Trott K R, Parker R, Seed M P
Department of Radiation Biology, St. Bartholomew's Medical College, London, UK.
Strahlenther Onkol. 1995 Sep;171(9):534-8.
We investigated the therapeutic efficacy of low doses of X-rays on different in-vivo models of monoarticular arthritis which have been developed for the investigation of anti-inflammatory drugs.
Zymosan or heat-inactivated mycobacterium tuberculosis was injected into 1 knee joint of Wistar rats to produce, via different pathogenetic mechanisms, an acute monoarticular arthritis. Five days later, the amount of joint swelling, bone destruction and cartilage catabolism were measured. Immediately after arthritis induction, the knees were irradiated with a single dose of 5 Gy or with 4 daily fractions of 1 Gy.
X-irradiation with daily doses of 1 Gy significantly reduced bone loss and cartilage degradation in Zymosan-induced arthritis and joint swelling in mycobacterium tuberculosis induced arthritis. However, a single high radiation dose significantly increased bone loss in mycobacterium tuberculosis induced arthritis.
These data confirm the hypothesis of an anti-inflammatory effect of low radiation doses which so far has been based only on clinical experience. By using an established model of monoarticular arthritis we have now the opportunity to study the mechanism of the anti-inflammatory radiation effect in comparison to that of anti-inflammatory drugs. This way, we hope to provide a scientific basis for the use of radiotherapy in various painful degenerative joint disorders.
我们研究了低剂量X射线对已用于抗炎药物研究的不同单关节关节炎体内模型的治疗效果。
将酵母聚糖或热灭活的结核分枝杆菌注射到Wistar大鼠的1个膝关节中,通过不同的致病机制产生急性单关节关节炎。5天后,测量关节肿胀、骨质破坏和软骨分解代谢的程度。在诱导关节炎后立即对膝关节进行单次5 Gy照射或每天4次每次1 Gy的照射。
每天1 Gy的X射线照射显著减少了酵母聚糖诱导的关节炎中的骨质流失和软骨降解,以及结核分枝杆菌诱导的关节炎中的关节肿胀。然而,单次高剂量辐射显著增加了结核分枝杆菌诱导的关节炎中的骨质流失。
这些数据证实了低辐射剂量具有抗炎作用这一假设,迄今为止该假设仅基于临床经验。通过使用已建立的单关节关节炎模型,我们现在有机会与抗炎药物相比研究抗炎辐射效应的机制。通过这种方式,我们希望为在各种疼痛性退行性关节疾病中使用放射治疗提供科学依据。