目的:观察艾灸是否通过调节膜联蛋白1的表达和干扰磷脂酶A2信号通路对类风湿关节炎(RA)有抗炎作用。
方法:30只雄性SD大鼠随机分为5组(每组6只):空白对照(CON)组,RA模型(RA)组,艾灸(MOX)组,膜联蛋白1慢病毒干预(RNAi-Anxa1)组,膜联蛋白1慢病毒干预+艾灸(RNAi-Anxa1+MOX)组。将RNAi-Anxa1和RNAi-Anxa1+MOX组中的大鼠用慢病毒载体介导的RNAi-Anxa1注射到大鼠足垫中。通过向RA中注射弗氏完全佐剂(FCA)建立实验性RA大鼠模型,MOX,RNAi-Anxa1和RNAi-Anxa1+MOX组。MOX和RNAi-Anxa1+MOX组大鼠接受艾灸治疗。建模后,使用艾灸“神舒(BL23)”和“足三里(ST36)”,每个点是5次,双边交替,一天一次,6次为一个疗程,休息一天的课程之间。共进行三个疗程。在实验第1、7、14、21和28天使用游标卡尺测量两个双侧垫厚度。使用Westernblot观察病变关节滑膜中cPLA2α信号传导的表达。采用苏木精-伊红(HE)染色观察大鼠踝关节滑膜的病理。白细胞介素(IL)-1β,IL-10,前列腺素E2(PGE2),使用酶联免疫吸附法检测白三烯B4(LTB4)。
结果:艾灸可提高RA大鼠的膜联蛋白1水平,减轻炎症反应。膜联蛋白1表达增加后,cPLA2α的磷酸化表达受到抑制,血清IL-1β水平,PGE2和LTB4下降,IL-10水平升高。在艾灸治疗RA大鼠后,膜联蛋白1慢病毒干预,血清IL-1β水平,PGE2、LTB4和IL-10几乎没有变化。
结论:艾灸增强了cPLA2α信号通路的负调控,增加滑膜膜联蛋白1的表达,抑制cPLA2α信号通路,间接抑制下游炎症因子的表达,起到了减少炎症的作用.
OBJECTIVE: To determine whether moxibustion had an anti-inflammatory effect on rheumatoid arthritis (RA) by regulating Annexin 1 expression and interfering with the phospholipaseA2 signaling pathway.
METHODS: Thirty male Sprague-Dawley rats were randomly categorized into five groups (six rats per group): blank control (CON) group, RA model (RA) group, moxibustion (MOX) group, Annexin 1 lentiviral intervention (RNAi-Anxa1) group, and Annexin 1 lentiviral intervention + moxibustion (RNAi-Anxa1 + MOX) group. The rats in the RNAi-Anxa1 and the RNAi-Anxa1 + MOX groups were injected with the lentiviral vector-mediated RNAi-Anxa1 into the rat foot pad. An experimental RA rat model was established by injecting Freund\'s complete adjuvant (FCA) into the RA, MOX, RNAi-Anxa1, and RNAi-Anxa1 + MOX groups. Rats in the MOX and RNAi-Anxa1 + MOX groups received moxibustion treatment. After modeling, using moxibustion \"Shenshu (BL23)\" and \"Zusanli (ST36)\", each point is 5 times, bilateral alternating, once a day, 6 times for a course of treatment, between the courses of rest for a one day. A total of three treatment courses were conducted. Both bilateral pad thicknesses were measured using Vernier calipers on experimental days 1, 7, 14, 21, and 28. The expression of cPLA2α signaling in the synovium of diseased joints was observed using Western blot. The pathology of the rat ankle synovium was observed using hematoxylin-eosin (HE) staining. Interleukin (IL)-1β, IL-10, prostaglandin E2 (PGE2), and leukotriene B4 (LTB4) were detected using enzyme-linked immunosorbent assay.
RESULTS: Moxibustion increased the levels of Annexin 1 and decreased the inflammatory response in rats with RA. After increasing the expression of Annexin 1, the phosphorylated expression of cPLA2α was inhibited, the serum levels of IL-1β, PGE2, and LTB4 decreased, and the level of IL-10 increased. In moxibustion treated RA rats after the Annexin 1 lentiviral intervention, the serum levels of IL-1β, PGE2, LTB4, and IL-10 were almost unchanged.
CONCLUSIONS: Moxibustion enhanced the negative regulation of the cPLA2α signaling pathway, increased the synovial Annexin 1 expression, inhibited the cPLA2α signaling pathway, indirectly inhibited the expression of downstream inflammatory factors, and played a role in reducing inflammation.