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生长板上部区域和独特的软骨基质相关蛋白与透明质酸和皮质类固醇对实验性大鼠骨关节炎模型的保护作用比较。

Comparison of the protective effect of the upper zone of the growth plate and unique cartilage matrix-associated protein with hyaluronic acid and corticosteroids on an experimental rat osteoarthritis model.

作者信息

Gökdemir Cemil Emre, Okuyan Hamza Malik, Karaboğa İhsan, Terzi Menderes Yusuf, Kalacı Aydıner

机构信息

Department of Orthopedics and Traumatology, Hatay Training and Research Hospital, Hatay, Türkiye.

Department of Pysiotherapy and Rehabilitation, Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Türkiye.

出版信息

Arch Rheumatol. 2024 Feb 1;39(1):81-88. doi: 10.46497/ArchRheumatol.2024.10066. eCollection 2024 Mar.

Abstract

OBJECTIVES

This study sought to compare the protective effect of the upper zone of the growth plate and unique cartilage matrix-associated protein (UCMA) with hyaluronic acid (HA) and corticosteroids (CS) in a rat model of osteoarthritis (OA).

MATERIALS AND METHODS

In the experimental animal study, 40 adult male rats were randomly assigned into five groups: control, monosodium iodoacetate (MIA) + vehicle (MIA+V), MIA+HA, MIA+CS, and MIA+UCMA. The OA model was induced by an intra-articular MIA injection to the right knee, and intra-articular injections into the right knee were performed on the treatment groups seven times every three days for 21 days. The knee joints were taken for histopathology and immunohistochemistry (IHC) analyses after the rats were sacrificed. All sections were stained with hematoxylin-eosin, safranin O and fast green FCF, and toluidine blue, and bone morphogenetic protein 2 (BMP-2) and nuclear factor-kappa B (NF-κB) expressions were analyzed with IHC. The Mankin scoring was utilized to determine the histopathological changes in the joint tissues.

RESULTS

Mankin score was significantly higher in the MIA group compared to the control group. Histopathologically, in the UCMA-, HA-, and CS-treated groups, degenerations in the articular cartilage were milder than in the MIA+V group. Mankin score was found to be decreased significantly in the UCMA-, HA-, and CS-treated groups compared to the MIA group. Furthermore, IHC analyses revealed that NF-κB and BMP-2 expressions elevated in the MIA-induced OA model, while they were downregulated after UCMA, HA, and CS treatments.

CONCLUSION

Our data revealed that UCMA could be used as a potential protective molecule in the prevention and treatment of OA. Furthermore, the protective effect of UCMA was similar to HA and CS, and its possible beneficial roles against OA may be linked to the reduced BMP-2 and NF-κB levels. Further experimental research would make significant contributions to a better understanding of the therapeutic effect of UCMA on degenerative cartilage tissues.

摘要

目的

本研究旨在比较生长板上部区域和独特软骨基质相关蛋白(UCMA)与透明质酸(HA)及皮质类固醇(CS)在大鼠骨关节炎(OA)模型中的保护作用。

材料与方法

在实验动物研究中,40只成年雄性大鼠被随机分为五组:对照组、碘乙酸钠(MIA)+赋形剂组(MIA+V)、MIA+HA组、MIA+CS组和MIA+UCMA组。通过向右侧膝关节腔内注射MIA诱导OA模型,治疗组每三天向右侧膝关节腔内注射一次,共注射七次,持续21天。大鼠处死后,取膝关节进行组织病理学和免疫组织化学(IHC)分析。所有切片用苏木精-伊红、番红O和固绿FCF以及甲苯胺蓝染色,并用IHC分析骨形态发生蛋白2(BMP-2)和核因子-κB(NF-κB)的表达。采用Mankin评分来确定关节组织的组织病理学变化。

结果

与对照组相比,MIA组的Mankin评分显著更高。组织病理学上,在UCMA、HA和CS治疗组中,关节软骨的退变比MIA+V组更轻。与MIA组相比,UCMA、HA和CS治疗组的Mankin评分显著降低。此外,IHC分析显示,在MIA诱导的OA模型中NF-κB和BMP-2表达升高,而在UCMA、HA和CS治疗后它们被下调。

结论

我们的数据表明,UCMA可作为预防和治疗OA的潜在保护分子。此外,UCMA的保护作用与HA和CS相似,其对OA可能的有益作用可能与降低BMP-2和NF-κB水平有关。进一步的实验研究将有助于更好地理解UCMA对退行性软骨组织的治疗作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a765/11104746/04575cdd42f7/AR-2024-39-1-081-088-F1.jpg

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