Wang Zong-Bao, Wang Lian, Liu Qi-Qi, Yang Yong-Hui, Liu Pan, Li Si-Liang, Yao Chang-Feng
School ofRehabilitation Medicine,Anhui University of Chinese Medicine,Hefei 230038.
The Third Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031.
Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2022 Jan;38(1):41-46. doi: 10.12047/j.cjap.6204.2022.008.
To investigate the repair effect and JNK/NF-κB,SOX9 mechanisms of vibration exercise with different frequencies on articular cartilage in rats with early knee osteoarthritis. Forty-eight adult male SD rats were randomly divided into six groups(=8):model control group(MC),high frequency vibration group 1 (GP,60 Hz),high frequency vibration 2 group (GP,40 Hz),medium frequency vibration group (ZP,20 Hz),minor frequency group(DP,10 Hz)and normal control group(NC). Except for NC group,the rats in each group were made into early knee osteoarthritis model after six weeks of knee joint cavity injection of papain solution and 2% mixture l-cysteine on the 1,4 and 7 day. Each exercise group was subjected vibration to 40 minutes a day with amplitude of 2~5 mm and 5 days a week. Four weeks later, the articular cartilage of the lateral femoral condyle of the both back leg knee joints were detected by HE staining,serine O staining and Mankin scores for morphological observation. The expression levels of JNK,NF-κB p65 and Sox9 mRNA in articular cartilage of the medial femoral condyle were detected by RT-qPCR,and the protein expressions of JNK,NF-κB p65 and Sox9 were detected by Western blot. Compared with the NC group,the Mankin score in other groups was significantly higher (<0.01). Compared with the MC group,the Mankin score of each vibration group was significantly lower(<0.05),the mRNA and protein expressions of JNK and NF-κB p65 in each vibration training group were significantly lower (<0.01),the expressions of Sox9 mRNA and protein in vibration training group were increased significantly (<0.01). Compared with the higher frequency group,the Mankin score,the mRNA and protein expressions of JNK and NF-κB p65 of lower frequency group were significantly lower (<0.05 or <0.01). But the expressions of Sox9 mRNA and protein were significantly higher (< 0.05 or <0.01). Vibration exercise of different frequencies may present varying degrees of cartilage repair impact in rats with early knee osteoarthritis,and the cartilage repair by low-frequency vibration training is better than that by high-frequency vibration. This can be one of the mechanisms on controlling collagen synthesis by down-regulating JNK/NF-κB expression and increasing SOX9 activity of OA articular cartilage.
探讨不同频率振动训练对早期膝关节骨性关节炎大鼠关节软骨的修复作用及JNK/NF-κB、SOX9机制。将48只成年雄性SD大鼠随机分为6组(每组n = 8):模型对照组(MC)、高频振动1组(GP,60 Hz)、高频振动2组(GP,40 Hz)、中频振动组(ZP,20 Hz)、低频振动组(DP,10 Hz)和正常对照组(NC)。除NC组外,其余各组大鼠于第1、4、7天膝关节腔注射木瓜蛋白酶溶液和2% l-半胱氨酸混合液,6周后制成早期膝关节骨性关节炎模型。各运动组每天进行40分钟的振动训练,振幅为2~5 mm,每周5天。4周后,对双侧后肢膝关节外侧股骨髁的关节软骨进行HE染色、番红O染色及Mankin评分,进行形态学观察。采用RT-qPCR检测内侧股骨髁关节软骨中JNK、NF-κB p65和Sox9 mRNA的表达水平,采用Western blot检测JNK、NF-κB p65和Sox9的蛋白表达。与NC组比较,其他各组Mankin评分均显著升高(P<0.01)。与MC组比较,各振动组Mankin评分均显著降低(P<0.05),各振动训练组JNK和NF-κB p65的mRNA和蛋白表达均显著降低(P<0.01),振动训练组Sox9 mRNA和蛋白表达均显著升高(P<0.01)。与高频组比较,低频组Mankin评分、JNK和NF-κB p-65的mRNA和蛋白表达均显著降低(P<0.05或P<0.01),但Sox9 mRNA和蛋白表达均显著升高(P<0.05或P<0.01)。不同频率的振动训练对早期膝关节骨性关节炎大鼠关节软骨可能有不同程度的修复作用,低频振动训练对软骨的修复效果优于高频振动。其机制可能是通过下调JNK/NF-κB表达、增加OA关节软骨SOX9活性来调控胶原合成。