Figure 4.
Effect of AR786 on MIA-induced or MNX-induced knee inflammation. Small changes in knee diameter were observed after intra-articular injection of MIA or saline (A), or after MNX surgery or sham surgery (B), as indicated by small differences between injected/operated and contralateral knees. Either AR786 (30 mg/kg twice daily) or vehicle (5% Gelucire) control was administered orally from day 14 (treatment). Knee diameters did not differ significantly between MIA-injected or saline-injected knees, nor between MIA-injected rats treated with either AR786 or vehicle (A). Knee diameter differences between operated and contralateral, non-operated knees were greater in MNX-operated than in sham-operated rats from 14 days after surgery (B). Differences in knee diameter between AR786-treated and vehicle-treated, MNX-operated rats at day 21 (7 days after the start of treatment) did not reach statistical significance. Synovitis scores, determined by histology, were significantly higher for MIA-injected rats (C) at 21 days and MNX-operated rats (D) at 28 days compared with saline-injected or sham-operated controls. Synovitis scores were reduced in MIA-injected rats following treatment for 7 days with oral AR786 compared with Gelucire vehicle-treated controls (C). Synovitis scores were not inhibited by preventive administration of AR786 in MNX-operated rats (D). Data are median of n=10 rats/group (A and B). Significance of post hoc tests is denoted by the number of symbols, for example, *p<0.05; **p<0.01; ***p<0.001. Asterisks (*) denote differences from saline-injected or sham-operated, vehicle-treated control rats. Hash sign (#) denotes differences from MIA-injected rats that received AR786. In (D), MNX-operated, AR786-treated rats either continued to receive AR786 until the end of the experiment at day 28 (AR786+), or AR786 treatment was discontinued and replaced by vehicle treatment from day 14 (AR786−). No significant differences were observed between continued and discontinued treatment groups. MIA, monosodium-iodoacetate; MNX, meniscal transection.