消肿方对骨关节炎家兔软骨细胞凋亡及同源细胞群数量的影响
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安徽中医药大学第一附属医院骨伤科,安徽 合肥 230031

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R285.5

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基金项目: 安徽省教育厅高校自然科学基金项目(KJ2012Z215) 收稿日期: 2015 - 04 - 18 作者简介: 李亮(1979-),男,安徽舒城人,主治医师,研究方向:中医药治疗骨关节炎。


Experimental Study on the Effect of Xiaozhong Decoction on Apoptosis of Chondrocyt-Esand the Number of Isogenous Groups of Rabbits for Animal Models of Osteoarthritis
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Orthopedics&Traumatology Department of the First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China

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    摘要:

    目的观察消肿方对兔骨关节炎软骨细胞凋亡及同源细胞群数量和BCL-2阳性细胞百分比的影响。方法取新西兰大耳白兔复制膝关节骨关节炎模型,连续灌胃给药治疗28d后处死动物,取膝关节软骨镜下观察软骨细胞形态、计数同源细胞群数量,原位缺口末端标记法检测骨关节炎动物模型软骨细胞凋亡,免疫组化检测BCL-2阳性细胞并计算其百分比。结果骨关节炎动物模型软骨细胞发生过度凋亡、同源细胞群下降及BCL-2阳性细胞百分比下降,消肿方能抑制软骨细胞凋亡,升高同源细胞群数量及BCL-2阳性细胞百分比。1. 在软骨同源细胞群数量方面:模型组降低,在治疗早期(4周),消肿方由低剂量组到中剂量组增加时,其升高幅度加大,除高剂量治疗组由4周延长至8周时,其增加不明显外,其余各组随时间延长,出现同源细胞群数量明显增加。2. 在软骨细胞凋亡指数(AI)方面:治疗后,AI下降,而且随中药剂量增大,其下降幅度加大,空白组AI在12周时明显升高,模型组和阳性对照组AI在8周时明显升高,超过8周后,升高不明显,治疗后,AI下降,在各剂量治疗组,随治疗时间延长时,其下降幅度加大。3. 在软骨细胞BCL-2阳性细胞百分比方面:模型组百分比最低,经治疗后,百分比逐渐升高,随中药剂量增大,其升高幅度加大,随时间延长,各组百分比均明显升高。结论消肿方可抑制骨关节炎动物模型软骨细胞凋亡,升高同源细胞群数量及BCL-2阳性细胞百分比。

    Abstract:

    Objective To observe the effect of Xiaozhong decoction on apoptosis of chondrocytes and the number of isogenous groups of rabbits for animal model of osteoarthritis. Methods Thirty-six seven-month-old New Zealand rabbits with the weight of 2.6-3.2 kg, female in half, were made for animal models of osteoarthritis. All rabbits were equally randomized into six groups, model group, blank group(the same volume of normal saline), contrast group(saline dissolved with glucosamine tablets), low-concentration decoction group(40g/kg), middle-concentration decoction group(80g/kg) and high-concentration decoction group(160g/kg). All rabbits were medicated by gavage at 4g·kg-1·d-1. After gastric gavage for 28 days, cartilage of knee of rabbits were taken to observe by optical microscope. The number of isogenous groups was counted in every light microscopic view. The apoptosis of chondrocytes of rabbits for animal models of osteoarthritis was checked by TUNEL, the percent of BCL-2 positive chondrocytes was checked by immunohistochemical method. Results There was excessive apoptosis of chondrocytes in animal models of osteoarthritis, meanwhile isogenous groups and the percent of BCL-2 positive cells was declined. Xiaozhong decoction could inhibit the apoptosis of chondrocytes and raise the number of isogenous groups and the percent of BCL-2 positive chondrocytes. 1. The number of isogenous groups declined in model group while increased with decoction concentration from low turned middle after treated 4 weeks, and the differences between the two groups were significant. The differences of high-concentration decoction group from 4 weeks to 8 weeks was insignificant, while the number of isogenous groups of all other groups rose as time went on the differences between all other groups were significant. 2. AI declined after treated by Xiaozhong decoction, especially, AI declined much more with decoction concentration rose. The differences among the decoction groups were significant. AI of blank group rose significantly after 12 weeks, however, AI of model group and contrast group rose significantly in 8 weeks, rose insignificant beyond 8 weeks. AI declined treated by Xiaozhong decoction as time went-on from 4 weeks to 8 weeks and 12 weeks, the differences among three periods were significant. 3. The percent of BCL-2 positive chondrocytes of model group was lowest among all groups. It rose gradually with decoction concentration from low turned middle to high, and the differences among the decoction groups were significant. It rose gradually as time went-on from 4 weeks to 8 weeks and 12 weeks, and the differences among three periods of all groups were significant. Conclusions Xiaozhong decoction could inhibit the apoptosis of chondrocytes and exert effect on up-regulating the number of isogenous groups and the percent of BCL-2 positive chondrocytes of rabbits for animal models of osteoarthritis.

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