首页|蠲痹汤调控软骨细胞铁死亡治疗骨关节炎

蠲痹汤调控软骨细胞铁死亡治疗骨关节炎

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目的 通过体外细胞模型,探讨蠲痹汤对骨关节炎(OA)的作用机制。方法 将ATDC5细胞分为4组:正常组、OA组、蠲痹汤组和Fer-1组。OA组加入10 ng/ml白细胞介素(IL)-1β诱导炎症杜尔伯科改良伊格尔(DMEM)培养基;蠲痹汤组加入1L-1β+蠲痹汤诱导炎症DMEM培养基;Fer-1组加入IL-1β+Fer-1诱导炎症DMEM培养基。进行蛋白质印迹法(Western blot)试验检测软骨细胞的肿瘤坏死因子-α(TNF-α)、诱导型一氧化氮合酶(iNOS)、环氧化酶-2(COX-2),CollagenⅡ、Aggrecan、基质金属蛋白酶13(MMP-13)、p53、ACSL4、SLC7A11和GPX-4的表达,使用细胞免疫荧光染色检测GPX-4的表达。利用化学发光法检测软骨细胞的代谢产物丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH)、Fe2+、线粒体内铁的含量。多组比较采用单因素方差分析。结果 Fer-1组和蠲痹汤组的 TNF-α(3。282±0。261、2。255±0。253)、iNOS(5。046±0。478、3。443±0。039)、COX-2(3。484±0。333、2。450±0。467)蛋白相对表达水平低于 IL-1β 组(4。384±0。601、6。863±0。637、4。812±0。496),差异有统计学意义(t=3。848、7。432、5。579、10。500、4。289、7。629,P<0。05)。Fer-1 组和蠲痹汤组的 MMP-13(2。738±0。224、4。276±0。663)、p53(3。364±0。898、4。289±0。936)、ACSL4(2。897±0。767,2。776±0。594)蛋白相对表达水平低于 IL-1β 组(5。779±0。018、7。413±1。635、6。077±0。847),差异有统计学意义(t=10。640、5。258、4。752、3。666、6。048、6。279,P<0。05)。Fer-1组和蠲痹汤组的 Collagen Ⅱ(0。752±0。143、0。609±0。073)、Aggrecan(0。663±0。139、0。570±0。022)、SLC7A11(0。623±0。037、0。400±0。034)、GPX-4(0。686±0。041、0。537±0。065)蛋白相对表达水平高于 IL-1β 组(0。298±0。049、0。268±0。154、0。097±0。021、0。163±0。063),差异有统计学意义(t=4。661、3。895、4。631、3。538、23。700、13。660、12。890、9。226,P<0。05)。Fer-1 组和蠲痹汤组的GPX-4(15。476±2。519、12。133±0。703)荧光强度高于 IL-1β 组(5。141±0。153),差异有统计学意义(t=8。117、5。491,P<0。05)。Fer-1 组和蠲痹汤组的线粒体内铁(9。689±2。680、11。043±1。818)荧光强度低于IL-1β组(16。604±3。262),差异有统计学意义(t=3。675、2。955,P<0。05)。Fer-1组和蠲痹汤组的 MDA[(8。755±0。390)、(10。915±0。379)nmol/ml]、Fe2+[(4。200±0。041)、(5。189±0。083)nmol]含量低 IL-1β 组[(13。130±0。430)nmol/ml、(7。109±0。071)nmol],差异有统计学意义(t=14。960、7。573、59。230、39。090,P<0。05)。Fer-1 组和蠲痹汤组的 GSH[(7。215±0。382)、(6。988±1。246)μmol/g prot]含量高于 IL-1β 组[(4。826±0。426)µmol/g prot],差异有统计学意义(t=4。240、3。838,P<0。05)。结论 蠲痹汤通过调控SLC7A11-GSH-GPX4轴抑制软骨细胞铁死亡减轻炎性反应和细胞外基质降解。
Juanbi decoction regulates iron death of chondrocytes to treat osteoarthritis
Objective The mechanism of action of osteoarthritis(OA)induced by Juanbi decoc-tion is investigated in this test using an in vitro cell model.Methods The ATDC5 cells were divided into four groups:the normal group,theinterleukin(IL)-1 β group,the IL-1β+Juanbi decoction group,and the IL-1 β+Fer-1 group.In the IL-1 β group,Dulbecco's modified Eagle's medium(DMEM)was used to induce inflammation with 10 ng/ml IL-1 β.The IL-1 β+Juanbi decoction group was treated with DMEM medium to induce inflammation.The IL-1 β+Fer-1 set was added to induce inflammation in the DMEM medium.The expression of tumor necrosis factor-α(TNF-α),inducible nitric oxide synthase(iNOS),cyclooxygenase-2(COX-2),Collagen Ⅱ,Aggrecan,matrix metalloproteinase-13(MMP-13),p53,ACSL4,SLC7A11 and GPX-4 in chondrocytes was assessed via Western blotting.GPX-4 expression was e-valuated through immunofluorescence staining.Chemiluminescence was utilized to measure the levels of malondialdehyde(MDA),glutathione peroxidase(GSH),Fe2+,and mitochondrial iron in chondrocytes.One-way analysis of variance was employed to compare multiple groups.Results The relative protein ex-pression levels of TNF-α(3.282±0.261,2.255±0.253),iNOS(5.046±0.478,3.443±0.039),and COX-2(3.484±0.333,2.450±0.467)in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group were significantly lower compared to the IL-1 β group(4.384±0.601,6.863±0.637,4.812±0.496).The differences were statistically significant with t-values of 3.848,7.432,5.579,10.5,4.289,and 7.629 respectively(P<0.05).The relative protein expression levels of MMP-13(2.738±0.224,4.276±0.663),p53(3.364±0.898,4.289±0.936),and ACSL4(2.897±0.767,2.776±0.594)in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group were significantly lower compared to the IL-1 βgroup(5.779±0.018,7.413±1.635,6.077±0.847).The differences were statistically significant with t-values of 10.64,5.258,4.752,3.666,6.048,and 6.279 respectively(P<0.05).The relative pro-tein expression levels of Collagen Ⅱ(0.752±0.143,0.609±0.073),Aggrecan(0.663±0.139,0.570±0.022),SLC7A11(0.623±0.037,0.400±0.034),and GPX-4(0.686±0.041,0.537±0.065)in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group were significantly higher compared to the IL-1β group(0.298±0.049,0.268±0.154,0.097±0.021,0.163±0.063).The differences were statistically significant with t-values of 4.661,3.895,4.631,3.538,23.7,13.66,12.89 and 9.226 respectively(P<0.05).The fluorescence intensity of GPX-4(15.476±2.519,12.133±0.703)in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group exhibited a statistically significant increase compared to that in the IL-1 β group(5.141±0.153,t=8.117,5.491,P<0.05).The fluorescence in-tensity of mitochondria iron(9.689±2.680,11.043±1.818)in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group exhibited a statistically significant decline compared to that in the IL-1 β group(16.604±3.262,t=3.675,2.955,P<0.05).The levels of MDA[(8.755±0.390),(10.915±0.379)nmol/ml]and Fe2+[(4.200±0.041),(5.189±0.083)nmol]in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group were significantly lower compared to the IL-1 β group[(4.200±0.041),(5.189±0.083)nmol].The differences were statistically significant with t-values of 14.96,7.573,59.230 and 39.090 respectively(P<0.05).The level of GSH[(7.215±0.382),(6.988±1.246)μmol/g prot]in the IL-1 β+Fer-1 group and IL-1 β+Juanbi decoction group were significantly higher com-pared to the IL-1 β group[(4.826±0.426)μmol/g prot].The differences were statistically significant with t-values of 4.24 and 3.838 respectively(P<0.05).Conclusion The Juanbi decoction exerts inhib-itory effects on chondrocyte ferroptosis and attenuates inflammation and extracellular matrix degradation by modulating the SLC7A11-GSH-GPX4 axis.

Juanbi decoctionIron deathOsteoarthritis

高浩阳、贾庆运、吴立生、王乾、孙铭远、刘玉兴、高万里

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山东第二医科大学临床医学院,潍坊 261053

山东第二医科大学附属临沂市人民医院,临沂 276000

蠲痹汤 铁死亡 骨关节炎

山东省自然科学基金青年项目

ZR2021QH230

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(8)