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1.江苏省中医院/南京中医药大学附属医院制剂部,南京 210029
2.中国药科大学理学院医药生物功能材料重点实验室,南京 211198
主管药师,硕士。研究方向:药理学、中药药剂。 E-mail:weiliu2007njucm@outlook.com
副研究员,硕士生导师,博士。研究方向:高端制剂。E-mail:frankyan@cpu.edu.cn
收稿日期:2023-02-13,
修回日期:2023-07-07,
录用日期:2023-07-07,
纸质出版日期:2023-08-15
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刘炜,邹恺平,王琼,等.伤科消炎水凝胶贴膏对骨关节炎模型大鼠的改善作用[J].中国药房,2023,34(15):1853-1857.
LIU Wei,ZOU Kaiping,WANG Qiong,et al.Improvement effects of Shangke xiaoyan hydrogel plaster on osteoarthritis model rats[J].ZHONGGUO YAOFANG,2023,34(15):1853-1857.
刘炜,邹恺平,王琼,等.伤科消炎水凝胶贴膏对骨关节炎模型大鼠的改善作用[J].中国药房,2023,34(15):1853-1857. DOI: 10.6039/j.issn.1001-0408.2023.15.12.
LIU Wei,ZOU Kaiping,WANG Qiong,et al.Improvement effects of Shangke xiaoyan hydrogel plaster on osteoarthritis model rats[J].ZHONGGUO YAOFANG,2023,34(15):1853-1857. DOI: 10.6039/j.issn.1001-0408.2023.15.12.
目的
2
研究伤科消炎水凝胶贴膏对骨关节炎模型大鼠的改善作用。
方法
2
将大鼠随机分为空白组、模型组、扶他林组(200 mg/只)、伤科消炎膏组(500 mg/只,含伤科消炎流浸膏50 mg)和伤科消炎水凝胶贴膏组(200 mg/只,含伤科消炎流浸膏50 mg),每组8只。除空白组外,其余各组通过在大鼠右膝关节腔内注射木瓜蛋白酶和L-半胱氨酸构建骨关节炎模型,然后涂抹相应药物,每天换药1次,连续14 d。检测大鼠膝关节肿胀程度,观察大鼠膝关节磁共振成像特征;检测大鼠血清中白细胞介素1β(IL-1β)、IL-6、IL-18、肿瘤坏死因子α(TNF-α)水平;观察大鼠膝关节组织的病理形态学特征,并进行组织病理学评分及软骨Mankin评分;检测大鼠膝关节组织中IL-1β、IL-6、TNF-α蛋白表达。
结果
2
与空白组比较,模型组大鼠膝关节严重肿胀,可见明显关节腔积液,外侧半月板前角呈团片状磨损;血清中IL-1β、IL-6、IL-18、TNF-α水平以及组织病理学评分和Mankin评分均显著升高(
P
<0.05);膝关节组织中IL-1β、IL-6、TNF-α阳性蛋白表达均增加。与模型组比较,伤科消炎水凝胶贴膏组大鼠膝关节肿胀程度降低,可见少量关节腔积液,半月板形态完全正常;组织病理学评分和Mankin评分均显著降低(
P
<0.05);血清中上述炎症因子水平均降低(
P
<0.05),膝关节中上述炎症因子蛋白的阳性表达均减少。
结论
2
伤科消炎水凝胶贴膏可改善大鼠骨关节炎,其作用机制可能与降低关节组织和血清中炎症因子水平有关。
OBJECTIVE
2
To study the improvement effects of Shangke xiaoyan hydrogel plaster on osteoarthritis (OA) model rats.
METHODS
2
Rats were randomly divided into blank group, model group, voltaren group (200 mg/rat), Shangke xiaoyan ointment group (500 mg/rat, containing Shangke xiaoyan fluid extract 50 mg) and Shangke xiaoyan hydrogel plaster group (200 mg/rat, containing Shangke xiaoyan fluid extract 50 mg), with 8 rats in each group. Except for blank group, OA model was established in the other groups by injecting papain and L-cysteine into the right knee joint cavity of the rats; they applied the corresponding drugs, and changed the dressing once a day, for 14 consecutive days. The degree of knee joint swelling in rats was detected, and the magnetic resonance imaging characteristics of the knee joint in rats were observed; the levels of interleukin 1β (IL-1β), IL-6, IL-18 and tumor necrosis factor (TNF-α) in rat serum were detected; the pathological and morphological characteristics of knee joint tissue were observed, and the histopathological and cartilage Mankin scores were performed; the protein expressions of IL-1β, IL-6 and TNF-α in knee joint tissue were all detected.
RESULTS
2
Compared with blank group, severe joint swelling, obvious joint effusion and patchy wear of the anterior horn of the lateral meniscus were observed in model group; the serum levels of IL-1β, IL-6, IL-18 and TNF-α and histopathological score and Mankin score were significantly increased (
P
<0.05); protein expressions of IL-1β, IL-6 and TNF-α in knee joint tissue were increased. Compared with model group, the knee swelling degree of the rats in Shangke xiaoyan hydrogel plaster group was reduced, a small amount of joint cavity effusion could be seen, and the shape of the meniscus was completely normal; the histopathological score and Mankin score were significantly reduced (
P
<0.05); the levels of inflammatory factors in serum were reduced (
P
<0.05) and those of knee tissue were decreased.
CONCLUSIONS
2
Shangke xiaoyan hydrogel plaster can improve OA of rats, the mechanism of which may be associated with reducing the levels of inflammatory factors in joint and serum.
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