Molecular changes after shockwave therapy in osteoarthritic knee in rats

C. J. Wang*, Y. C. Sun, C. T. Wu, L. H. Weng, F. S. Wang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations

Abstract

This study investigated the molecular changes of DKK-1, MMP13, Wnt-5a and β-catenin after extracorporeal shock wave therapy (ESWT) in anterior cruciateligament transected (ACLT) osteoarthritic (OA) knee in rats. 27 male Spraque-Dawley rats were divided into three groups. Group I was the control one and received sham knee arthrotomy but no ACLT or ESWT. Group II underwent ACLT, but no ESWT. Group III underwent ACLT and received ESWT. The animalswerekilledat12weeks,andtheharvestedkneespec- imens were subjected to histo pathological examination and immune histo chemical analysis. Radiographs of the knees were obtained at 0 and 12 weeks. At 12 weeks, radiographs of group II showed more arthritic changes with formation of osteochondral fragments, whereas very subtle arthritis was noted in groups I and III. In histopathological examination, group II showed a significant increase of Mankin score and a decrease of sub chondral bone as compared to groups I and III. Group III showed a significant decrease of Mankin score and an increase of subchondral bone, with the data comparable to group I. In immunohistochemical analysis, group II showed significant increases of DKK-1 and MMP13 and decreases of Wnt-5a and β-catenin in articular cartilage and subchondral bone as compared to groups I and III. Group III showed sig-nificant decreases of DKK-1 and MMP13 and increases of Wnt-5a and β-catenin, with the data comparable to group I. In conclusion, the application of ESWT causes molecular changes that are consistent with the improvement in sub-chondral bone remodeling and chondroprotective effect in ACLT OA knees in rats.

Original languageEnglish
Pages (from-to)45-51
Number of pages7
JournalShock Waves
Volume26
Issue number1
DOIs
StatePublished - 01 2016

Bibliographical note

Publisher Copyright:
© Springer-Verlag Berlin Heidelberg 2013.

Keywords

  • ACLT
  • ESWT
  • Molecular change
  • OA knee
  • Rats

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