针刺对膝骨关节炎大鼠软骨白细胞介素-1β及肿瘤坏死因子-α表达的影响
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作者Author单位AddressE-Mail
王道海 WANG Dao-hai 中国医学科学院北京协和医学院北京协和医院,北京 100730 Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China  
包飞 BAO Fei 中国医学科学院北京协和医学院北京协和医院,北京 100730 Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China zengfei68@tom.com 
吴志宏 WU Zhi-hong 中国医学科学院北京协和医学院北京协和医院,北京 100730 Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China  
孙华 SUN Hua 中国医学科学院北京协和医学院北京协和医院,北京 100730 Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China  
张云祥 ZHANG Yun-xiang 中国医学科学院北京协和医学院北京协和医院,北京 100730 Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China  
期刊信息:《中国骨伤》2011年,第24卷,第9期,第775-778页
DOI:10.3969/j.issn.1003-0034.2011.09.019
基金项目:国家中医药管理局中医药科学技术研究专项课题(编号:06-07LP01)
中文摘要:

目的:探讨针刺对骨关节炎(OA)软骨中炎性细胞因子的影响作用。

方法:选用SD雌性大鼠40只,采用随机数字表,随机分为正常组、模型组、针刺组和对照组,各10只。采用单侧后肢跟腱切除法建立OA动物模型,切除左后肢跟腱,分别采用电针和扶他林乳剂对针刺组和对照组非手术侧(右后肢)进行治疗。采用免疫组化技术,观察各组关节软骨中白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)表达的特点,并比较各组间的差异。

结果:模型组IL-1β和TNF-α的表达都较正常组上调(P<0.01);模型组、针刺组和对照组3组比较,IL-1β和TNF-α的表达差异有统计学意义,针刺组和对照组的表达均较模型组下调(P<0.01),两者在针刺组与对照组的表达差异无统计学意义(P>0.05).

结论:针刺能下调OA软骨细胞IL-1β、TNF-α的表达,与扶他林乳剂作用相当,说明针刺对OA软骨具有一定的保护作用。
【关键词】骨关节炎  针刺  白细胞介素1β  肿瘤坏死因子α
 
Influence of acupuncture on IL-1β and TNF-α expression in the cartilage of rats with knee osteoarthritis
ABSTRACT  

Objective: To explore the influence of acupuncture treatment on proinflammatory cytokines of osteoarthritic(OA) cartilage.

Methods: Forty female SD rats were randomly and averagely divided into four groups:the normal,model,acupuncture and control group. The method of heel tendon resection for unilateral hind limb was used to establish OA animal models-that was to cut off the rat's heel tendon of left hind limb. The acupuncture group and control group were respectively treated by electro-acupuncture and Diclofenac on right hind limb of each animal for 2 weeks. Immunohistochemical staining was used to observe the expression characteristic of IL-1β and TNF-α in cartilage of each group,and the differences were compared among the groups.

Results: Both IL-1β and TNF-α expression in model group were significantly up-regulated than those in the normal group(P<0.01). Their expression in model,acupuncture and control group were significantly different(P<0.01). IL-1β and TNF-α expression were significantly down-regulated in acupuncture and control group than that in model group(P<0.01),while the difference between the two former groups was not significant(P>0.05).

Conclusion: Acupuncture can down-regulate the expression of IL-1β and TNF-α in osteoarthritic chondrocytes,and the regulating effect is the same as Diclofenac. This shows that acupuncture has a certain protective effect on osteoarthritic cartilage.
KEY WORDS  Osteoarthritis  Acupuncture  Interleukin-1 beta  Tumor necrosis factor-alpha
 
引用本文,请按以下格式著录参考文献:
中文格式:王道海,包飞,吴志宏,孙华,张云祥.针刺对膝骨关节炎大鼠软骨白细胞介素-1β及肿瘤坏死因子-α表达的影响[J].中国骨伤,2011,24(9):775~778
英文格式:WANG Dao-hai,BAO Fei,WU Zhi-hong,SUN Hua,ZHANG Yun-xiang.Influence of acupuncture on IL-1β and TNF-α expression in the cartilage of rats with knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(9):775~778
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