[1]温雅楠,赫吉铭,霍新慧,等.隔药饼灸对佐剂性关节炎大鼠滑膜组织相关蛋白表达的影响[J].陕西中医,2026,(2):147-153.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.001]
 WEN Yanan,HE Jiming,HUO Xinhui,et al.Effect of moxibustion with medicinal cake on expression of related proteins in synovial tissue of adjuvant arthritis rats[J].,2026,(2):147-153.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.001]
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隔药饼灸对佐剂性关节炎大鼠滑膜组织相关蛋白表达的影响

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年2期
页码:
147-153
栏目:
基础研究
出版日期:
2026-02-05

文章信息/Info

Title:
Effect of moxibustion with medicinal cake on expression of related proteins in synovial tissue of adjuvant arthritis rats
作者:
温雅楠1赫吉铭2霍新慧1兰永利1李雅萱1王晴1
(1.新疆医科大学中医学院,新疆 乌鲁木齐 830017;2.新疆医科大学第四临床医学院,新疆 乌鲁木齐 830000)
Author(s):
WEN Yanan1HE Jiming2HUO Xinhui1LAN Yongli1LI Yaxuan1WANG Qing1
(1.College of Traditional Chinese Medicine,Xinjiang Medical University,Urumqi 830017,China;2.Fourth Clinical Medical College of Xinjiang Medical University,Urumqi 830000,China)
关键词:
类风湿关节炎刺山柑隔药饼灸佐剂性关节炎炎症因子核因子E2相关因子2溶质载体家族7成员11谷胱甘肽过氧化物酶4
Keywords:
Rheumatoid arthritisCapparis spinosa cake-separated moxibustionAdjuvant arthritisInflammatory factorsNuclear factor erythroid 2-related factor 2Solute carrier family 7 member 11Glutathione peroxidase 4
分类号:
R 245
DOI:
DOI:10.3969/j.issn.1000-7369.2026.02.001
文献标志码:
A
摘要:
目的:观察新疆特色药材刺山柑隔药饼灸对佐剂性关节炎(AA)大鼠左后肢足跖炎症程度评分、足爪容积,血清肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平,以及滑膜组织核因子 E2 相关因子 2(Nrf2)、溶质载体家族 7 成员 11(SLC7A11)、谷胱甘肽过氧化物酶 4(GPX4)蛋白表达的影响,探究其对类风湿关节炎(RA)的作用机制。方法:32 只 SD 大鼠随机取 8 只为正常组,其余 24 只于左足跖注射完全弗氏佐剂(0.1 ml/只)建立AA模型。成模后将 24 只AA大鼠随机分为模型组、隔假药饼灸组、刺山柑隔药饼灸组,每组 8 只。干预组于双侧足三里穴施灸,每日 1 次,每穴 5 壮,连续10 d;模型组仅抓取固定。分别于造模后3 d、干预5、10 d后测量足跖炎症程度评分及足爪容积。干预结束后次日取材,采用酶联免疫吸附法(ELISA)检测血清炎症因子水平;苏木精-伊红染色观察组织病理变化;免疫组化法和蛋白质印迹法检测滑膜组织蛋白表达。结果:干预前,模型组较正常组足跖评分、足爪容积及血清炎症因子水平升高(均P<0.05);病理损伤严重,滑膜上述蛋白表达降低(均P<0.05)。干预后,模型组上述指标仍异常(均P<0.05);刺山柑隔药饼灸组较模型组足跖评分、足爪容积及血清炎症因子水平降低(均P<0.05);病理损伤改善,滑膜蛋白表达升高(均P<0.05)。结论:刺山柑隔药饼灸可降低AA大鼠血清炎症因子水平,上调滑膜 Nrf2、SLC7A11 及GPX4蛋白表达,减轻关节炎症及软骨病理损伤,通过调节氧化应激途径治疗RA,为RA提供了中医外治方案。
Abstract:
Objective:The effects of Xinjiang characteristic medicinal herb,Zanthoxylum bungeanum,interposed medicinal cake moxibustion on the degree of inflammation in the left hind paw plantar of adjuvant arthritis (AA) rats,paw volume,serum levels of tumor necrosis factor-α (TNF-α),interleukin-1β (IL-1β),and interleukin-6 (IL-6),as well as the protein expression of nuclear factor erythroid 2-related factor 2 (Nrf2),solute carrier family 7 member 11 (SLC7A11),and glutathione peroxidase 4 (GPX4) in the synovial tissue were observed to explore its mechanism of action on rheumatoid arthritis (RA).Methods:32 SD rats were randomly divided into a normal group (8 rats) and an AA model group (24 rats).The AA model was established by injecting complete Freund’s adjuvant (0.1 ml/rat) into the left hind paw plantar of the rats.After modeling,the 24 AA rats were randomly divided into model group,sham moxibustion group,and Zanthoxylum bungeanum interposed medicinal cake moxibustion group,with 8 rats in each group.The intervention groups received moxibustion at bilateral Zusanli acupoints once a day,5 moxa cones per point,for 10 consecutive days;the model group was only grasped and fixed.The degree of inflammation in the paw plantar and paw volume were measured at 3 days after modeling and 5 and 10 days after intervention.The rats were sacrificed the day after the intervention,and the serum levels of inflammatory factors were detected by enzyme-linked immunosorbent assay.Hematoxylin-eosin staining was used to observe the histopathological changes.The protein expression in the synovial tissue was detected by immunohistochemistry and Western blot.Results:Before intervention,the paw plantar score,paw volume,and serum inflammatory factor levels in the model group were higher than those in the normal group (all P<0.05).The pathological damage was severe,and the expression of the above proteins in the synovial tissue was decreased (all P<0.05).After intervention,the above indicators in the model group remained abnormal (all P<0.05).The paw plantar score,paw volume,and serum inflammatory factor levels in the Zanthoxylum bungeanum interposed medicinal cake moxibustion group were lower than those in the model group (all P<0.05).The pathological damage was improved,and the protein expression in the synovial tissue was increased (all P<0.05).Conclusion:Zanthoxylum bungeanum interposed medicinal cake moxibustion can reduce the serum inflammatory factor levels in AA rats,up-regulate the expression of Nrf2,SLC7A11,and GPX4 proteins in the synovial tissue,alleviate joint inflammation and cartilage pathological damage,and treat RA by regulating the oxidative stress pathway,providing a traditional Chinese medicine external treatment option for RA.

参考文献/References:

[1]MASOUMI M,SOLAYMANI M,ABBASIFARD M,et al.The genetic puzzle of rheumatoid arthritis:Causes progression and treatment[J].Biochemistry and Biophysics Reports,2025,43:102148.
[2]VAN DEN HOEK J,BOSHUIZEN H C,ROORDA L D,et al.Mortality in patients with rheumatoid arthritis:A 15-year prospective cohort study[J].Rheumatol Int,2017,37(4):487-493.
[3]姜泉,王海隆,巩勋,等.类风湿关节炎病证结合诊疗指南[J].中医杂志,2018,59(20):1794-1800.
[4]周旻庆,武平,李媛,等.艾灸对类风湿关节炎患者的抗炎镇痛作用观察[J].辽宁中医杂志,2019,46(4):832-835,895.
[5]何娅娜,陈新宇,罗云涛,等.加味桂枝附子汤联合艾灸治疗类风湿关节炎疗效研究[J].陕西中医,2023,44(11):1562-1565.
[6]张敏,赵晨,蒋玲,等.艾灸联合西药治疗肝肾亏虚型类风湿关节炎临床疗效及机制探讨[J].中国针灸,2021,41(5):489-492,524.
[7]霍新慧,李盼,党欢,等.刺山柑结合艾灸对类风湿性关节炎大鼠血清IFN-γ/IL-4的影响[J].辽宁中医杂志,2020,47(4):183-186.
[8]江苏新医学院.中药大辞典[M].上海:上海科学技术出版社,1977:843.
[9]KERNOUF N,BOURICHE H,KADA S,et al.Anti-inflammatory and immuno-modulatory effects of capparis spinosa flower bud extract[J].Annual Research & Review in Biology,2018,25:1-11.
[10]梁雪,丁焕章,薛倩,等.参芪补中方通过Nrf2/SLC7A11/GPX4信号通路调控铁死亡改善COPD大鼠炎症的研究[J].时珍国医国药,2025,36(19):3607-3614.
[11]陈婷,苏建玲,陈哲,等.中医药调控铁死亡System Xc-/GSH/GPX4轴治疗类风湿关节炎研究进展[J].陕西中医,2025,46(11):1577-1580,1585.
[12]田岳凤,熊罗节,王慧芳,等.隔药饼灸对免疫抑制大鼠SLAM、PVRL2甲基化及4-1BB调控的影响[J].中华中医药学刊,2025,43(1):5-10,259-263.
[13]田岳凤,熊罗节,王慧芳,等.隔药饼灸调节大鼠免疫抑制机制的转录组测序分析[J].中国组织工程研究,2025,29(5):978-988.
[14]王俊伟,耿兴超,李伟.类风湿性关节炎实验模型研究进展[J].中国实验动物学报,2025,33(1):127-140.
[15]张浩敏,赵培源,张信昕,等.金刚刺地龙汤对弗氏佐剂诱导类风湿关节炎大鼠的影响[J].现代中西医结合杂志,2023,32(22):3121-3125,3177.
[16]丁霞,昂沙尔·毕哈孜,霍新慧.刺山柑对类风湿关节炎大鼠滑膜组织自噬相关蛋白表达的影响[J].世界中医药,2023,18(2):191-194,199.
[17]中国针灸学会.实验动物常用穴位名称与定位第2部分:大鼠[J].世界针灸杂志(英文版),2025,35(2):163-165.
[18]霍新慧,王延蛟,李盼,等.刺山柑果风湿止痛贴对类风湿关节炎大鼠滑膜组织MMP-9表达的影响[J].上海中医药杂志,2020,54(1):80-83.
[19]张旭明,李浩林,杨天宁,等.温法在类风湿关节炎中的运用探析[J].风湿病与关节炎,2023,12(10):39-42,65.
[20]张丹,刘佳,何东仪,等.中医外治法在类风湿关节炎中的研究进展[J].陕西中医,2024,45(11):1582-1585.
[21]买买提江·吐尔逊,艾沙江·阿不都沙拉木,阿曼古丽·依马木山.刺山柑在吐鲁番地区维吾尔族民间药用价值研究[J].云南民族大学学报(自然科学版),2015,24(2):156-159.
[22]金渭荃.基于网络药理学与分子对接研究刺山柑果实提取物对类风湿性关节炎的作用机制[D].乌鲁木齐:新疆农业大学,2022.
[23]柯义兵,丁永宏,阿布都克热木·达吾提,等.类风湿关节炎滑膜细胞增生及炎症发生发展相关信号通路[J].中国老年学杂志,2025,45(13):3292-3297.
[24]SAHA S.An overview of therapeutic targeting of Nrf2 signaling pathway in rheumatoid arthritis[J].ACS Omega,2024,9(9):10049-10057.
[25]康聪,杨光,王芳,等.牛膝多糖调控转移相关蛋白1/核因子-κB通路对类风湿关节炎大鼠踝关节破坏的影响实验研究[J].陕西医学杂志,2024,53(12):1624-1628,1639.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(81860890)
更新日期/Last Update: 2026-02-09