Article(id=1304140196858065069, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304140186485543391, articleNumber=null, orderNo=null, doi=10.7501/j.issn.0253-2670.2026.03.017, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1762444800000, receivedDateStr=2025-11-07, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1788860852684, onlineDateStr=2026-09-08, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1788860852684, onlineIssueDateStr=2026-09-08, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1788860852684, creator=13701087609, updateTime=1788860852684, updator=13701087609, issue=Issue{id=1304140186485543391, tenantId=1146029695717560320, journalId=1302319053441957962, year='2026', volume='57', issue='3', pageStart='789', pageEnd='1208', issueExtLink='null', onlineDate='null', pubDate='1770825600000', pubDateStr='2026-02-12', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1788860850211, creator='13701087609', updateTime=1788860942564, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1304140573955351430, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304140186485543391, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1304140573955351431, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304140186485543391, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=990, endPage=1000, ext={EN=ArticleExt(id=1304140197206192303, articleId=1304140196858065069, tenantId=1146029695717560320, journalId=1302319053441957962, language=EN, title=Mechanism of Wutou Decoction in treatment of knee osteoarthritis based on Ihh-Gli signaling pathway, columnId=null, journalTitle=Chinese Traditional and Herbal Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=Objective To explore the mechanism of Wutou Decoction (乌头汤) in treating knee osteoarthritis (KOA) by regulating Indian hedgehog factor (Ihh)-glioma associated oncogene homolog (Gli) signaling pathway. Methods Male SD rats were randomly divided into sham group, model group, celecoxib (24 mg/kg) group, Wutou Decoction low-, medium-, and high-dose (1.05, 2.10, 4.20 g/kg) groups, with 10 rats in each group. The improved anterior cruciate ligament resection technique was used to establish a KOA model, after eight weeks of drug intervention, mechanical pain threshold, thermal pain threshold and climbing ability were measured. ELISA was used to detect the levels of matrix metalloproteinase-3 (MMP-3), MMP-13 and type II collagen (Col II) in serum. The morphological changes of knee joint were observed by hematoxylin-eosin (HE) staining. Micro computed tomography (Micro-CT) technology was used to analyze the changes in bone microstructure of knee joint. Western blotting was used to detect the expressions of Ihh, patched 1 (Ptch1), Gli and MMP-13 proteins in knee joint. Results Compared with sham group, rats in model group showed defects and thinning of cartilage surface layer, decreased and disordered cell arrangement, decreased cross-sectional and coronal bone trabeculae, sparse distribution, decreased bone density, thermal pain threshold and mechanical pain threshold were significantly reduced (P < 0.001), slope angle was decreased (P < 0.001), levels of MMP-3 and MMP-13 in serum were significantly increased (P < 0.05, 0.01), Col II level was significantly decreased (P < 0.05), and expression levels of Ihh-Gli signaling pathway related proteins in knee joint were significantly increased (P < 0.001). Compared with model group, the cartilage surface of rats in Wutou Decoction group was smooth, the number of cells was increased, and the morphology was intact. The knee joint cross-section and coronal bone trabeculae were increased, and the distribution was dense. The thermal pain threshold and mechanical pain threshold were significantly increased (P < 0.05, 0.001), slope angle was increased (P < 0.01, 0.001), levels of MMP-3 and MMP-13 in serum were significantly reduced (P < 0.05), level of Col II was significantly increased (P < 0.05), and expression levels of Ihh-Gli signaling pathway related proteins in knee joint were significantly reduced (P < 0.05, 0.001). Conclusion Wutou Decoction protects articular cartilage by inhibiting excessive activation of Ihh-Gli signaling pathway, reducing abnormal proliferation and differentiation of chondrocytes., authors=YU Yueyue, CHENG Hangjie, MENG Zihan, ZHANG Xu, ZHAO Heli, ZHANG Wenjing, LI Ji'an, ZHANG Yixin, authorsList=YU Yueyue, CHENG Hangjie, MENG Zihan, ZHANG Xu, ZHAO Heli, ZHANG Wenjing, LI Ji'an, ZHANG Yixin, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1304140197130694830, articleId=1304140196858065069, tenantId=1146029695717560320, journalId=1302319053441957962, language=CN, title=基于Ihh-Gli信号通路探究乌头汤治疗膝骨关节炎的作用机制, columnId=1304140191707456168, journalTitle=中草药, columnName=药理与临床, runingTitle=null, highlight=null, articleAbstract=目的 探讨乌头汤通过调控印度刺猬因子(Indian hedgehog,Ihh)-胶质瘤相关癌基因同源物(glioma-associated oncogene homolog,Gli)信号通路治疗膝骨关节炎(knee osteoarthritis,KOA)的作用机制。方法SD雄性大鼠随机分为假手术组、模型组、塞来昔布(24 mg/kg)组和乌头汤低、中、高剂量(1.05、2.10、4.20 g/kg)组,每组10只。采用改良前交叉韧带切除技术建立KOA模型,给予药物干预8周后,测定机械痛阈值、热痛阈值及爬坡能力;ELISA检测血清中基质金属蛋白酶-3(matrix metalloproteinase-3,MMP-3)、MMP-13和II型胶原蛋白(type Ⅱ collagen,Col Ⅱ)水平;采用苏木素-伊红(hematoxylin-eosin,HE)染色观察膝关节的形态学变化;采用显微计算机断层扫描技术(micro-computed tomography,Micro-CT)分析膝关节的骨微结构变化;采用Western blotting检测膝关节Ihh、斑驳蛋白1(patched 1,Ptch1)、Gli和MMP-13蛋白表达。结果 与假手术组比较,模型组大鼠软骨表层缺损、变薄,细胞减少且排列紊乱,膝关节横截面和冠状面骨小梁减小,分布稀疏,骨密度降低,热痛阈值和机械痛阈值显著降低(P<0.001),斜坡角度变小(P<0.001),血清中MMP-3、MMP-13水平显著升高(P<0.05、0.01),Col Ⅱ水平显著降低(P<0.05),膝关节Ihh-Gli信号通路相关蛋白表达水平显著升高(P<0.001)。与模型组比较,乌头汤组大鼠软骨表面平整,细胞数量增多且形态完整,膝关节横截面和冠状面骨小梁增多,分布密集,热痛阈值和机械痛阈值显著升高(P<0.05、0.001),斜坡角度变大(P<0.01、0.001),血清中MMP-3、MMP-13水平显著降低(P<0.05),Col Ⅱ水平显著升高(P<0.05),膝关节Ihh-Gli信号通路相关蛋白表达水平显著降低(P<0.05、0.001)。结论 乌头汤通过抑制Ihh-Gli信号通路过度激活,减少软骨细胞异常增殖与分化,从而保护关节软骨。, authors=虞跃跃1,2, 成杭洁2, 孟梓涵2, 张旭2, 赵合立2, 张文静3, 李继安2,4, 张一昕1, authorsList=虞跃跃, 成杭洁, 孟梓涵, 张旭, 赵合立, 张文静, 李继安, 张一昕, authorCompany=1 河北中医药大学, 河北 石家庄 050200;
2 华北理工大学, 河北 唐山 063210;
3 北京卫戍区海淀第五退休干部休养所, 北京 100089;
4 河北省中西医结合防治糖尿病及其并发症重点实验室, 河北 唐山 063210, correspAuthors=李继安, authorNote=虞跃跃: 虞跃跃,博士研究生,研究方向为中医药临床应用及其机制研究。E-mail:tcmyuyueyue@ncst.edu.cn, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=F+0uRzxUQoKap/sXpbNJXg==, pdfFileSize=2440662, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=河北省国际合作专项(19392507D);国家科技部对发展中国家科技援助项目(KY201904005))}, authors=null, keywords=[Keyword(id=1304140197399130288, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1304140196858065069, language=CN, orderNo=1, keyword=膝骨关节炎), Keyword(id=1304140197474627761, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1304140196858065069, language=CN, orderNo=2, keyword=乌头汤), Keyword(id=1304140197554319538, 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基于Ihh-Gli信号通路探究乌头汤治疗膝骨关节炎的作用机制
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中草药 | 药理与临床 2026,57(3): 990-1000
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中草药 |药理与临床 2026 , 57 (3) : 990 -1000
基于Ihh-Gli信号通路探究乌头汤治疗膝骨关节炎的作用机制
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虞跃跃1,2, 成杭洁2, 孟梓涵2, 张旭2, 赵合立2, 张文静3, 李继安2,4, 张一昕1
作者信息
    1 河北中医药大学, 河北 石家庄 050200;
    2 华北理工大学, 河北 唐山 063210;
    3 北京卫戍区海淀第五退休干部休养所, 北京 100089;
    4 河北省中西医结合防治糖尿病及其并发症重点实验室, 河北 唐山 063210
通讯作者:
李继安
作者简介:
虞跃跃: 虞跃跃,博士研究生,研究方向为中医药临床应用及其机制研究。E-mail:tcmyuyueyue@ncst.edu.cn
Mechanism of Wutou Decoction in treatment of knee osteoarthritis based on Ihh-Gli signaling pathway
  • YU Yueyue, CHENG Hangjie, MENG Zihan, ZHANG Xu, ZHAO Heli, ZHANG Wenjing, LI Ji'an, ZHANG Yixin
  • Affiliations
    doi: 10.7501/j.issn.0253-2670.2026.03.017
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    目的 探讨乌头汤通过调控印度刺猬因子(Indian hedgehog,Ihh)-胶质瘤相关癌基因同源物(glioma-associated oncogene homolog,Gli)信号通路治疗膝骨关节炎(knee osteoarthritis,KOA)的作用机制。方法SD雄性大鼠随机分为假手术组、模型组、塞来昔布(24 mg/kg)组和乌头汤低、中、高剂量(1.05、2.10、4.20 g/kg)组,每组10只。采用改良前交叉韧带切除技术建立KOA模型,给予药物干预8周后,测定机械痛阈值、热痛阈值及爬坡能力;ELISA检测血清中基质金属蛋白酶-3(matrix metalloproteinase-3,MMP-3)、MMP-13和II型胶原蛋白(type Ⅱ collagen,Col Ⅱ)水平;采用苏木素-伊红(hematoxylin-eosin,HE)染色观察膝关节的形态学变化;采用显微计算机断层扫描技术(micro-computed tomography,Micro-CT)分析膝关节的骨微结构变化;采用Western blotting检测膝关节Ihh、斑驳蛋白1(patched 1,Ptch1)、Gli和MMP-13蛋白表达。结果 与假手术组比较,模型组大鼠软骨表层缺损、变薄,细胞减少且排列紊乱,膝关节横截面和冠状面骨小梁减小,分布稀疏,骨密度降低,热痛阈值和机械痛阈值显著降低(P<0.001),斜坡角度变小(P<0.001),血清中MMP-3、MMP-13水平显著升高(P<0.05、0.01),Col Ⅱ水平显著降低(P<0.05),膝关节Ihh-Gli信号通路相关蛋白表达水平显著升高(P<0.001)。与模型组比较,乌头汤组大鼠软骨表面平整,细胞数量增多且形态完整,膝关节横截面和冠状面骨小梁增多,分布密集,热痛阈值和机械痛阈值显著升高(P<0.05、0.001),斜坡角度变大(P<0.01、0.001),血清中MMP-3、MMP-13水平显著降低(P<0.05),Col Ⅱ水平显著升高(P<0.05),膝关节Ihh-Gli信号通路相关蛋白表达水平显著降低(P<0.05、0.001)。结论 乌头汤通过抑制Ihh-Gli信号通路过度激活,减少软骨细胞异常增殖与分化,从而保护关节软骨。
    膝骨关节炎  /  乌头汤  /  Ihh-Gli信号通路  /  关节软骨  /  乌头碱  /  次乌头碱  /  新乌头碱  /  芍药苷  /  甘草苷  /  黄芪甲苷
    Objective To explore the mechanism of Wutou Decoction (乌头汤) in treating knee osteoarthritis (KOA) by regulating Indian hedgehog factor (Ihh)-glioma associated oncogene homolog (Gli) signaling pathway. Methods Male SD rats were randomly divided into sham group, model group, celecoxib (24 mg/kg) group, Wutou Decoction low-, medium-, and high-dose (1.05, 2.10, 4.20 g/kg) groups, with 10 rats in each group. The improved anterior cruciate ligament resection technique was used to establish a KOA model, after eight weeks of drug intervention, mechanical pain threshold, thermal pain threshold and climbing ability were measured. ELISA was used to detect the levels of matrix metalloproteinase-3 (MMP-3), MMP-13 and type II collagen (Col II) in serum. The morphological changes of knee joint were observed by hematoxylin-eosin (HE) staining. Micro computed tomography (Micro-CT) technology was used to analyze the changes in bone microstructure of knee joint. Western blotting was used to detect the expressions of Ihh, patched 1 (Ptch1), Gli and MMP-13 proteins in knee joint. Results Compared with sham group, rats in model group showed defects and thinning of cartilage surface layer, decreased and disordered cell arrangement, decreased cross-sectional and coronal bone trabeculae, sparse distribution, decreased bone density, thermal pain threshold and mechanical pain threshold were significantly reduced (P < 0.001), slope angle was decreased (P < 0.001), levels of MMP-3 and MMP-13 in serum were significantly increased (P < 0.05, 0.01), Col II level was significantly decreased (P < 0.05), and expression levels of Ihh-Gli signaling pathway related proteins in knee joint were significantly increased (P < 0.001). Compared with model group, the cartilage surface of rats in Wutou Decoction group was smooth, the number of cells was increased, and the morphology was intact. The knee joint cross-section and coronal bone trabeculae were increased, and the distribution was dense. The thermal pain threshold and mechanical pain threshold were significantly increased (P < 0.05, 0.001), slope angle was increased (P < 0.01, 0.001), levels of MMP-3 and MMP-13 in serum were significantly reduced (P < 0.05), level of Col II was significantly increased (P < 0.05), and expression levels of Ihh-Gli signaling pathway related proteins in knee joint were significantly reduced (P < 0.05, 0.001). Conclusion Wutou Decoction protects articular cartilage by inhibiting excessive activation of Ihh-Gli signaling pathway, reducing abnormal proliferation and differentiation of chondrocytes.
    knee osteoarthritis  /  Wutou Decoction  /  Ihh-Gli signaling pathway  /  joint cartilage  /  aconitine  /  hypaconitine  /  mesaconitine  /  paeoniflorin  /  glycyrrhizin  /  astragaloside IV
    虞跃跃, 成杭洁, 孟梓涵, 张旭, 赵合立, 张文静, 李继安, 张一昕. 基于Ihh-Gli信号通路探究乌头汤治疗膝骨关节炎的作用机制. 中草药, 2026 , 57 (3) : 990 -1000 . DOI: 10.7501/j.issn.0253-2670.2026.03.017
    YU Yueyue, CHENG Hangjie, MENG Zihan, ZHANG Xu, ZHAO Heli, ZHANG Wenjing, LI Ji'an, ZHANG Yixin. Mechanism of Wutou Decoction in treatment of knee osteoarthritis based on Ihh-Gli signaling pathway[J]. Chinese Traditional and Herbal Drugs, 2026 , 57 (3) : 990 -1000 . DOI: 10.7501/j.issn.0253-2670.2026.03.017

      河北省国际合作专项(19392507D);国家科技部对发展中国家科技援助项目(KY201904005)

    参考文献 引证文献
    排序方式:
    陈天勤, 王树东, 胡哲, 等. 基于肥胖和经筋理论探讨五禽戏对膝骨性关节炎的作用机制 [J/OL]. 辽宁中医药大学学报, (2025-09-08) [2025-09-09]. https://link. cnki.net/urlid/21.1543.r.20250905.1656.002.2.
    李永琦, 唐友斌. 浅析《针灸逢源》针灸治疗膝骨关节炎的腧穴应用规律与思路 [J]. 中国中医药科技, 2025, 32(5): 939-942.
    卢志程. 温阳舒筋方对膝骨性关节炎患者股四头肌弥散张量成像影响的临床研究 [D]. 南宁: 广西中医药大学, 2025.
    魏义保, 马振源, 刘德仁, 等. 膝痹宁Ⅱ通过AMPK/ PGC1α信号通路调控糖酵解而减轻膝骨关节炎大鼠软骨损伤 [J]. 中国病理生理杂志, 2025, 41(8): 1569-1577.
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    2026年第57卷第3期
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    2种不同金属材料的力学参数

    Family
    属数
    Number of
    genus
    种数
    Number of
    species
    占总种数比例
    Percentage of
    total species (%)

    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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