PMID- 36858416 OWN - NLM STAT- MEDLINE DCOM- 20230303 LR - 20230303 IS - 1000-0607 (Print) IS - 1000-0607 (Linking) VI - 48 IP - 2 DP - 2023 Feb 25 TI - [Effects of different acupuncture and moxibustion methods on articular cartilage morphology and NF-kappaB p65/NLRP3 pathway in rats with knee osteoarthritis]. PG - 185-91 LID - 10.13702/j.1000-0607.20220246 [doi] AB - OBJECTIVE: To compare the effects of filiform needling, electroacupuncture (EA) and moxibustion on articular cartilage morphology and nuclear transcription factor-kappaB (NF-kappaB) p65/ Nod-like receptor protein 3 (NLRP3) pathway in rats with knee osteoarthritis (KOA). METHODS: Wistar rats were randomly divided into blank control, model, filiform needling, EA and moxibustion groups, with 8 rats in each group. The KOA model was established by injecting sodium iodoacetate into the right knee cavity. Filiform needling, EA and moxibustion groups were treated with the right side of "Dubi" (ST35) and "Neixiyan" (EX-LE5), and were given filiform needling, EA and mild moxibustion therapies for 15 min respectively, once every other day, for a total of 4 weeks. The diameter of the right knee joint was observed. The ultrastructure of knee chondrocytes was observed by transmission electron microscope. The contents of serum tumor necrosis factor-alpha (TNF-alpha), interleukin (IL)-1beta and IL-18 were determined by ELISA. The expression levels of NF-kappaB p65, NLRP3, apoptosis-related speckle like protein (ASC) and TNF-alpha in knee cartilage were dectected by Western blot. RESULTS: Compared with the blank control group, the right knee joint cavity was narrowed, chondrocytes were constricted significantly, mitochondria were moderately swollen, the diameter of the right knee was increased, and the contents of serum TNF-alpha, IL-1beta and IL-18 were increased (P<0.01), the expressions of NF-kappaB p65, NLRP3 and TNF-alpha in knee cartilage were increased (P<0.01) while the expression of ASC was decreased (P<0.01) in the model group.Compared with model group, the narrowed knee joint cavity and chondrocyte injury were improved, knee diameter decreased (P<0.01, P<0.05), and the content of serum TNF-alpha and the expression of NLRP3 in knee cartilage were decreased (P<0.05, P<0.01) in 3 treatment groups; the contents of serum IL-1beta and IL-18, and the expression of TNF-alpha in knee cartilage were decreased (P<0.01, P<0.05), while the expression of ASC in knee cartilage was increased (P<0.01) in EA and moxibustion groups; the expression of NF-kappaB p65 in knee cartilage was decreased (P<0.01) in moxibustion group. Compared with EA group, the content of serum IL-18 was decreased (P<0.05) in moxibustion group. CONCLUSION: Filiform needling, EA and moxibustion can all reduce the formation of knee osteophytosis in KOA rats, alleviate joint cavity narrowing, improve the ultrastructure of articular cartilage, reduce the level of inflammatory factors, regulate the NF-kappaB p65/NLRP3 pathway. Moxibustion has the most obvious regulatory effect among the 3 treatment methods. FAU - Zhang, Xiao-Qin AU - Zhang XQ AD - Institute of Acupuncture Moxibustion and Tuina, Hebei University of Chinese Medicine, Shijiazhuang 050200, China. FAU - Li, Qing AU - Li Q AD - Hebei Key Laboratory of Acupuncture and Moxibustion Specificity Effects, Shijiazhuang 050091. FAU - Xue, Ping-Ju AU - Xue PJ AD - Institute of Acupuncture Moxibustion and Tuina, Hebei University of Chinese Medicine, Shijiazhuang 050200, China. FAU - Jia, Ye-Juan AU - Jia YJ AD - Institute of Acupuncture Moxibustion and Tuina, Hebei University of Chinese Medicine, Shijiazhuang 050200, China. FAU - Xing, Hai-Jiao AU - Xing HJ AD - Hebei Key Laboratory of Acupuncture and Moxibustion Specificity Effects, Shijiazhuang 050091. FAU - Xu, Jing AU - Xu J AD - Institute of Acupuncture Moxibustion and Tuina, Hebei University of Chinese Medicine, Shijiazhuang 050200, China. LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhen Ci Yan Jiu JT - Zhen ci yan jiu = Acupuncture research JID - 8507710 RN - 0 (NF-kappa B) RN - 0 (Interleukin-18) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Nlrp3 protein, rat) SB - IM MH - Rats MH - Animals MH - *Moxibustion MH - *Cartilage, Articular MH - *Osteoarthritis, Knee MH - NF-kappa B MH - Interleukin-18 MH - NLR Family, Pyrin Domain-Containing 3 Protein MH - Tumor Necrosis Factor-alpha MH - Rats, Wistar MH - *Acupuncture Therapy OTO - NOTNLM OT - Electroacupuncture OT - Filiform needling OT - Inflammatory factor OT - Knee osteoarthritis OT - Moxibustion OT - Nuclear transcription factor-kappaB p65/Nod-like receptor protein 3 pathway EDAT- 2023/03/02 06:00 MHDA- 2023/03/04 06:00 CRDT- 2023/03/01 20:25 PHST- 2023/03/01 20:25 [entrez] PHST- 2023/03/02 06:00 [pubmed] PHST- 2023/03/04 06:00 [medline] AID - 10.13702/j.1000-0607.20220246 [doi] PST - ppublish SO - Zhen Ci Yan Jiu. 2023 Feb 25;48(2):185-91. doi: 10.13702/j.1000-0607.20220246.