Effects of Jeungmiobi-tang on the Articular Cartilage Injuries Induced by Monosodium Iodoacetate in Rats

Article information

J Korean Med. 2020;41(3):138-150

Publication date (electronic) : 2020 September 01

doi : https://doi.org/10.13048/jkm.20030

Jae-Cheol Hyun, K.M.D

, Su-Hyeon Jeong, K.M.D

Department of Rehabilitation medicine of Korean Medicine, College of Korean Medicine, Se-Myung University

Correspondence to: Su-Hyeon Jeong Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Se-Myung University, 63, Sangbang 4-gil, Chungju-si, Chungcheongbuk-do, Republic of Korea Tel: +82-43-841-1737, Fax: +82-43-856-1731, E-mail: js365a@hanmail.net

Received 2020 July 31; Revised 2020 August 13; Accepted 2020 August 19.

Abstract

Objectives

This study was carried out to investigate the protective effects of Jeungmiobi-tang on the articular cartilage injuries induced by monosodium iodoacetate in rats.

Methods

Twenty four rats were divided into three groups. Rats of normal group (n=8) were injected with 0.1 ml physiological saline into both knee joint cavities. In the rats of control group (n=8) and Jeungmiobi-tang group (n=8), Arthritis was induced by injecting with 0.1 ml monosodium iodoacetate (5 mg/ml) into both knee joint cavities. After the experiment, Gross and histopathological examinations on the knee joint were performed. The content of proteoglycan in articular cartilage and TNF-α and IL-1β in synovial fluid were also analyzed.

Results

Grossly, Injuries to the articular cartilage surface was observed weak in the Jeungmiobi-tang group compared to the control group. Proteoglycan content in the articular cartilage was significantly higher in the Jeungmiobi-tang group than in the control group. The chondrocyte score was significantly lower in the Jeungmiobi-tang group than in the control group.

Conclusion

According to these results, that Jeungmiobi-tang has protective effects on the articular cartilage injuries induced by monosodium iodoacetate in rats.

Keywords: Jeungmiobi-tang; Monosodium iodoacetate; Articular cartilage injury; Proteoglycan. Osteoarthritis

Fig. 1

Picture of proximal tibia of normal group. The articular cartilage surfaces of tibia are glossy and smooth.

Fig. 2

Picture of proximal tibia of control group. The articular cartilage surfaces of tibia are discolored and rough(arrow head), and some areas are deeply ulcerated(arrow).

Fig. 3

Picture of proximal tibia of Jeungmiobi-tang treated group. The articular cartilage surfaces of tibias are less discolored and less rough than control group.

Fig. 4

Coronal section of proximal tibia of normal group. The articular cartilage(*) is thickly stained with Safranine O. EP : epiphyseal plate, Safranine O stain, bar = 300 μm.

Fig. 5

Coronal section of proximal tibia of control group. The red color disappeared in a great part of articular cartilage(*). Only a portion of the periphery of cartilage and subchondral part was stained red color(arrow and arrow heads). EP : epiphyseal plate. Safranine O stain, bar = 300 μm.

Fig. 6

Coronal section of proximal tibia of Jeungmiobi-tang treated group. The articular cartilage(*) is more stained with Safranine O than control group(arrow and arrow heads). EP : epiphyseal plate. Safranine O stain, bar = 300 μm.

Fig. 7

Sagittal section of normal group’s knee joint. The articular cartilages(*) of synovial membrane(arrows), meniscus(M), femur(F), tibia(T), and are normal. H&E stain, bar = 300 μm.

Fig. 9

Higher magnification of Fig. 8. Clefts(arrow heads) and Homogenous degeneration(*) of articular cartilage are shown. Also, There are reactive fibrosis(long arrows) and activation of osteoclasts(small arrows). H&E stain, bar = 100 μm.

Fig. 8

Sagittal section of control group’s knee joint. A great part of articular cartilages(*) of tibia(T) and femur(F) are necrotic and degenerated. There is Cleft(arrow head) in deep part of articular cartilage. Also, reactive fibrosis(arrows) are shown. H&E stain, bar = 300 μm.

Fig. 10

Sagittal section of Jeungmiobi-tang treated group’s knee joint. A great part of articular cartilages(*) of tibia(T) and femur(F) are degenerated. But chondrocytes (arrows) around the degenerative area are intact. Clefts in deep part of articular cartilage are not shown. H&E stain, bar = 300 μm.

Table 1

Prescription of Jeungmiobi-tang per Pack

Table 2

Criteria for Histopathological Score of Osteoarthritic Lesions

Table 3

Effects of Jeungmiobi-tang Treatment on the Body Weight of Rats

Table 4

Effects of Jeungmiobi-tang Treatment on the Proteoglycan Content in Tibial Articular Cartilages

Table 5

Difference in Numbers of Total WBC, Neutrophils, Lymphocytes and Monocytes

Table 6

Effects of Jeungmiobi-tang Treatment on the Osteoarthritic Score of the Knee Joints of Rats

Table 7

Effects of Jeungmiobi-tang Treatment on Tumor Necrosis Factor-α Contents in Synovial Fluids of Rats

Table 8

Effects of Jeungmiobi-tang Treatment on Interleukin-1β Contents in Synovial Fluids of Rats

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Article information Continued

Fig. 1

Picture of proximal tibia of normal group. The articular cartilage surfaces of tibia are glossy and smooth.

Fig. 2

Picture of proximal tibia of control group. The articular cartilage surfaces of tibia are discolored and rough(arrow head), and some areas are deeply ulcerated(arrow).

Fig. 3

Picture of proximal tibia of Jeungmiobi-tang treated group. The articular cartilage surfaces of tibias are less discolored and less rough than control group.

Fig. 4

Coronal section of proximal tibia of normal group. The articular cartilage(*) is thickly stained with Safranine O. EP : epiphyseal plate, Safranine O stain, bar = 300 μm.

Fig. 5

Fig. 6

Fig. 7

Sagittal section of normal group’s knee joint. The articular cartilages(*) of synovial membrane(arrows), meniscus(M), femur(F), tibia(T), and are normal. H&E stain, bar = 300 μm.

Fig. 8

Fig. 9

Fig. 8

Fig. 10

Table 1

Prescription of Jeungmiobi-tang per Pack

Name of herbs	Pharmacognostic name	Weight(g)
羌活	Ostericum Koreanum	4g
防己	Sinomenium Acutum	4g
薑黃	Curcuma Longa Rhizoma	4g
白朮	Atractylodis Rhizoma Alba	4g
海桐皮	Kalopanacis Cortex	4g
當歸	Angelicae Gigantis Radix	4g
白芍藥	Paeoniae Radix Alba	4g
甘草(炙)	Glycyrrhizae Radix	3g
生薑	Zingiberis Rhizoma Crudus	30g

Total

Table 2

Criteria for Histopathological Score of Osteoarthritic Lesions

Matrix Score		Chondrocyte Score
0	Normal	0	Normal
1	Surface irregularities	2	Reduced cells
3	Superficial fibrillation	5	Strongly reduced cells
6	Clefts in deep zone	8	Total loss of cartilage and cells
8	Massive loss of cartilage

Subchondral Bone Score
0	Normal
3	Remodeling processes
8	Thickening, strong sclerosis

Table 3

Effects of Jeungmiobi-tang Treatment on the Body Weight of Rats

Group	Body Weight(g)					Increased Ratio of Body Weight(%)
Group	0	5	10	15	20 days	Increased Ratio of Body Weight(%)
Normal (n=8)†	220±6*	255±11	288±13	314±15	337±16	52.9±5.6
Control (n=8)‡	221±6	246±11	280±14	303±13	324±10	46.6±4.0\|\|
Jeungmiobitang (n=8)§	221±9	244±8	282±12	307±13	329±18	48.9±6.0

data expressed as Mean±S.D.

^†

saline injected and treated with distilled water

^‡

MIA injected and treated with distilled water

^§

MIA injected and treated with Jeungmiobi-tang extracts

^||

Statistically significant compared with normal group(p<0.05)

Table 4

Effects of Jeungmiobi-tang Treatment on the Proteoglycan Content in Tibial Articular Cartilages

Group	Proteoglycan Content (%)
Normal (n=8)†	100.0±8.3*
Control (n=8)‡	19.5±5.6\|\|
Jeungmiobitang (n=8)§	34.7±17.7¶

data expressed as Mean±S.D.

^†

saline injected and treated with distilled water

^‡

MIA injected and treated with distilled water

^§

MIA injected and treated with Jeungmiobitang extracts

^||

Statistically significant compared with normal group(p<0.001)

^¶

Statistically significant compared with control group(p<0.05)

Table 5

Difference in Numbers of Total WBC, Neutrophils, Lymphocytes and Monocytes

Group	Total WBC (x103/ml)	Neutrophils	Lymphocytes	Monocytes
Normal (n=8)†	4.08±0.53*	881±174	3,087±419	69±28
Control (n=8)‡	5.27±1.20\|\|	1,175±285*	3,865±1001	104±53
Jeungmiobi-tang (n=8)§	6.35±1.17	1,330±223	4,763±892	187±100

data expressed as Mean±S.D.

^†

saline injected and treated with distilled water

^‡

MIA injected and treated with distilled water

^§

MIA injected and treated with Jeungmiobitang extracts

^||

Statistically significant compared with normal group(p<0.05)

Table 6

Effects of Jeungmiobi-tang Treatment on the Osteoarthritic Score of the Knee Joints of Rats

Group and Identification Number		Matrix Score	Chondrocyte Score	Subchondral Bone Score	Sum of Scores
Control†	C1	6	5	8	19
	C2	3	5	3	11
	C3	8	5	8	21
	C4	3	5	3	11
	C5	3	5	3	11
	C6	6	5	8	19
	C7	8	8	3	19
	C8	6	5	3	14

	Mean	5.4±2.0*	5.4±1.0	4.9±2.4	15.6±4.0

Jeungmiobi-tang‡	T1	1	2	3	6
	T2	3	5	3	11
	T3	3	5	8	19
	T4	3	2	8	13
	T5	6	5	8	19
	T6	1	2	0	3
	T7	3	2	8	13
	T8	6	5	3	14

	Mean	3.3±1.8	3.5±1.5§	5.1±3.0	12.3±5.3

data expressed as Mean±S.D.

^†

MIA injected and treated with distilled water

^‡

MIA injected and treated with Jeungmiobi-tang extracts

^§

Statistically significant compared with control group(p<0.05)

Table 7

Effects of Jeungmiobi-tang Treatment on Tumor Necrosis Factor-α Contents in Synovial Fluids of Rats

Group	Tumor Necrosis Factor-α (pg/ml)
Normal (n=8)†	48.2±13.3*
Control (n=8)‡	101.5±16.5\|\|
Jeungmiobi-tang (n=8)§	84.0±18.9

data expressed as Mean±S.D.

^†

saline injected and treated with distilled water

^‡

MIA injected and treated with distilled water

^§

MIA injected and treated with Jeungmiobi-tang extracts

^||

Statistically significant compared with normal group(p<0.001)

Table 8

Effects of Jeungmiobi-tang Treatment on Interleukin-1β Contents in Synovial Fluids of Rats

Group	Interleukin-1β (pg/ml)
Normal (n=8)†	96.3±13.1*
Control (n=8)‡	114.7±13.3\|\|
Jeungmiobi-tang (n=8)§	102.6±8.0

data expressed as Mean±S.D.

^†

saline injected and treated with distilled water

^‡

MIA injected and treated with distilled water

^§

MIA injected and treated with Jeungmiobi-tang extracts

^||

Statistically significant compared with normal group(p<0.05)