Department of Sports Medicine, National Center for Orthopaedics , Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai, 200233, China.
BMC Musculoskelet Disord. 2024 Jun 6;25(1):447. doi: 10.1186/s12891-024-07530-x.
Although various anti-inflammatory medicines are widely recommended for osteoarthritis (OA) treatment, no significantly clinical effect has been observed. This study aims to examine the effects of vitamin B6, a component that has been reported to be capable of alleviating inflammation and cell death in various diseases, on cartilage degeneration in OA.
Collagen-induced arthritis (CIA) mice model were established and the severity of OA in cartilage was determined using the Osteoarthritis Research Society International (OARSI) scoring system. The mRNA and protein levels of indicators associated with extracellular matrix (ECM) metabolism, apoptosis and inflammation were detected. The effect of vitamin B6 (VB6) on the mice were assessed using HE staining and masson staining. The apoptosis rate of cells was assessed using TdT-mediated dUTP nick end labeling.
Our results showed a trend of improved OARSI score in mice treated with VB6, which remarkably inhibited the hyaline cartilage thickness, chondrocyte disordering, and knees hypertrophy. Moreover, the VB6 supplementation reduced the protein expression of pro-apoptosis indicators, including Bax and cleaved caspase-3 and raised the expression level of anti-apoptosis marker Bcl-2. Importantly, VB6 improved ECM metabolism in both in vivo and in vitro experiments.
This study demonstrated that VB6 alleviates OA through regulating ECM metabolism, inflammation and apoptosis in chondrocytes and CIA mice. The findings in this study provide a theoretical basis for targeted therapy of OA, and further lay the theoretical foundation for studies of mechanisms of VB6 in treating OA.
尽管有多种抗炎药物被广泛推荐用于治疗骨关节炎(OA),但尚未观察到明显的临床效果。本研究旨在探讨维生素 B6 对 OA 软骨退变的影响。维生素 B6 是一种被报道能缓解多种疾病中的炎症和细胞死亡的成分。
建立胶原诱导性关节炎(CIA)小鼠模型,采用骨关节炎研究协会国际评分系统(OARSI)确定软骨 OA 的严重程度。检测与细胞外基质(ECM)代谢、细胞凋亡和炎症相关的指标的 mRNA 和蛋白水平。采用 HE 染色和 Masson 染色评估 VB6 对小鼠的作用。采用末端转移酶介导的 dUTP 缺口末端标记法评估细胞凋亡率。
我们的结果表明,VB6 治疗组的 OARSI 评分有改善趋势,显著抑制了透明软骨厚度、软骨细胞紊乱和膝关节肥大。此外,VB6 补充减少了促凋亡指标 Bax 和 cleaved caspase-3 的蛋白表达,并提高了抗凋亡标志物 Bcl-2 的表达水平。重要的是,VB6 在体内和体外实验中均改善了 ECM 代谢。
本研究表明 VB6 通过调节软骨细胞和 CIA 小鼠的 ECM 代谢、炎症和细胞凋亡来缓解 OA。本研究结果为 OA 的靶向治疗提供了理论依据,并为 VB6 治疗 OA 的机制研究奠定了理论基础。