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Effect of modified Shaogan Fuzi Decoction on the pathology of joint synovium and expression level of serum IL-2,IL-17A and TNF-α in rats with collagen induced arthritis
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DOI   10.11656/j.issn.1673-9043.2021.01.19
Key Words   modified Shaogan Fuzi Decoction;collagen-induced arthritis;inflammatory cytokines
Author NameAffiliationE-mail
ZHANG Yuting Beijing University of Chinese Medicine, Beijing 100029, China  
HOU Xiujuan Department of Rheumatology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China  
LIU Xiaoping Department of Rheumatology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China  
ZHU Yuelan Department of Rheumatology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China zhuyuelanting@163.com 
Abstract
    [Objective] To study the interventional effects of Modified Shaogan Fuzi Decoction on articular synovial pathology and serum IL-2,IL-17A and TNF-α in a rat model of collagen-induced arthritis (CIA),and to explore its mechanism of action.[Methods] Randomly divide 24 rats into normal group,model group,Tripterygium wilfordii group and Shaogan Fuzi Decoction group. Except for the normal group,the other groups used collagen emulsion multi-point intradermal injection to establish an arthritis animal model. After the model was established,gavage was performed separately:the model group was given gavage of 2 mL/(kg·d) of distilled water. The Tripterygium wilfordii group was given gavage of tripterygium wilfordii polyglycoside tablets 6.25 mg/(kg·d),and the Shaogan Fuzi Decoction group was gavaged with Modified Shaogan Fuzi Decoction 12.5 g/(kg·d),and HE staining was used to observe the pathological changes of the ankle joints and synovium in rats. Serum IL-2,IL-17A and TNF-α levels were determined by ELISA.[Results] HE found that Shaogan Fuzi Decoction can improve the inflammation of the joint synovium of the CIA model and inhibit the destruction of articular cartilage.Compared with the normal group,the IL-2 level of the model group increased (P<0.01). Compared with the model group,the IL-2 level of tripterygium wilfordii group and the The Shaogan Fuzi Decoction group decreased (P<0.01);The level of IL-17A in the model group was higher than that in the normal group (P<0.01). Compared with the model group,the IL-17A levels of Tripterygium wilfordii and Shaoganfuzi decoction group decreased (P<0.01);Compared with the normal group,the level of TNF-α in the model group increased (P<0.05). Compared with the model group,TNF-α in the Tripterygium wilfordii group had a downward trend,but there was no statistical difference (P>0.05). The TNF-α level in the Shaogan Fuzi Decoction group TNF-α level decreased (P<0.01),there was a statistical difference between Shaogan Fuzi Decoction group and Tripterygium wilfordii group (P<0.01).[Conclusion] Modified Shaogan Fuzi Decoction can improve the inflammation of the joint synovium of collagen-induced arthritis rats,inhibit the destruction of articular cartilage,and reduce the expression of IL-2,IL-17A and TNF-α in serum.

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