Oxidative stress-related cartilage degeneration,synovitis,and joint pain play vital roles in the progress of osteoarthritis(OA).Anti-oxidative stress agents not only prevent structural damage progression but also relieve OA-related pain.In this study,we investigated the therapeutic effect of methylene blue(MB),a classical and important anti-oxidant with strong neural affinity.Experimental OA was established in rats by radial transection of medial collateral ligament and medial meniscus(MCLT+MMT)of the right knee joint.The OA rats received intra-articular injection of MB(1 mg/kg)every week starting one week after surgery.We showed that MB administration exerted significant cartilage protection,synovitis inhibition as well as pain relief in OA rats.In human chondrocytes and fibroblast-like synoviocytes,MB significantly attenuated tert-butyl hydroperoxide(TBHP)-induced inflammatory response and oxidative stress.We demonstrated that these effects of MB resulted from dual targets of important antioxidant enzymes,Nrf2 and PRDX1,which also mutually reinforcing and participated in an interaction.Furthermore,we found that calcitonin gene-related peptide(CGRP),a neural inflammatory mediator,was accumulated around the vessel in synovium and subchondral bone in OA rats and in TBHP-treated primary cortical neurons;MB administration significantly inhibited CGRP expression through upregulation of Nrf2 and PRDX1.Taken together,these results suggest that MB ameliorates oxidative stress via Nrf2/PRDX1 regulation to prevent progression and relieve pain of OA.

Jia-wei Li;Rong-liang Wang;Jia Xu;Kuo-yang Sun;Hui-ming Jiang;Zi-ying Sun;Zhong-yang Lv;Xing-quan Xu;Rui Wu;Hu Guo;Qing Jiang;Dong-quan Shi

State Key Laboratory of Pharmaceutical Biotechnology,Department of Sports Medicine and Adult Reconstructive Surgery,Affiliated Drum Tower Hospital,Medical School of Nanjing University,Nanjing 210008,China;Drum Tower of Clinical Medicine,Nanjing Medical University,Nanjing 210008,China;Department of Sports Medicine and Joint Surgery,the Affiliated Nanjing Hospital of Nanjing Medical University,Nanjing 210008,China

中国药理学报（英文版）

[1]Jia-wei Li;Rong-liang Wang;Jia Xu;Kuo-yang Sun;Hui-ming Jiang;Zi-ying Sun;Zhong-yang Lv;Xing-quan Xu;Rui Wu;Hu Guo;Qing Jiang;Dong-quan Shi-.Methylene blue prevents osteoarthritis progression and relieves pain in rats via upregulation of Nrf2/PRDX1)[J].中国药理学报（英文版）,2022(02):417-428

MCLT+MMT

Methylene,blue,prevents,osteoarthritis,progression,relieves,pain,rats,via,upregulation,Nrf2,PRDX1,Oxidative,stress,related,cartilage,degeneration,synovitis,joint,play,vital,roles,OA,Anti,oxidative,agents,not,only,structural,damage,also,In,this,study,investigated,therapeutic,methylene,MB,classical,important,strong,neural,affinity,Experimental,was,established,by,radial,transection,medial,collateral,ligament,meniscus,right,knee,received,intra,articular,injection,every,week,starting,after,surgery,We,showed,that,administration,exerted,protection,inhibition,well,relief,human,chondrocytes,fibroblast,like,synoviocytes,significantly,attenuated,tert,butyl,hydroperoxide,TBHP,induced,inflammatory,response,demonstrated,these,effects,resulted,from,dual,targets,antioxidant,enzymes,which,mutually,reinforcing,participated,interaction,Furthermore,found,calcitonin,peptide,CGRP,mediator,accumulated,around,vessel,synovium,subchondral,bone,treated,primary,cortical,neurons,inhibited,expression,through,Taken,together,results,suggest,ameliorates

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