广州中医药大学第一附属医院/广东省中医临床研究所输血科,广州 510405
Received:13 November 2024,
Revised:2025-02-14,
Accepted:28 February 2025,
Published:28 May 2025
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蔡振华,肖木洲,罗恒,等.富血小板血浆联合仙灵骨葆胶囊治疗大鼠膝骨关节炎的应用研究[J].重庆医科大学学报,2025,50(5):623-629.
Cai Zhenhua,Xiao Muzhou,Luo Heng,et al.Application of platelet-rich plasma combined with Xianling Gubao Capsule in treatment of rats with knee osteoarthritis[J].Journal of Chongqing Medical University,2025,50(5):623-629.
蔡振华,肖木洲,罗恒,等.富血小板血浆联合仙灵骨葆胶囊治疗大鼠膝骨关节炎的应用研究[J].重庆医科大学学报,2025,50(5):623-629. DOI: 10.13406/j.cnki.cyxb.003811.
Cai Zhenhua,Xiao Muzhou,Luo Heng,et al.Application of platelet-rich plasma combined with Xianling Gubao Capsule in treatment of rats with knee osteoarthritis[J].Journal of Chongqing Medical University,2025,50(5):623-629. DOI: 10.13406/j.cnki.cyxb.003811.
目的
2
探讨富血小板血浆(platelet-rich plasma,PRP)联合仙灵骨葆胶囊对大鼠骨关节炎(osteoarthritis,OA)的治疗效果及相关因子水平变化。
方法
2
使用前交叉韧带横断手术构建大鼠骨关节炎模型,模型建立之后将大鼠随机分为对照组(
n
=10)、模型组(
n
=10)、仙灵骨葆胶囊组(
n
=10)、PRP组(
n
=10)和仙灵骨葆胶囊联合PRP组(
n
=10)。干预结束后,采用酶联免疫吸附测定(enzyme linked immunosorbent assay,ELISA)检测大鼠血清中白细胞介素-1β(interleukin-1 beta,IL-1β)和肿瘤坏死因子-α(tumor necrosis factor alpha,TNF-α)的水平;取大鼠膝关节软骨,通过qPCR和Western blot检测MMP3、MMP13、Col2、Aggrecan和p-p38基因和蛋白的表达水平;Micro-CT评估大鼠膝关节周围骨变化情况;HE染色和SF染色观察大鼠膝关节软骨变化。
结果
2
ELISA结果显示,PRP联合仙灵骨葆胶囊治疗后显著降低了大鼠血
清中IL-1β和TNF-α等炎性因子水平,差异有统计学意义(
P
<
0.05)。qPCR和Western blot结果显示PRP联合仙灵骨葆胶囊治疗明显降低大鼠膝关节软骨中MMP3、MMP13、p-p38的表达降低,增加Col2和Aggrecan的表达,差异有统计学意义(
P
<
0.05)。Micro-CT、HE染色和SF染色结果显示,PRP联合仙灵骨葆胶囊组大鼠膝关节软骨退变在一定程度得到改善,差异有统计学意义(
P
<
0.05)。
结论
2
PRP联合仙灵骨葆胶囊能有效治疗大鼠OA,其机制可能是通过调控p38MAPK信号通路来实现的。
Objective
2
To investigate the therapeutic effect of platelet-rich plasma(PRP) combined with Xianling Gubao Capsule on rats with osteoarthritis(OA) and the changes in the levels of related factors.
Methods
2
Anterior cruciate ligament transection was performed to establish a rat model of OA,and after modeling,the rats were randomly divided into control group,model group,Xianling Gubao Capsule group,PRP group,and Xianling Gubao Capsule+PRP group,with 10 rats in each group. After intervention,ELISA was used to measure the serum levels of IL-1β and TNF-α; knee articular cartilage was collected,and qPCR and Western blot were used to measure the mRNA and protein expression levels of MMP3,MMP13,Col2,Aggrecan,and p-p38; Micro-CT was used to assess the changes in bones around the knee joint; HE staining and SF staining were used to observe the changes in knee articular cartilage.
Results
2
ELISA showed that PRP combined with Xianling Gubao Capsule significantly reduced the serum levels of the inflammatory factors such as IL-1β and TNF-α(
P
<
0.05). The results of qPCR and Western blot showed that PRP combined with Xianling Gubao Capsule significantly reduced the expression levels of MMP3,MMP13,and p-p38 and increased the expression levels of Col2 and Aggrecan in knee articular cartilage(
P
<
0.05). Micro-CT,HE staining,and SF staining showed a certain degree of improvement in knee articular cartilage degeneration in the Xianling Gubao Capsule+PRP group (
P
<
0.05).
Conclusion
2
PRP combined with Xianling Gubao Capsule exerts a therapeutic effect on rats with OA,possibly by regulating the p38MAPK signaling pathway.
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