Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway

ObjectiveTo study the intervention effect and mechanism of Zhuanggu Jianxi decoction on synovitis in knee osteoarthritis (KOA) rabbits via the inflammatory regulation of synovial tissue and the expression of key node proteins in LXRs/NF-κB pathway.MethodsBlank serum and drug-containing serum of rabb...

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Main Authors: CHEN Peng, GUO Jiemei, XIAO Yan, WANG Jianhui, SU Youxin
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2022-02-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.01008
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author CHEN Peng
GUO Jiemei
XIAO Yan
WANG Jianhui
SU Youxin
author_facet CHEN Peng
GUO Jiemei
XIAO Yan
WANG Jianhui
SU Youxin
author_sort CHEN Peng
collection DOAJ
description ObjectiveTo study the intervention effect and mechanism of Zhuanggu Jianxi decoction on synovitis in knee osteoarthritis (KOA) rabbits via the inflammatory regulation of synovial tissue and the expression of key node proteins in LXRs/NF-κB pathway.MethodsBlank serum and drug-containing serum of rabbits were prepared for the intervention of synovial tissue. Twenty-two rabbits were randomly divided into two groups, with 16 in the model group and 6 in the blank group. The KOA model was injected with papain into the knee joint of the right hind limb. After the model was identified successfully, the synovial tissue of the right hind limb knee was cut into small pieces with a size about 1-2 mm<sup>3</sup> under aseptic operation, 60 pieces were collected and randomly divided into model group, Zhuanggu Jianxi decoction group, LXRα inhibitor group and N-CoR inhibitor group with 15 pieces each, the synovial tissue pieces in each group were cultured in 6 well plates with every 3 pieces in each well, the four groups were intervened with 10% blank serum, 10% drug-containing serum, 10% drug-containing serum+5CPPSS-50 and 10% drug-containing serum+ML-792 respectively; the synovium of the blank group was prepared by the same method and cultured with 10% blank serum for 5 wells. After 7 days, synovial tissue was collected. Two wells of synovial tissue were taken from each group for HE staining, and the remaining synovial tissue was detected by Western blot and ELISA.Results1) Morphology: compared with the blank group, HE staining in the model group showed the proliferation and disorder of synovial lining cells, a large number of inflammatory cell infiltration and fibrous tissue hyperplasia, and the morphological score was significantly increased (<italic>P</italic>&lt;0.05). Compared with the model group, mild hyperplasia and disorder of synovial lining cells, sparse scattered inflammatory cell infiltration and a small amount of fibrous tissue hyperplasia were observed in the Zhuanggu Jianxi decoction group, and the morphological score was significantly decreased (<italic>P</italic>&lt;0.05). Compared with the Zhuanggu Jianxi decoction group, the morphological score of pathological changes in the LXRα and N-CoR inhibitor groups was significantly increased (<italic>P</italic>&lt;0.05). 2) Inflammation-related indicators: compared with the blank group after intervention, the contents of IL-1β, TNF-α, MMP-3 and MMP-13 in the model group were significantly increased (<italic>P</italic>&lt;0.05); compared with the model group, the indexes above in the LXRα inhibitor group, N-CoR inhibitor group and Zhuanggu Jianxi decoction group were significantly decreased (<italic>P</italic>&lt;0.05); compared with the Zhuanggu Jianxi decoction group, the indexes above in the LXRα and N-CoR inhibitor groups were significantly increased (<italic>P</italic>&lt;0.05). Before and after intervention, the contents of IL-1β and TNF-α in the Zhuanggu Jianxi decoction group were significantly decreased (<italic>P</italic>&lt;0.05). 3) Protein expression: Compared with the blank group, the expressions of LXRα and N-CoR proteins in the model group were significantly decreased (<italic>P</italic>&lt;0.05), and the expression of P50 and P65 proteins were significantly increased (<italic>P</italic>&lt;0.05). Compared with the model group, LXRα and N-CoR protein in the LXRα inhibitor group and N-CoR protein in the N-CoR inhibitor group were not significantly decreased (<italic>P</italic>&gt;0.05), P50 and P65 protein expression were significantly decreased (<italic>P</italic>&lt;0.05). The protein expression of LXRα and N-CoR in the Zhuanggu Jianxi decoction group were significantly increased (<italic>P</italic>&lt;0.05), and the protein expression of P50 and P65 were significantly decreased (<italic>P</italic>&lt;0.05). Compared with the Zhuanggu Jianxi decoction group, the protein expression of LXRα and N-CoR in both the LXRα and N-CoR inhibitor groups were significantly decreased (<italic>P</italic>&lt;0.05), and the protein expression of P50 and P65 were significantly increased (<italic>P</italic>&lt;0.05).ConclusionZhuanggu Jianxi decoction could improve the pathological manifestations of synovial lining cell hyperplasia and the disorder arrangement, inflammatory cell infiltration and fibrous tissue hyperplasia, reduce the content of inflammatory related indexes in tissues, so as to reduce the inflammatory response of KOA synovial tissue in rabbits, which may be related to the up-regulation of LXRα and N-CoR protein expression in synovial cells via LXRs/NF-κB pathway in synovial tissue, thereby down-regulating P50 and P65 protein to reduce IL-1β, TNF-α, MMP-3 and MMP-13.
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spelling doaj-art-5d8688fd5a184ac6a3dfd3c8a127b7b52025-01-14T10:07:12ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282022-02-0132485523760403Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB PathwayCHEN PengGUO JiemeiXIAO YanWANG JianhuiSU YouxinObjectiveTo study the intervention effect and mechanism of Zhuanggu Jianxi decoction on synovitis in knee osteoarthritis (KOA) rabbits via the inflammatory regulation of synovial tissue and the expression of key node proteins in LXRs/NF-κB pathway.MethodsBlank serum and drug-containing serum of rabbits were prepared for the intervention of synovial tissue. Twenty-two rabbits were randomly divided into two groups, with 16 in the model group and 6 in the blank group. The KOA model was injected with papain into the knee joint of the right hind limb. After the model was identified successfully, the synovial tissue of the right hind limb knee was cut into small pieces with a size about 1-2 mm<sup>3</sup> under aseptic operation, 60 pieces were collected and randomly divided into model group, Zhuanggu Jianxi decoction group, LXRα inhibitor group and N-CoR inhibitor group with 15 pieces each, the synovial tissue pieces in each group were cultured in 6 well plates with every 3 pieces in each well, the four groups were intervened with 10% blank serum, 10% drug-containing serum, 10% drug-containing serum+5CPPSS-50 and 10% drug-containing serum+ML-792 respectively; the synovium of the blank group was prepared by the same method and cultured with 10% blank serum for 5 wells. After 7 days, synovial tissue was collected. Two wells of synovial tissue were taken from each group for HE staining, and the remaining synovial tissue was detected by Western blot and ELISA.Results1) Morphology: compared with the blank group, HE staining in the model group showed the proliferation and disorder of synovial lining cells, a large number of inflammatory cell infiltration and fibrous tissue hyperplasia, and the morphological score was significantly increased (<italic>P</italic>&lt;0.05). Compared with the model group, mild hyperplasia and disorder of synovial lining cells, sparse scattered inflammatory cell infiltration and a small amount of fibrous tissue hyperplasia were observed in the Zhuanggu Jianxi decoction group, and the morphological score was significantly decreased (<italic>P</italic>&lt;0.05). Compared with the Zhuanggu Jianxi decoction group, the morphological score of pathological changes in the LXRα and N-CoR inhibitor groups was significantly increased (<italic>P</italic>&lt;0.05). 2) Inflammation-related indicators: compared with the blank group after intervention, the contents of IL-1β, TNF-α, MMP-3 and MMP-13 in the model group were significantly increased (<italic>P</italic>&lt;0.05); compared with the model group, the indexes above in the LXRα inhibitor group, N-CoR inhibitor group and Zhuanggu Jianxi decoction group were significantly decreased (<italic>P</italic>&lt;0.05); compared with the Zhuanggu Jianxi decoction group, the indexes above in the LXRα and N-CoR inhibitor groups were significantly increased (<italic>P</italic>&lt;0.05). Before and after intervention, the contents of IL-1β and TNF-α in the Zhuanggu Jianxi decoction group were significantly decreased (<italic>P</italic>&lt;0.05). 3) Protein expression: Compared with the blank group, the expressions of LXRα and N-CoR proteins in the model group were significantly decreased (<italic>P</italic>&lt;0.05), and the expression of P50 and P65 proteins were significantly increased (<italic>P</italic>&lt;0.05). Compared with the model group, LXRα and N-CoR protein in the LXRα inhibitor group and N-CoR protein in the N-CoR inhibitor group were not significantly decreased (<italic>P</italic>&gt;0.05), P50 and P65 protein expression were significantly decreased (<italic>P</italic>&lt;0.05). The protein expression of LXRα and N-CoR in the Zhuanggu Jianxi decoction group were significantly increased (<italic>P</italic>&lt;0.05), and the protein expression of P50 and P65 were significantly decreased (<italic>P</italic>&lt;0.05). Compared with the Zhuanggu Jianxi decoction group, the protein expression of LXRα and N-CoR in both the LXRα and N-CoR inhibitor groups were significantly decreased (<italic>P</italic>&lt;0.05), and the protein expression of P50 and P65 were significantly increased (<italic>P</italic>&lt;0.05).ConclusionZhuanggu Jianxi decoction could improve the pathological manifestations of synovial lining cell hyperplasia and the disorder arrangement, inflammatory cell infiltration and fibrous tissue hyperplasia, reduce the content of inflammatory related indexes in tissues, so as to reduce the inflammatory response of KOA synovial tissue in rabbits, which may be related to the up-regulation of LXRα and N-CoR protein expression in synovial cells via LXRs/NF-κB pathway in synovial tissue, thereby down-regulating P50 and P65 protein to reduce IL-1β, TNF-α, MMP-3 and MMP-13.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.01008knee osteoarthritissynovitisZhuanggu Jianxi decoctionknee synovium of rabbitLXRs/NF-κB pathway
spellingShingle CHEN Peng
GUO Jiemei
XIAO Yan
WANG Jianhui
SU Youxin
Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway
康复学报
knee osteoarthritis
synovitis
Zhuanggu Jianxi decoction
knee synovium of rabbit
LXRs/NF-κB pathway
title Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway
title_full Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway
title_fullStr Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway
title_full_unstemmed Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway
title_short Effect of Zhuanggu Jianxi Decoction on Synovitis in Knee Osteoarthritis Rabbits via LXRs/NF-κB Pathway
title_sort effect of zhuanggu jianxi decoction on synovitis in knee osteoarthritis rabbits via lxrs nf κb pathway
topic knee osteoarthritis
synovitis
Zhuanggu Jianxi decoction
knee synovium of rabbit
LXRs/NF-κB pathway
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.01008
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