期刊文献+

加味四妙散对膝骨关节炎患者MMPs-1、TIMPs-1的影响 被引量:2

CLINICAL STUDY ON EFFECTS OF JIAWEI SIMIAO POWDER ON PLASMA MMPS-1 AND TIMPs-1 CHANGES OF PATIENTS WITH OSTEOARTHRITIS OF KNEE
暂未订购
导出
摘要 目的:通过观察治疗前后基质金属蛋白酶及其抑制剂的变化,探讨加味四妙散防治膝骨关节炎的可能机制。方法:60例膝骨关节炎患者,予加味四妙散免煎颗粒剂干预8周,应用ELISA技术、Real-time PCR技术检测治疗前后基质金属蛋白酶(MMPs-1)及其抑制剂(TIMPs-1)的变化。结果:治疗前,KOA患者MMPs-1含量及其mRNA变化呈上升趋势,TIMPs-1含量及其mRNA变化呈下降趋势;经予加味四妙散干预8周后,MMPs-1含量及其mRNA变化呈下降趋势,较治疗前比较有统计学差异(P<0.05);但是治疗后TIMPs-1含量及其mRNA变化与治疗前比较,无统计学差异(P>0.05)。结论:加味四妙散可能通过下调MMPs-1表达,发挥缓解膝骨关节炎症状的效用。 Objective:To explore the mechanism of jiawei simiao powder on knee osteoarthritis by observing the changes of matrix metalloproteinase 1(MMPs-1) and matrix metalloproteinase inhibitor 1(TIMPs-1) before and after treatment.Methods:60 cases with knee osteoarthritis were treated with jiawei simiao powder for 8 weeks,the contents of serum MMPs-1 and TIMPs-1 before and after treatment were determined by ELISA and MMPs-1 mRNA and TIMPs-1 mRNA were determined by Real time PCR.Results:MMPs-1 content and its mRNA expression were increased and TIMPs-1 content and mRNA expression were decreased in patients with knee osteoarthritis,MMPs-1 content and its mRNA expression were obviously reduced after treated with jiawei simiao powder for 8 weeks,there was significant difference between before and after treatment(P < 0.05),but the changes of TIMPs-1 content and mRNA expression were not obviously after treated with jiawei simiao powder for 8 weeks,there was no significant difference before and after treatment.(P > 0.05) .Conclusion:Jiawei simiao powder could ease the symptoms of knee osteoarthritis patients by down regulating MMPs-1 expression.
出处 《中国中医药科技》 CAS 2013年第4期336-337,327,共2页 Chinese Journal of Traditional Medical Science and Technology
  • 相关文献

参考文献9

  • 1Hegedus B, Viharos L, Gervain M, et al. The effect of low- level laser in knee osteoarthritis: a double - blind, randomized, placebo -controlled trial. Photomed Laser Surg ,2009, 27 (4) :577 .
  • 2Richmond J, Hunter D ,Irrgang J,et al. American academy of ortho- paedic surgeons clinical practice guideline on the treatment of oste- oarthritis(OA) of the knee. J Bone Joint Surg Am,2010,92(4) : 990.
  • 3林剑,刘铮,王胜.加味四妙散防治膝骨关节炎的疗效观察[J].中国中医药科技,2013,20(1):70-71. 被引量:7
  • 4Koskinen A, Vuolteenaho K, Nieminen R, et al. Enhances MMP - 1 ,MMP-3 and MMP- 13 production in human esteoarthfitic car- tilage and correlates with MMP - 1 and MMP - 3 in synovial fluid from OA patients. Clln Exp Rheumatol,2011,29( 1 ) :57 .
  • 5骨关节炎诊治指南(2007年版)[J].中华骨科杂志,2007,27(10):793-796. 被引量:2029
  • 6Chan BY, Fuller ES, Rnssell AK, et al. Increased chondrecyte sclerostin may protect against cartilage degradation in osteoarthrl- tis. Osteoarthritis Cartilage, 2011,19 ( 7 ) : 874.
  • 7Woodell - May J, Matuska A, Oyster M, et aL Autologous protein solution inhibits MMP - 13 production by IL - 1 and TNFct - stimulated human articular chondroeytes. J Orthop Res, 2011,29 (9) :1320.
  • 8Attur M, Belitskaya - Ivy I, Oh C, et al. Increased interleukin - 19 gene expression in peripheral blood leukocytes is associated with increased pain and predicts risk for progression of symptomat- ic knee osteoarthritis. Arthritis Rheum ,2011,63 (7) :1908.
  • 9Shen PC ,Shiau AL,Jou IM,et aL Inhibition of cartilage damage by pro - opiomelanocortin prohormone overexprossion in a rat model of osteoarthfitis. Exp Biol Med(Maywood) ,2011,236(3 ) :334.

二级参考文献30

  • 1Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis Rheum, 2000, 43: 1905-1915.
  • 2Schnitzer TJ, American College of Rheumatology. Update of ACR guidelines for osteoarthritis: role of the coxibs. J Pain Symptom Manage, 2002, 23(4 Suppl): S24-34.
  • 3Hochberg MC, Ahman RD, Brandt KD, et al. Guidelines for the medical management of osteoarthritis. Part Ⅱ. Osteoarthritis of the knee. American College of Rheumatology. Arthritis Rheum, 1995, 38:1541-1546.
  • 4Hochberg MC, Ahman RD, Brandt KD, et al. Guidelines for the medical management of osteoarthritis. Part Ⅰ. Osteoarthritis of the hip. American College of Rheumatology. Arthritis Rheum, 1995, 38: 1535-1540.
  • 5Simon LS, Lipman AG, Jacox AK, eds. Pain in osteoarthritis, rheumatoid arthritis and juvenile chronic arthritis. 2nd ed. Glenview (IL): American Pain Society (APS), 2002. 179.
  • 6Zhang W, Doherty M, Leeb BF, et al. EULAR evidence based recommendations for the management of hand osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis, 2007, 66: 377-388.
  • 7Zhang W, Doherty M. EULAR recommendations for knee and hip osteoarthritis: a critique of the methodology. Br J Sports Med, 2006, 40: 664-669.
  • 8Pendleton A, Arden N, Dougados M, et al. EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis, 2000, 59: 936-944.
  • 9Zhang W, Doherty M, Arden N, et al. EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis, 2005, 64: 669-681.
  • 10Chevalier X, Marre JP, de Butler J, et al. Questionnaire survey of management and prescription of general practitioners in knee osteoarthritis: a comparison with 2000 EULAR recommendations. Clin Exp Rheumatol, 2004, 22: 205-212.

共引文献2033

同被引文献54

  • 1王国金,卫小春,张志强,纪斌平,毕树雄,刘巧玲.血清和关节液中基质金属蛋白酶-3及其抑制因子-1的检测及临床意义[J].中华风湿病学杂志,2006,10(5):311-313. 被引量:20
  • 2王玉彬,陈安民,郭风劲,夏玉军.基质金属蛋白酶家族在骨关节炎软骨组织中表达的研究[J].中国矫形外科杂志,2007,15(11):853-855. 被引量:34
  • 3Wil ian Hunter. Of the structure and disease of the articular cartilage[J].{H}Clinical Orthopaedics,2006,(03):317.
  • 4Mort JS Bil ington CJ. Articular cartilage and changes in arthritis matrix degradation[J].{H}Arthritis Research,2001.337-341.
  • 5Shiozawa S,Tsumiyama K. Pathogenesis of rheumatoid arthritis and c-Fos/AP-1[J].cellCycle,2009,(10):1539-1543.
  • 6Scarpel ini M,Lurati A,Vignati G. Biomarkers,type II col agen,glucosamine and chondroitin sulfate in osteoarthritis fol ow-up:the Magenta osteoarthritis study[J].{H}JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY,2008,(02):81-87.
  • 7Stanton H,Rogerson FM,East CJ. ADAMTS5 is the major aggrecanase in mouse cartilage in vivo and in vitro[J].Nature,2005.648-652.
  • 8Green DM,Noble PC,BocellJR Jr. Effect of early ful weight-bearing after joint injury on inflammation and cartilage degradation[J].{H}Journal of Bone and Joint Surgery-American Volume,2006.2201-2209.
  • 9Takahashi M,Naito K,Abe M. Relationship between radiographic grading of osteoarthritis and the biochemical markers for arthritis in knee osteoarthritis[J].Arthritis Res Ther,2004.R208-R212.
  • 10Little CB,Barai A,Burkhardt D. Matrix metal oproteinase 13-deficient mice are resistant to osteoarthritic cartilage erosion but not chondrocyte hypertrophy or osteophyte development[J].{H}ARTHRITIS AND RHEUMATISM,2009.3723-3733.

引证文献2

二级引证文献25

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部