BACKGROUND: Mornda root, radix paeoniae alba from Hangzhou of China, zhongjiefeng, szechwan lovage rhizome composed of Tougu Xiaotong granule can effectively improve the symptoms of knee osteoarthritis (KOA), but the mechanism of it remains unclear.
OBJECTIVE: To observe the effect of Tougu Xiaotong granule on primary knee osteoarthritis cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) expression.
METHODS: A total of 90 New Zealand White rabbits were randomly divided into 6 groups: normal group, model group, Tougu Xiaotong granule low-dosage group, Tougu Xiaotong granule midst-dose group, Tougu Xiaotong granule high-dose group, and Zhuangguguanjie pill group. In addition to the normal group, osteoarthritis model was established by improved Hulth method in the other groups. Tougu Xiaotong granule low-dosage group, Tougu Xiaotong granule midst-dose group, Tougu Xiaotong granule high-dose group, and Zhuangguguanjie pill group was based on modeling treated with containing 5, 10, 20 g Tougu Xiaotong granule or Zhuangguguanjie aqueous solution of 10 g pill at every day, respectively. After 4 weeks, the level of nitrogen monoxidum (NO), NOS, and prostaglandin E2 (PGE2) in rabbit synovial fluid, articular cartilage, iNOS and COX-2 in synovium tissue was detected.
RESULTS AND CONCLUSION: In the early stage of osteoarthritis, the level of NO, NOS, PGE2, and the expression of COX-2, iNOS in synovium and cartilage were higher than that in normal group. Tougu Xiaotong granule and Zhuangguguanjie pill can reduce the expression of NO, NOS, PGE2, and expression of COX-2 and iNOS in synovium and cartilage. Tougu Xiaotong granule midst-dose group and high-dose group have the most significant effects. It is indicated that Tougu Xiaotong granule can inhibit degradation of cartilage, release clinical symptoms to protect articular cartilage, prevent and cure osteoarthritis by COX-2 and iNOS expression.