Electroacupuncture attenuates synovitis in knee osteoarthritis and is associated with modulation of the protein S-TAM (Axl/MerTK)-Rac1 signaling axis - Report - MDSpire

Electroacupuncture attenuates synovitis in knee osteoarthritis and is associated with modulation of the protein S-TAM (Axl/MerTK)-Rac1 signaling axis

  • By

  • Meng-Meng Li

  • Fei-Yang Jia

  • Hua-Li Tang

  • Xing Wen

  • Xia-Rong Huang

  • Lin-Wei Yin

  • Yi-Yang Xiao

  • Meng-Jian Qu

  • Jun Zhou

  • July 9, 2026

  • 0 min

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Electroacupuncture Reduces Synovitis in Knee Osteoarthritis and Influences the S-TAM (Axl/MerTK)-Rac1 Signaling Pathway

Overview

Electroacupuncture (EA) significantly reduces synovitis and cartilage damage in a rat model of knee osteoarthritis (KOA).

Background

Knee osteoarthritis (KOA) is a major cause of disability, characterized by synovial inflammation and cartilage degradation. Current treatments primarily focus on symptom relief without addressing underlying inflammation.

Data Highlights

OutcomeKOA-EA GroupControlP-value
Mankin’s/OARSI ScoresReducedSevere Damage< 0.01
MMP13 ExpressionDecreasedIncreased< 0.05
Krenn ScoreLowerHigher< 0.01
Synovial ApoptosisReducedIncreased< 0.001
Cytokine ProfileAnti-inflammatoryPro-inflammatory< 0.05

Key Findings

  • EA significantly reduced cartilage damage as measured by Mankin’s/OARSI scores.
  • There was a decrease in MMP13 expression in the KOA-EA group compared to controls.
  • EA treatment led to a lower Krenn score, indicating reduced synovitis.
  • Synovial apoptosis was significantly reduced in the EA group.
  • EA shifted the cytokine profile towards an anti-inflammatory pattern.
  • EA was associated with the restoration of the Protein S-TAM-Rac1 signaling pathway.

Clinical Implications

The findings indicate that electroacupuncture may have effects on synovitis in knee osteoarthritis.

Conclusion

Electroacupuncture demonstrates significant anti-inflammatory and chondroprotective effects in a KOA model.

Related Resources & Content

  1. Clinical Rheumatology, 2025 -- Efficacy of Fire-Needle Warming Therapy for Treating Cold-Dampness Type Knee Osteoarthritis and Its Impact on Serum Levels of IL-1β and MMP-3
  2. Clinical Rheumatology, 2024 -- Electroacupuncture Combined with Extensor Exercises Enhances Quadriceps Elastic Contraction Density in Knee Osteoarthritis Over Short and Long Durations
  3. conexiant -- Knee OA Trial Tests Diacerein
  4. Frontiers in Pain Research -- Electroacupuncture for Temporomandibular Disorder–Related Pain: Clinical Evidence, Mechanisms, and Safety—A Narrative Review
  5. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee - PubMed
  6. Electroacupuncture for knee osteoarthritis: a multicentre randomised controlled trial assessing symptomatic and structural efficacy - ScienceDirect
  7. Frontiers -- Electroacupuncture superiority in knee osteoarthritis: a meta-analysis of four acupuncture techniques
  8. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee - PubMed
  9. Electroacupuncture for knee osteoarthritis: a multicentre randomised controlled trial assessing symptomatic and structural efficacy - ScienceDirect
  10. Frontiers | Electroacupuncture superiority in knee osteoarthritis: a meta-analysis of four acupuncture techniques

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