western blot.The articular cartilage surface of rats in the Con group was smooth,and the tide line was smooth.The cartilage layer of MIA and MIA-M groups was obviously damaged,and the cartilage matrix was reduced.The above conditions were more severe in the MIA-M group.The cartilage surface of the HQC high-dose group and MIA-M+GS group was basically intact with clear delamination.Compared with the MIA-M+HQC-H group,Mankin's score was higher in the HQC low-dose and medium-dose groups,and the change was not obvious in the MIA-M+GS group.Compared with the Con group,the proportion of chondrocytes G1 was elevated in the MIA and MIA-M groups,and the proportion of the S phase and G2 phase was significantly decreased.In addition,the apoptosis rate was increased.Compared with MIA-M,HQC groups inhibited apoptosis and promoted cell proliferation in a concentration-dependent manner.Compared with the MIA-M+HQC-H group,the effect was more significant in the HQC high-dose group than in the HQC medium-low dose,while it was not significant in the MIA-M+GS group.Compared with the Con group,IL-1β and IL-6 were elevated in the MIA and MIA-M groups,and mRNA levels of MMP13 and ADAMTS-5 were elevated.p53,p21,p16,and Bax protein were elevated,and mRNA levels of COLⅡ and TGF-β were decreased.Compared with the MIA-M group,IL-1β and IL-6 decreased after drug interventions of HQC and GS,and mRNA levels of MMP13 and ADAMTS-5,as well as protein levels of p53,p21,Bax,and p16 decreased.In addition,Bcl-2 increased.The improvement of these indexes was significantly better in the MIA-M+HQC-H group than in the HQC low-dose and medium-dose groups,and the difference with the MIA-M+GS group was not significant.HQC delayed MIA-induced chondrocyte senescence in OA rats,inhibited inflammatory response and extracellular matrix(ECM)degradation,and its mechanism may be related to the inhibition of the p53/p21 pathway.

Huangqin Qingre Chubi Capsulesosteoarthritisrheumatic fever modelcellular senescencep53/p21

周巧、刘健、朱艳、汪元、王桂珍、万磊、黄旦、郭锦晨、齐亚军、胡月迪

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安徽中医药大学 第二附属医院,安徽 合肥 230061

安徽中医药大学,安徽 合肥 230012

安徽中医药大学 第一附属医院,安徽 合肥 230031

黄芩清热除痹胶囊 骨关节炎 风湿热模型 细胞衰老 p53/p21

国家自然科学基金面上项目安徽省名中医刘健工作室建设项目安徽省中医药领军人才项目高水平中医药重点学科建设项目安徽省现代中医内科应用基础与开发研究省级实验室项目安徽省高等学校科学研究重点项目(自然科学类)安徽省高等学校自然科学研究重大项目青年人才培养杏林青秀培育计划

82274310中医药发展秘[2018]11号中医药发展秘[2018]23号zyyzdxk-20231002016080503B0412022AH0504492023AH0401120500-48-65

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(12)
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