PMID- 30656598 OWN - NLM STAT- MEDLINE DCOM- 20200317 LR - 20200317 IS - 1993-0402 (Electronic) IS - 1672-0415 (Linking) VI - 25 IP - 9 DP - 2019 Sep TI - Electroacupuncture Delays Cartilage Degeneration by Modulating Nuclear Factor-kappaB Signaling Pathway. PG - 677-683 LID - 10.1007/s11655-018-2916-8 [doi] AB - OBJECTIVE: To illustrate the molecular mechanisms underlying the therapeutic effects of electroacupuncture (EA) on knee osteoarthritis (OA). METHODS: Twenty-seven six-month-old New Zealand white rabbits were allocated into three groups in accordance with a random number table: normal group (no surgery-induced OA; without treatment), model group (surgery-induced OA; without treatment) and EA group [surgery-induced OA; received treatment with EA at acupoints Dubi (ST 35) and Neixiyan (EX-LE 5), 30 min twice a day]. After eight consecutive weeks of treatment, the histopathological alterations in cartilage were observed using optical microscopy and transmission electron microscopy, cartilage degeneration was evaluated by modified Mankin's score principles, the synovial fluid concentration of interleukin-1beta (IL-1beta), interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha) and matrix metalloproteinase-3 (MMP-3) were evaluated by enzyme-linked immunosorbent assay, and the protein expression levels of IL-1beta, IL-6, TNF-alpha, MMP-3, IkappaB kinase-beta (IKK-beta), nuclear factor of alpha light polypeptide gene enhancer in B-cells inhibitor alpha (IkappaB-alpha) and nuclear factor-kappaB (NF-kappaB) p65 were quantified by Western blot analysis. RESULTS: EA treatment significantly improved cartilage structure arrangement and reduced cellular degeneration. The IL-1beta, IL-6, TNF-alpha and MMP-3 of synovial fluid in the EA-treated group were significantly decreased compared with the model group (all P<0.01). Compared with the model group, the IL-1beta, IL-6, TNF-alpha, MMP-3, IKK-beta and NF-kappaB p65 protein expressions in cartilage of EA-treated group were significantly decreased (all P<0.01), whereas IkappaB-alpha expression was significantly up-regulated (P<0.01). CONCLUSION: EA treatment may delay cartilage degeneration by down-regulating inflammatory factors through NF-kappaB signaling pathway, which may, in part, explain its clinical efficacy in the treatment of knee OA. FAU - Wu, Guang-Wen AU - Wu GW AD - Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. FAU - Chen, Jun AU - Chen J AD - Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. FAU - Huang, Yun-Mei AU - Huang YM AD - Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. FAU - Pan, Cai-Bin AU - Pan CB AD - Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. FAU - Chen, Wen-Lie AU - Chen WL AD - Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. FAU - Zhang, Shi-Mao AU - Zhang SM AD - Fujian Xiangxing Electronic Technology Co., Ltd., Ningde, Fujian Province, 352300, China. FAU - Lin, Wei AU - Lin W AD - Fujian Provincial Key Laboratory of Integrative Medicine on Geriatrics, Fuzhou, 350122, China. FAU - Liu, Xian-Xiang AU - Liu XX AD - Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. FAU - Wu, Ming-Xia AU - Wu MX AD - Department of Acupuncture, Second Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350003, China. wumingxiafz@163.com. LA - eng PT - Journal Article DEP - 20190117 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (NF-kappa B) RN - 0 (Transcription Factor RelA) RN - 0 (Tumor Necrosis Factor-alpha) RN - 139874-52-5 (NF-KappaB Inhibitor alpha) RN - EC 2.7.11.10 (I-kappa B Kinase) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Animals MH - Cartilage, Articular/*pathology MH - Chondrocytes/pathology/ultrastructure MH - *Electroacupuncture MH - I-kappa B Kinase/metabolism MH - Interleukin-1beta/metabolism MH - Interleukin-6/metabolism MH - Male MH - Matrix Metalloproteinase 3/metabolism MH - NF-KappaB Inhibitor alpha/metabolism MH - NF-kappa B/*metabolism MH - Rabbits MH - *Signal Transduction MH - Synovial Fluid/metabolism MH - Transcription Factor RelA/metabolism MH - Tumor Necrosis Factor-alpha/metabolism OTO - NOTNLM OT - cartilage OT - cytokines OT - electroacupuncture OT - nuclear factor-kappaB signaling pathway OT - osteoarthritis OT - synovial fluid EDAT- 2019/01/19 06:00 MHDA- 2020/03/18 06:00 CRDT- 2019/01/19 06:00 PHST- 2018/06/06 00:00 [accepted] PHST- 2019/01/19 06:00 [pubmed] PHST- 2020/03/18 06:00 [medline] PHST- 2019/01/19 06:00 [entrez] AID - 10.1007/s11655-018-2916-8 [pii] AID - 10.1007/s11655-018-2916-8 [doi] PST - ppublish SO - Chin J Integr Med. 2019 Sep;25(9):677-683. doi: 10.1007/s11655-018-2916-8. Epub 2019 Jan 17.