Chinese Journal of Tissue Engineering Research ›› 2022, Vol. 26 ›› Issue (20): 3178-3183.doi: 10.12307/2022.617

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Bushen Tiaogan Prescription containing serum in the treatment of osteoarthritis by promoting chondrocyte autophagy in rats

Fan Shuai1, Wu Chunfei1, Liang Zujian1, Xu Zhaohui2, Xie Pingjin2, Zhu Genfu1   

  1. 1Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong Province, China; 2Luohu District Hospital of Traditional Chinese Medicine, Shenzhen 518000, Guangdong Province, China
  • Received:2021-09-22 Accepted:2021-11-11 Online:2022-07-18 Published:2022-01-18
  • Contact: Zhu Genfu, MD, Associate chief physician, Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510240 Guangdong Province, China
  • About author:Fan Shuai, Master, Attending physician, Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510240 Guangdong Province, China
  • Supported by:
    Guangdong Provincial Natural Science Foundation, No. 2021A1515011469 (to LZJ); Guangdong Provincial Bureau of Traditional Chinese Medicine Research Projects, Nos. 20201171 (to FS) and 20211211 (to WCF); Research and Innovation Projects of the Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Nos. sy201701 and sy2018007 (both to FS); 2020 Basic Research Project of Shenzhen Science and Technology Innovation Committee, No. JCYJ20190812170815559 (to XPJ [project participant])

Abstract: BACKGROUND: Previous studies have found that Bushen Tiaogan Prescription has obvious clinical efficacy in the treatment of osteoarthritis, but there is a lack of research on its mechanism.
OBJECTIVE: To study the effect of Bushen Tiaogan Prescription containing serum on the autophagy of rat chondrocytes, and to explore its internal mechanism. 
METHODS: The third-generation rat chondrocytes subcultured were randomly divided into four groups: dimethyl sulfoxide (DMSO), 10 μg/L interleukin-1β (IL-1β), 10 μg/L IL-1β+10% Bushen Tiaogan Prescription medicated serum (BSTG), and 5 μmol/L rapamycin groups, and chondrocytes in each group were treated correspondingly for 24 hours. Dansylcadaverine staining was used to detect the expression of chondrocyte autophagosomes. Real-time fluorescence quantitative PCR was used to detect the expression of autophagy-related genes ATG5 and ATG7 mRNAs, and the expression levels of Beclin1, LC3A/B, phosphorylated protein kinase B (p-AKT), and phosphorylated mammalian target of rapamycin (p-mTOR) proteins were analyzed by western blot assay. 
RESULTS AND CONCLUSION: Compared with the DMSO group, the number of autophagosomes was significantly reduced in the IL-1β group. Compared with the DMSO group, the number of autophagosomes was significantly increased in the rapamycin group. Compared with the IL-1β group, the number autophagosomes was significantly increased in the 10 μg/L IL-1β+10% BSTG group. Compared with the DMSO group, the mRNA expressions of chondrocyte autophagy-related genes ATG5, ATG7 and the protein expressions of Beclin1 and LC3A/B-II/LC3A/B-I protein expression were significantly decreased in the IL-1β 
group (P < 0.05, P < 0.01, P < 0.01, P < 0.05), while the protein expressions of p-AKT and p-mTOR were significantly increased (P < 0.05, P < 0.05). Compared with the DMSO group, the mRNA expressions of ATG5 and ATG7 and the protein expressions of Beclin1 and LC3A/B-II/LC3A/B-I were significantly increased in the rapamycin group (P < 0.01, P < 0.05, P < 0.05, P < 0.05), while the protein expressions of p-AKT and p-mTOR were significantly decreased (P < 0.01, P < 0.01). Compared with the IL-1β group, the mRNA expressions of ATG5 and ATG7 the protein expressions of Beclin1 and LC3A/B-II/LC3A/B-I were significantly increased in the 10 μg/L IL-1β+10% BSTG group (P < 0.01, P < 0.01, P < 0.05, P < 0.01), while the protein expressions of p-AKT and p-mTOR were significantly decreased (P < 0.05, P < 0.05). To conclude, Bushen Tiaogan Prescription containing serum increases the autophagy ability of chondrocytes by inhibiting the AKT/mTOR signaling pathway in chondrocytes and alleviating the degeneration of articular cartilage, and thereby plays a role in the treatment of osteoarthritis.

Key words: autophagy, osteoarthritis, Bushen Tiaogan Prescription, articular cartilage, AKT/mTOR

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