Abstract:Objective To investigate the mechanism of action of Guyanxiao Fang on the regulation of autophagy in bone and joint cells through the PI3K/Akt/mTOR signaling pathway.Methods A chondrocyte inflammation model was constructed, and cells were randomly divided into 6 groups: blank group (rabbit chondrocytes + complete culture medium), model group (rabbit chondrocytes + 10 μg/mL LPS culture medium), positive group (rabbit chondrocytes + LPS + 150 μmol/L D-glucosamine), low-dose Guyanxiao group (rabbit chondrocytes + LPS + 1 μg/mL Guyanxiao), medium-dose Guyanxiao group (rabbit chondrocytes + LPS + 10 μg/mL Guyanxiao), and high-dose Guyanxiao group (rabbit chondrocytes + LPS + 100 μg/mL Guyanxiao). Cell proliferation was detected by the CCK-8 method; the levels of autophagy factors ATG5 and ATG12 in cell supernatants were detected by enzyme-linked immunosorbent assay; the relative expression levels of PI3K, Akt, and mTOR genes in cells were detected by real-time fluorescence quantitative polymerase chain reaction; Western blotting was used to detect the relative expression levels of PI3K, Akt, mTOR, and Beclin-1 proteins.Results The differences in cell viability among the blank group, model group, and different concentration groups were statistically significant (P < 0.05). Compared with the blank group, the levels of ATG5 and ATG12 in chondrocytes of the model group, positive group, and high, medium, and low-dose Guyanxiao groups were all decreased (P < 0.05); compared with the model group, the levels of ATG5 and ATG12 in chondrocytes of the positive group and high, medium, and low-dose Guyanxiao groups were all increased (P < 0.05). Compared with the model group, the relative expression levels of PI3K, Akt, and mTOR mRNA in chondrocytes of the high, medium, and low-dose Guyanxiao groups were all decreased (P < 0.05). Compared with the blank group, the relative expression levels of PI3K, Akt, and mTOR proteins in chondrocytes of the model group were all increased (P < 0.05), while the relative expression level of Beclin-1 protein was decreased (P < 0.05); compared with the model group, the relative expression levels of PI3K, Akt, and mTOR proteins in chondrocytes of the positive group and high, medium-dose Guyanxiao groups were decreased (P < 0.05), and the relative expression levels of Beclin-1 protein in chondrocytes of the positive group and high, medium, and low-dose Guyanxiao groups were increased (P < 0.05).Conclusion Guyanxiao Fang can effectively prevent and treat osteoarthritis. Its mechanism of action may be through inhibiting the PI3K/Akt/mTOR signaling pathway, causing autophagy to be regulated to a certain extent, promoting chondrocyte proliferation and differentiation, thereby slowing down the development of osteoarthritis.